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Published on: October 27, 2020
TGF-β signaling in liver and gastrointestinal cancers
L H Katz1, M Likhter2, W Jogunoori3
1Department of Gastroenterology, Sheba Medical Center, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Abstract:
Transforming Growth Factor-β (TGF-β) plays crucial and complex roles in liver and gastrointestinal cancers. These include a multitude of distinct functions, such as maintaining stem cell homeostasis, promoting fibrosis, immune modulating, as a tumor suppressor and paradoxically, as a tumor progressor. However, key mechanisms for the switches responsible for these distinct actions are poorly understood, and remain a challenge. The Cancer Genome Atlas (TCGA) analyses and genetically engineered mouse models now provide an integrated approach to dissect these multifaceted and context-dependent driving roles of the TGF-β pathway. In this review, we will discuss the molecular mechanisms of TGF-β signaling, focusing on colorectal, gastric, pancreatic, and liver cancers. Novel drugs targeting the TGF-β pathway have been developed over the last decade, and some have been proven effective in clinical trials. A better understanding of the TGF-β pathway may improve our ability to target it, thus providing more tools to the armamentarium against these deadly cancers.
Insights
Transforming Growth Factor-β (TGF-β) has complex roles in gastrointestinal and liver cancers, acting as both a suppressor and promoter. Understanding its signaling mechanisms is key to developing new cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling
Background:
- Transforming Growth Factor-β (TGF-β) exhibits multifaceted roles in liver and gastrointestinal cancers, including stem cell regulation, fibrosis, immune modulation, and dual functions as a tumor suppressor and progressor.
- The precise molecular mechanisms governing the switch between these distinct TGF-β actions remain incompletely understood, posing a significant challenge in cancer research.
Purpose of the Study:
- To review the molecular mechanisms of TGF-β signaling in colorectal, gastric, pancreatic, and liver cancers.
- To highlight the integrated approach using The Cancer Genome Atlas (TCGA) and genetically engineered mouse models to dissect TGF-β pathway roles.
- To discuss novel therapeutic strategies targeting the TGF-β pathway.
Main Methods:
- Review of existing literature on TGF-β signaling pathways.
- Analysis of data from The Cancer Genome Atlas (TCGA).
- Examination of findings from genetically engineered mouse models relevant to TGF-β in cancer.
Main Results:
- TGF-β signaling is context-dependent, influencing various cancer hallmarks including stemness, fibrosis, and immune evasion.
- TCGA analyses and mouse models provide insights into the complex, often paradoxical, roles of TGF-β in different cancer types.
- Clinical trials show promise for novel TGF-β targeting drugs.
Conclusions:
- A comprehensive understanding of TGF-β pathway intricacies is essential for effective cancer treatment.
- Targeting TGF-β offers a promising avenue for developing novel therapeutic strategies against gastrointestinal and liver cancers.
- Further research into TGF-β mechanisms will expand the armamentarium against these malignancies.
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