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Targeting TGF-beta in prostate cancer: therapeutic possibilities during tumor progression
Elisabeth Jones1, Hong Pu, Natasha Kyprianou
1University of Kentucky, Surgery/Urology and Markey Cancer Center, 306 Combs Building, 800 Rose Street, Lexington, KY 40536, USA.
Background:
TGF-beta regulates prostate growth by inhibiting epithelial cell proliferation and inducing apoptosis through eliciting a dynamic signaling pathway. In metastatic prostate cancer, however, TGF-beta serves as a tumor promoter. TGF-beta engages Smad-dependent and Smad-independent mechanisms to exert its action. During prostate tumorigenesis, prostate cells exhibit loss or mutation of TGF-beta transmembrane receptors. Increased production of TGF-beta causes immunosuppression, extracellular matrix degradation, epithelia to mesenchymal transition and angiogenesis that promotes tumor cell invasion and metastasis.
Objective:
The molecular basis for effective therapeutic targeting of TGF-beta must be directed towards the double-edge-sword nature of the cytokine: inhibiting the TGF-beta tumor promoter capabilities in advanced metastatic prostate cancer, although retaining the growth-inhibitory abilities exhibited in early stages of prostate tumorigenesis.
Results/Conclusion:
The current understanding of the therapeutic possibilities of targeting TGF-beta signaling during prostate tumor progression is built on preclinical studies. Studies targeting TGF-beta signaling pathway for the treatment of several human malignancies include the use of neutralizing antibodies, antisense oligonucelotides and small molecule inhibitors of kinase activity of the receptor complex. This review focuses on exploiting the therapeutic potential of targeting TGF-beta signaling in the context of its contribution to prostate cancer initiation and progression to metastasis.
Insights
Transforming growth factor-beta (TGF-beta) has a dual role in prostate cancer, acting as a tumor suppressor early on and a promoter in later stages. Therapeutic strategies must target its tumor-promoting functions in metastatic prostate cancer while preserving its beneficial effects.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- Transforming growth factor-beta (TGF-beta) typically inhibits prostate epithelial cell proliferation and induces apoptosis.
- In metastatic prostate cancer, TGF-beta paradoxically promotes tumor growth by activating Smad-dependent and Smad-independent pathways.
- Prostate cancer progression involves loss of TGF-beta receptors, increased TGF-beta production, leading to immunosuppression, matrix degradation, epithelial-mesenchymal transition, and angiogenesis.
Purpose of the Study:
- To explore the therapeutic potential of targeting the TGF-beta signaling pathway in prostate cancer.
- To address the dual role of TGF-beta as both a suppressor and promoter in prostate tumorigenesis.
- To guide therapeutic strategies that inhibit TGF-beta's tumor-promoting effects in advanced stages while retaining its tumor-suppressive functions in early stages.
Main Methods:
- Review of preclinical studies on targeting the TGF-beta signaling pathway.
- Analysis of therapeutic approaches including neutralizing antibodies, antisense oligonucleotides, and small molecule kinase inhibitors.
- Focus on the contribution of TGF-beta signaling to prostate cancer initiation and metastasis.
Main Results:
- Preclinical studies form the basis for understanding therapeutic targeting of TGF-beta in prostate cancer.
- Various agents like antibodies and inhibitors are being investigated to modulate TGF-beta signaling.
- The review synthesizes current knowledge on exploiting TGF-beta signaling for therapeutic benefit in prostate cancer.
Conclusions:
- Targeting TGF-beta signaling presents a promising therapeutic avenue for prostate cancer.
- Effective strategies must account for TGF-beta's complex, context-dependent roles in tumor progression.
- Further research into modulating TGF-beta signaling is crucial for developing novel prostate cancer treatments.
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