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Updated: Feb 18, 2026

Generation of Human Nasal Epithelial Cell Spheroids for Individualized Cystic Fibrosis Transmembrane Conductance Regulator Study
Published on: April 11, 2018
TGFβ as a therapeutic target in cystic fibrosis
Elizabeth L Kramer1, John P Clancy1
1a Department of Pediatrics , Cincinnati Children's Hospital Medical Center , Cincinnati , OH , USA.
Introduction:
Cystic fibrosis (CF) is a genetic disease characterized by progressive lung disease. Most CF therapies focus on treating secondary pulmonary complications rather than addressing the underlying processes inducing airway remodeling and ineffective response to infection. Transforming growth factor beta (TGFβ) is a cytokine involved in fibrosis, inflammation, and injury response as well as a genetic modifier and biomarker of CF lung disease. Targeting the TGFβ pathway has been pursued in other diseases, but the mechanism of TGFβ effects in CF is less well understood. Areas covered: In this review, we discuss CF lung disease pathogenesis with a focus on potential links to TGFβ. TGFβ signaling in lung health and disease is reviewed. Recent studies investigating TGFβ's impact in CF airway epithelial cells are highlighted. Finally, an overview of potential therapies to target TGFβ signaling relevant to CF are addressed. Expert opinion: The broad impact of TGFβ signaling on numerous cellular processes in homeostasis and disease is both a strength and a challenge to developing TGFβ dependent therapeutics in CF. We discuss the challenges inherent in developing TGFβ-targeted therapy, identifying appropriate patient populations, and questions regarding the timing of treatment. Future directions for research into TGFβ focused therapeutics are discussed.
Insights
Transforming growth factor beta (TGFβ) plays a key role in cystic fibrosis (CF) lung disease. Understanding TGFβ
Area of Science:
- Pulmonary Medicine
- Genetics
- Immunology
Background:
- Cystic fibrosis (CF) is a progressive genetic lung disease.
- Current CF therapies often manage secondary complications, not the root causes of airway remodeling and infection susceptibility.
- Transforming growth factor beta (TGFβ) is implicated in fibrosis, inflammation, and injury response, and is a known genetic modifier and biomarker in CF lung disease.
Purpose of the Study:
- To review the pathogenesis of CF lung disease, focusing on potential links to TGFβ signaling.
- To examine the role of TGFβ signaling in lung health and disease.
- To highlight recent research on TGFβ's effects in CF airway epithelial cells and discuss potential TGFβ-targeted therapies for CF.
Main Methods:
- Literature review of studies on CF lung disease pathogenesis.
- Analysis of TGFβ signaling pathways in lung health and disease.
- Review of recent experimental findings in CF airway epithelial cells.
- Overview of potential therapeutic strategies targeting TGFβ in CF.
Main Results:
- TGFβ signaling is extensively involved in cellular processes relevant to both homeostasis and disease.
- The precise mechanisms of TGFβ's effects in CF are not yet fully understood.
- Targeting TGFβ for CF therapy presents both opportunities and challenges.
Conclusions:
- The multifaceted role of TGFβ signaling in CF presents challenges for developing targeted therapeutics.
- Identifying appropriate patient populations and optimal treatment timing are critical considerations for TGFβ-targeted therapies.
- Further research is needed to advance TGFβ-focused therapeutic strategies for cystic fibrosis.
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