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Published on: May 31, 2024
The TGF-β pathway as an emerging target for Chagas disease therapy
T C Araújo-Jorge1, M C Waghabi, S Bailly
1Laboratório de Inovações em Terapias, Ensino e Bioprodutos, Instituto Oswaldo Cruz, Rio de Janeiro, Brazil.
Insights
Transforming growth factor-β (TGF-β) drives Chagas disease cardiomyopathy by affecting parasite invasion, inflammation, and heart remodeling. Therapies targeting TGF-β signaling may help manage cardiac damage in patients.
Area of Science:
- Cardiovascular Biology
- Parasitology
- Immunology
Background:
- Chagas disease, caused by *Trypanosoma cruzi*, frequently leads to cardiomyopathy.
- Transforming growth factor-β (TGF-β) plays a critical role in the pathogenesis of Chagas disease cardiomyopathy.
- Understanding TGF-β's multifaceted influence is key to developing effective treatments.
Purpose of the Study:
- To review the mechanisms by which TGF-β influences Chagas disease cardiomyopathy.
- To explore the potential of TGF-β signaling-interfering therapies as an adjuvant treatment strategy.
Main Methods:
- Literature review of studies investigating TGF-β in Chagas disease.
- Analysis of TGF-β's role in parasite-host interactions and cardiac remodeling.
- Evaluation of current therapeutic strategies and future directions.
Main Results:
- TGF-β regulates parasite invasion and intracellular cycle.
- TGF-β mediates inflammation, immune response, and cardiac fibrosis.
- TGF-β impacts gap junction function and cardiac conduction.
Conclusions:
- TGF-β signaling is a central mediator of cardiac pathology in Chagas disease.
- Targeting TGF-β pathways offers a promising adjuvant therapeutic avenue for managing Chagas cardiomyopathy.
Abstract:
Transforming growth factor-β (TGF-β) influences the development of myocardiopathy in Chagas disease through regulation of (i) parasite invasion of heart cells, (ii) an intracellular parasite cycle, (iii) inflammation and immune response, (iv) heart fibrosis and remodeling, and (v) gap junction modulation and heart conduction. In this review, we discuss the rationale for developing TGF-β signaling-interfering therapies as adjuvant approaches for the management of the cardiac alterations of Chagas disease-affected patients.
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