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Published on: October 27, 2020
Targeting TGF-β signaling for the treatment of fibrosis
Andrea Hermina Györfi1, Alexandru-Emil Matei1, Jörg H W Distler1
1Department of Internal Medicine 3 - Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), University Hospital Erlangen, Erlangen, Germany.
Abstract:
Transforming growth factor-β (TGF-β) is widely recognized as a core pathway of fibrosis. Inhibition of TGF-β signaling may thus offer potential for antifibrotic therapies. Long-term inhibition of TGF-β signaling at the level of its isoforms and receptors can be associated with unacceptable adverse effects. However, TGF-β regulates a myriad of intracellular signaling cascades to transmit its profibrotic effects and several of those pathways offer potential for pharmacologic intervention. Moreover, the multiple interactions of TGF-β with other profibrotic pathways also yielded candidates for therapeutic intervention. In this review, we discuss selected targets within the TGF-β pathway with high translational potential.
Insights
Transforming growth factor-β (TGF-β) is a key driver of fibrosis. Targeting downstream pathways and interactions offers promising antifibrotic therapies with potentially fewer side effects than direct TGF-β inhibition.
Area of Science:
- Fibrosis research
- Molecular biology
- Pharmacology
Background:
- Transforming growth factor-β (TGF-β) is a central mediator in the development of fibrosis.
- Direct inhibition of TGF-β signaling can lead to adverse effects.
- TGF-β exerts profibrotic effects through various intracellular signaling cascades.
Purpose of the Study:
- To review potential therapeutic targets within the TGF-β pathway for antifibrotic therapies.
- To explore alternative intervention points beyond direct TGF-β inhibition.
- To identify targets with high translational potential for treating fibrotic diseases.
Main Methods:
- Literature review of studies on TGF-β signaling in fibrosis.
- Analysis of intracellular cascades regulated by TGF-β.
- Examination of interactions between TGF-β and other profibrotic pathways.
- Identification of pharmacologic targets with translational promise.
Main Results:
- Several intracellular signaling cascades downstream of TGF-β present viable therapeutic targets.
- Interactions between TGF-β and other profibrotic pathways offer additional intervention strategies.
- Targeting these alternative pathways may mitigate the adverse effects associated with direct TGF-β inhibition.
Conclusions:
- Alternative targets within and interacting with the TGF-β pathway hold significant potential for developing novel antifibrotic therapies.
- Pharmacologic intervention in downstream or interacting pathways represents a promising strategy for managing fibrotic diseases.
- Further research into these targets could lead to more effective and safer antifibrotic treatments.
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