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Updated: May 22, 2026

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
Transforming growth factor (TGF)-β expression and activation mechanisms as potential targets for anti-tumor therapy
Marlous Arjaans1, Thijs H Oude Munnink, Hetty Timmer-Bosscha
1Department of Medical Oncology, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands.
Abstract:
Cancer remains one of the leading causes of death in the developed countries and cancer mortality is expected to rise globally. Despite encouraging developments regarding targeted drugs, the most prevalent cancer mortality remains metastatic disease. Therefore, drugs that target cancer progression, invasion and metastasis are clearly needed. One of the most interesting targets in this setting is transforming growth factor β (TGF-β). TGF-β can promote tumor growth, invasion and metastasis. However, TGF-β also has a physiological, opposing role: maintaining tissue homeostasis and suppression of tumor progression. The window of effective TGF-β targeting is therefore evidently small, which poses a clear challenge in selecting patients at the right time. Despite this complexity, several TGF-β inhibitors are currently in clinical development, modulating TGF-β production, activation or signaling. Still, specificity and long term toxicity remain unclear, emphasizing the importance of careful monitoring of clinical trials. Development and application of these drugs in the clinic require adequate insight and evaluation methods for the role of TGF-β during tumor invasion and metastasis. In this review, presently available methods for clinical evaluation will be discussed, such as an ex vivo stimulation assay, TGF-β response signature and molecular imaging techniques. Future clinical trials incorporating the validation of these evaluation methods will show which method will be most predictive and suitable for clinical application.
Insights
Targeting transforming growth factor beta (TGF-β) offers potential against cancer metastasis. However, its dual role necessitates precise patient selection and validated clinical evaluation methods for effective TGF-β inhibitor therapy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Cancer metastasis is a primary cause of mortality, driving the need for novel therapeutic strategies.
- Transforming growth factor beta (TGF-β) plays a complex, dual role in cancer, promoting invasion and metastasis while also suppressing early tumor progression.
- The narrow therapeutic window for TGF-β targeting presents significant challenges in patient selection and treatment timing.
Purpose of the Study:
- To review current methods for the clinical evaluation of transforming growth factor beta (TGF-β) in cancer invasion and metastasis.
- To discuss the challenges and potential of TGF-β inhibitors in clinical development.
- To highlight the importance of validating evaluation methods for future clinical trials.
Main Methods:
- Review of existing literature on TGF-β inhibitors and clinical evaluation techniques.
- Discussion of methods including ex vivo stimulation assays, TGF-β response signatures, and molecular imaging.
- Emphasis on the need for validation of these methods in clinical settings.
Main Results:
- Several TGF-β inhibitors are in clinical development, targeting TGF-β production, activation, or signaling.
- Challenges remain regarding the specificity and long-term toxicity of TGF-β inhibitors.
- Current clinical evaluation methods require further validation to determine their predictive power.
Conclusions:
- Effective clinical application of TGF-β inhibitors depends on precise patient selection and robust evaluation methods.
- Validated methods are crucial for monitoring TGF-β's role during tumor invasion and metastasis in clinical trials.
- Future research should focus on validating these evaluation techniques to optimize TGF-β-targeted cancer therapies.
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