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Updated: Mar 11, 2026

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
Surface Expression of TGFβ Docking Receptor GARP Promotes Oncogenesis and Immune Tolerance in Breast Cancer
Alessandra Metelli1, Bill X Wu1, Caroline W Fugle1
1Department of Microbiology and Immunology, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina.
Abstract:
GARP encoded by the Lrrc32 gene is the cell surface docking receptor for latent TGFβ, which is expressed naturally by platelets and regulatory T cells (Treg). Although Lrrc32 is amplified frequently in breast cancer, the expression and relevant functions of GARP in cancer have not been explored. Here, we report that GARP exerts oncogenic effects, promoting immune tolerance by enriching and activating latent TGFβ in the tumor microenvironment. We found that human breast, lung, and colon cancers expressed GARP aberrantly. In genetic studies in normal mammary gland epithelial and carcinoma cells, GARP expression increased TGFβ bioactivity and promoted malignant transformation in immunodeficient mice. In breast carcinoma-bearing mice that were immunocompetent, GARP overexpression promoted Foxp3+ Treg activity, which in turn contributed to enhancing cancer progression and metastasis. Notably, administration of a GARP-specific mAb limited metastasis in an orthotopic model of human breast cancer. Overall, these results define the oncogenic effects of the GARP-TGFβ axis in the tumor microenvironment and suggest mechanisms that might be exploited for diagnostic and therapeutic purposes. Cancer Res; 76(24); 7106-17. ©2016 AACR.
Insights
The Glycoprotein-A repetitions dominant (GARP) receptor promotes cancer by activating TGFβ, fostering immune tolerance. Targeting GARP with antibodies may limit cancer progression and metastasis.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- The Lrrc32 gene encodes GARP, a receptor for latent TGFβ found on platelets and regulatory T cells (Tregs).
- While Lrrc32 is amplified in breast cancer, GARP's role in cancer remains largely unexplored.
Purpose of the Study:
- To investigate the expression and function of GARP in various cancers.
- To elucidate the oncogenic mechanisms of the GARP-TGFβ axis in the tumor microenvironment.
Main Methods:
- Analysis of GARP expression in human breast, lung, and colon cancers.
- Genetic studies in epithelial and carcinoma cells in immunodeficient and immunocompetent mice models.
- Assessment of GARP-specific monoclonal antibody (mAb) efficacy in limiting metastasis.
Main Results:
- Aberrant GARP expression was observed in human breast, lung, and colon cancers.
- GARP enhanced TGFβ bioactivity, promoting malignant transformation and Treg activity, thereby driving cancer progression and metastasis.
- A GARP-specific mAb effectively limited metastasis in a human breast cancer model.
Conclusions:
- GARP exhibits oncogenic properties by promoting immune tolerance via the TGFβ pathway in the tumor microenvironment.
- The GARP-TGFβ axis represents a potential therapeutic target for cancer treatment.
- GARP's role suggests possibilities for novel diagnostic and therapeutic strategies.
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