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Published on: October 27, 2020
Targeting the TGFβ pathway for cancer therapy
Cindy Neuzillet1, Annemilaï Tijeras-Raballand2, Romain Cohen2
1INSERM U728 & U773 and Department of Medical Oncology, Beaujon University Hospital (AP-HP - PRES Paris 7 Diderot), 100 boulevard du Général Leclerc, 92110 Clichy, France.
Abstract:
The TGFβ signaling pathway has pleiotropic functions regulating cell growth, differentiation, apoptosis, motility and invasion, extracellular matrix production, angiogenesis, and immune response. TGFβ signaling deregulation is frequent in tumors and has crucial roles in tumor initiation, development and metastasis. TGFβ signaling inhibition is an emerging strategy for cancer therapy. The role of the TGFβ pathway as a tumor-promoter or suppressor at the cancer cell level is still a matter of debate, due to its differential effects at the early and late stages of carcinogenesis. In contrast, at the microenvironment level, the TGFβ pathway contributes to generate a favorable microenvironment for tumor growth and metastasis throughout all the steps of carcinogenesis. Then, targeting the TGFβ pathway in cancer may be considered primarily as a microenvironment-targeted strategy. In this review, we focus on the TGFβ pathway as a target for cancer therapy. In the first part, we provide a comprehensive overview of the roles played by this pathway and its deregulation in cancer, at the cancer cell and microenvironment levels. We go on to describe the preclinical and clinical results of pharmacological strategies to target the TGFβ pathway, with a highlight on the effects on tumor microenvironment. We then explore the perspectives to optimize TGFβ inhibition therapy in different tumor settings.
Insights
Targeting the TGFβ signaling pathway, crucial in cancer, offers a novel therapeutic strategy. Inhibiting this pathway primarily impacts the tumor microenvironment, aiding cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- The TGFβ signaling pathway regulates critical cellular functions including growth, differentiation, apoptosis, and immune response.
- Deregulation of TGFβ signaling is common in tumors, playing roles in initiation, development, and metastasis.
- TGFβ's dual role as a tumor promoter or suppressor at the cancer cell level is debated, but it consistently favors tumor growth in the microenvironment.
Purpose of the Study:
- To review the multifaceted roles of the TGFβ pathway in cancer, focusing on both cancer cells and the tumor microenvironment.
- To summarize preclinical and clinical findings of TGFβ pathway inhibition as a cancer therapy.
- To explore future perspectives for optimizing TGFβ inhibition strategies in various cancer types.
Main Methods:
- Comprehensive literature review of TGFβ signaling in cancer.
- Analysis of preclinical and clinical data on TGFβ pathway inhibitors.
- Evaluation of the impact of TGFβ inhibition on the tumor microenvironment.
Main Results:
- TGFβ signaling consistently promotes a tumor-supportive microenvironment throughout carcinogenesis.
- Targeting the TGFβ pathway is primarily viewed as a microenvironment-targeted strategy.
- Pharmacological inhibition strategies show promise, with notable effects on the tumor microenvironment.
Conclusions:
- TGFβ pathway inhibition represents a promising therapeutic avenue, particularly for its effects on the tumor microenvironment.
- Further research is needed to optimize TGFβ inhibition therapies for diverse tumor settings.
- Understanding TGFβ's complex roles is key to developing effective cancer treatments.
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