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Updated: May 29, 2026

Molecular Analysis of Endothelial-mesenchymal Transition Induced by Transforming Growth Factor-β Signaling
Published on: August 3, 2018
Transforming growth factor beta signaling in adult cardiovascular diseases and repair
Thomas Doetschman1, Joey V Barnett, Raymond B Runyan
1BIO5 Institute, University of Arizona, Tucson, AZ 85724, USA.
Insights
Adults with congenital heart disease are a growing population facing unique cardiovascular issues. Understanding transforming growth factor beta (TGFβ) signaling is key to improving treatments for these complex adult cardiovascular diseases.
Area of Science:
- Cardiovascular Science
- Developmental Biology
- Genetics
Background:
- Advances in medicine allow more children with congenital heart disease (CHD) to survive into adulthood.
- Adults with CHD represent the largest demographic for adult cardiovascular diseases, presenting complex and often poorly understood conditions.
- These conditions include untreated childhood defects, post-surgical complications, exercise intolerance, and age-related degenerative changes.
Purpose of the Study:
- To explore the role of transforming growth factor beta (TGFβ) signaling pathways in the development and progression of adult cardiovascular diseases.
- To summarize current knowledge on specific TGFβ ligand, receptor, and effector genes implicated in cardiovascular pathologies.
- To highlight the need for a deeper understanding of TGFβ signaling in cardiovascular disease and repair for improved clinical interventions.
Main Methods:
- Review and summarization of existing scientific literature on TGFβ signaling pathways.
- Focus on a subset of TGFβ pathway genes known to be dysregulated in cardiovascular diseases.
- Analysis of the developmental basis of adult cardiovascular disease and its connection to TGFβ signaling.
Main Results:
- TGFβ signaling pathways, crucial for cardiovascular development, are implicated in the homeostatic, repair, and stress responses in adult cardiovascular diseases.
- Dysregulation of specific TGFβ pathway genes is linked to cardiovascular diseases and adult pathologies.
- Current understanding of adult cardiovascular diseases in the CHD population is limited, necessitating further research.
Conclusions:
- A comprehensive understanding of the TGFβ signaling network in cardiovascular disease and repair is essential for advancing research in elderly patients.
- Investigating TGFβ pathways can lead to improved genetic and physiological insights into cardiovascular diseases.
- This knowledge is critical for developing more effective clinical interventions for adults with complex cardiovascular conditions originating from childhood CHD.
Abstract:
The majority of children with congenital heart disease now live into adulthood due to the remarkable surgical and medical advances that have taken place over the past half century. Because of this, adults now represent the largest age group with adult cardiovascular diseases. It includes patients with heart diseases that were not detected or not treated during childhood, those whose defects were surgically corrected but now need revision due to maladaptive responses to the procedure, those with exercise problems and those with age-related degenerative diseases. Because adult cardiovascular diseases in this population are relatively new, they are not well understood. It is therefore necessary to understand the molecular and physiological pathways involved if we are to improve treatments. Since there is a developmental basis to adult cardiovascular disease, transforming growth factor beta (TGFβ) signaling pathways that are essential for proper cardiovascular development may also play critical roles in the homeostatic, repair and stress response processes involved in adult cardiovascular diseases. Consequently, we have chosen to summarize the current information on a subset of TGFβ ligand and receptor genes and related effector genes that, when dysregulated, are known to lead to cardiovascular diseases and adult cardiovascular deficiencies and/or pathologies. A better understanding of the TGFβ signaling network in cardiovascular disease and repair will impact genetic and physiologic investigations of cardiovascular diseases in elderly patients and lead to an improvement in clinical interventions.
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