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Published on: October 27, 2020
Targeting TGF-β Signaling in Cancer
Selcuk Colak1, Peter Ten Dijke2
1Department of Molecular Cell Biology, Cancer Genomics Centre Netherlands, Leiden University Medical Center, Postbus 9600, 2300 RC Leiden, The Netherlands.
Abstract:
The transforming growth factor (TGF)-β signaling pathway is deregulated in many diseases, including cancer. In healthy cells and early-stage cancer cells, this pathway has tumor-suppressor functions, including cell-cycle arrest and apoptosis. However, its activation in late-stage cancer can promote tumorigenesis, including metastasis and chemoresistance. The dual function and pleiotropic nature of TGF-β signaling make it a challenging target and imply the need for careful therapeutic dosing of TGF-β drugs and patient selection. We review here the rationale for targeting TGF-β signaling in cancer and summarize the clinical status of pharmacological inhibitors. We discuss the direct effects of TGF-β signaling blockade on tumor and stromal cells, as well as biomarkers that can predict the efficacy of TGF-β inhibitors in cancer patients.
Insights
Transforming growth factor-beta (TGF-β) signaling has dual roles in cancer, acting as a tumor suppressor early on but promoting metastasis and chemoresistance later. Targeting TGF-β requires careful dosing and patient selection for effective cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- The transforming growth factor-beta (TGF-β) signaling pathway exhibits complex roles in cancer development.
- While acting as a tumor suppressor in early stages (cell-cycle arrest, apoptosis), TGF-β promotes tumorigenesis, metastasis, and chemoresistance in advanced cancers.
Purpose of the Study:
- To review the rationale for targeting TGF-β signaling in cancer.
- To summarize the clinical status of TGF-β inhibitors.
- To discuss biomarkers for predicting treatment efficacy.
Main Methods:
- Literature review of TGF-β signaling in cancer.
- Analysis of clinical trial data for TGF-β inhibitors.
- Examination of direct effects of TGF-β blockade on tumor and stromal cells.
Main Results:
- TGF-β signaling's dual function presents challenges for therapeutic targeting.
- Pharmacological inhibitors of TGF-β are under clinical investigation.
- Biomarkers are crucial for identifying patients likely to respond to TGF-β inhibitors.
Conclusions:
- Targeting TGF-β in cancer necessitates a nuanced approach due to its context-dependent functions.
- Careful patient selection and therapeutic dosing are essential for TGF-β-targeted therapies.
- Further research into predictive biomarkers will enhance the clinical utility of TGF-β inhibitors.
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