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Updated: Jun 6, 2026

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
Pharmacological inhibition of TGFβ as a strategy to augment the antitumor immune response
Brent A Hanks1, Michael A Morse
1Department of Internal Medicine, Division of Hematology and Oncology, Duke University Medical Center, 450 Research Drive, Durham, NC 27708, USA. hanks004@mc.duke.edu
Abstract:
There is considerable evidence suggesting that a variety of malignancies utilize the TGFβ cytokine to evade immune surveillance mechanisms to facilitate tumor growth and metastatic progression. The recently developed large- and small-molecule TGFβ inhibitors have demonstrated antitumor efficacy in several preclinical tumor models. Further investigation has revealed these agents to be critically dependent upon the host's immune system, suggesting that the inhibition of TGFβ may overcome the immunosuppressive tumor microenvironment and, ultimately, augment the antitumor immune response. These findings strongly support combining this strategy with other immunotherapeutic approaches for the treatment of metastatic cancer. This review discusses the immunoregulatory and antitumor properties of these pharmacological inhibitors of TGFβ signaling as either independent agents or in combination with various immunotherapeutic strategies, their potential side effects, as well as additional avenues of research that may be necessary for their eventual clinical application.
Insights
Transforming growth factor beta (TGFβ) inhibitors show promise in fighting cancer by enhancing the immune response. Combining TGFβ inhibitors with immunotherapy may improve treatments for metastatic cancer.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Malignancies leverage transforming growth factor beta (TGFβ) to evade immune surveillance, promoting tumor growth and metastasis.
- TGFβ signaling is crucial for tumor progression and immune evasion in various cancers.
Purpose of the Study:
- To review the immunoregulatory and antitumor properties of TGFβ inhibitors.
- To explore the potential of combining TGFβ inhibitors with immunotherapy for metastatic cancer treatment.
Main Methods:
- Review of preclinical data on large- and small-molecule TGFβ inhibitors.
- Analysis of the dependence of TGFβ inhibitors on the host immune system.
- Discussion of combination strategies with other immunotherapies.
Main Results:
- TGFβ inhibitors demonstrate antitumor efficacy in preclinical models.
- These inhibitors may overcome the immunosuppressive tumor microenvironment.
- The efficacy of TGFβ inhibitors is critically dependent on the host immune system.
Conclusions:
- Inhibiting TGFβ can augment antitumor immune responses.
- Combining TGFβ inhibitors with immunotherapy is a promising strategy for metastatic cancer.
- Further research is needed for clinical application, including understanding side effects.
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