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Published on: October 27, 2020
Targeting aberrant TGF-beta signaling in pre-clinical models of cancer
Anna Alexeyevna Mourskaia1, Jason Jonathan Northey, Peter Michael Siegel
1Department of Medicine, McGill University, Montréal, Québec, Canada.
Abstract:
The TGF-beta signaling pathway is central to the control of diverse biological processes including cellular proliferation, cell survival, apoptosis, extracellular matrix deposition/remodeling, migration, invasion and immune regulation/inflammation. Given the pleiotropic effects of this cytokine, it comes as no surprise that numerous pathological conditions are associated with alterations in the TGF-beta pathway, including chronic fibrosis, airway remodeling (asthma), cardiovascular disease and cancer. Thus, there are increasing efforts to develop reagents and therapeutic strategies to impair TGF-beta signaling. Here we review several classes of inhibitors, including knock-down strategies aimed at signaling components of the TGF-beta pathway, TGF-beta neutralizing antibodies, TGF-beta receptor extracellular domains that function as ligand traps and small molecule kinase inhibitors. Strategies with potential for application as anti-cancer therapeutics that have been evaluated in pre-clinical animal models will be discussed. TGF-beta action is complex, shifting from a tumor suppressor to a promoter of tumor cell invasion and metastasis in several types of cancer. This raises important issues regarding not only the status of the TGF-beta pathway in the individual patient but also the precise stage during disease progression that such inhibitors should be employed. Potential consequences of targeting the TGF-beta pathway will also be considered.
Insights
Transforming growth factor-beta (TGF-beta) signaling regulates cell functions and is implicated in diseases like cancer and fibrosis. This review covers inhibitors targeting the TGF-beta pathway for therapeutic development.
Area of Science:
- Cellular Biology
- Molecular Signaling
- Pathology
Background:
- The Transforming Growth Factor-beta (TGF-beta) signaling pathway governs critical cellular processes like proliferation, apoptosis, and immune responses.
- Dysregulation of TGF-beta signaling is linked to various pathologies, including fibrosis, asthma, cardiovascular disease, and cancer.
Purpose of the Study:
- To review current therapeutic strategies and inhibitors targeting the TGF-beta signaling pathway.
- To discuss the potential of these inhibitors as anti-cancer therapeutics, particularly in pre-clinical models.
- To consider the complexities and potential consequences of targeting TGF-beta in disease treatment.
Main Methods:
- Review of existing literature on TGF-beta pathway inhibitors.
- Discussion of various inhibitor classes: knock-down strategies, neutralizing antibodies, ligand traps, and small molecule kinase inhibitors.
- Analysis of pre-clinical data for anti-cancer therapeutic strategies.
Main Results:
- Several classes of TGF-beta signaling inhibitors are under development.
- TGF-beta's dual role in cancer, acting as a tumor suppressor early on and a promoter of invasion later, complicates therapeutic targeting.
- Pre-clinical studies show promise for some inhibitors in anti-cancer applications.
Conclusions:
- Targeting the TGF-beta pathway offers potential therapeutic avenues for various diseases, especially cancer.
- The efficacy and timing of TGF-beta inhibition are critical considerations due to its complex roles in disease progression.
- Further research is needed to fully understand and mitigate potential adverse effects of TGF-beta pathway inhibition.
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