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Published on: October 22, 2014
Growth Factors as Immunotherapeutic Targets in Cardiovascular Disease
John E Mindur1,2, Filip K Swirski2,3
1From the Graduate Program in Immunology (J.E.M.), Massachusetts General Hospital and Harvard Medical School, Boston.
Abstract:
Growth factors, such as CSFs (colony-stimulating factors), EGFs (epidermal growth factors), and FGFs (fibroblast growth factors), are signaling proteins that control a wide range of cellular functions. Although growth factor networks are critical for intercellular communication and tissue homeostasis, their abnormal production or regulation occurs in various pathologies. Clinical strategies that target growth factors or their receptors are used to treat a variety of conditions but have yet to be adopted for cardiovascular disease. In this review, we focus on M-CSF (macrophage-CSF), GM-CSF (granulocyte-M-CSF), IL (interleukin)-3, EGFR (epidermal growth factor receptor), and FGF21 (fibroblast growth factor 21). We first discuss the efficacy of targeting these growth factors in other disease contexts (ie, inflammatory/autoimmune diseases, cancer, or metabolic disorders) and then consider arguments for or against targeting them to treat cardiovascular disease. Visual Overview- An online visual overview is available for this article.
Insights
Growth factors are crucial for cell function but abnormal levels cause disease. This review examines targeting specific growth factors like M-CSF and EGFR for cardiovascular disease treatment, drawing parallels from other conditions.
Area of Science:
- Molecular Biology
- Cell Signaling
- Immunology
Background:
- Growth factors (CSFs, EGFs, FGFs) are key signaling proteins regulating cellular functions and tissue homeostasis.
- Dysregulation of growth factor networks is implicated in various pathologies, including cancer and metabolic disorders.
- Current therapies targeting growth factors are effective in many diseases but not yet established for cardiovascular conditions.
Purpose of the Study:
- To review the therapeutic potential of targeting specific growth factors in cardiovascular disease.
- To evaluate the efficacy of targeting M-CSF, GM-CSF, IL-3, EGFR, and FGF21 in non-cardiovascular diseases.
- To present arguments for and against the clinical application of these growth factor-targeted therapies in cardiovascular disease.
Main Methods:
- Literature review of studies on growth factor targeting in inflammatory/autoimmune diseases, cancer, and metabolic disorders.
- Analysis of preclinical and clinical data for M-CSF, GM-CSF, IL-3, EGFR, and FGF21.
- Synthesis of evidence to support or refute the use of these targets in cardiovascular disease.
Main Results:
- Targeting M-CSF, GM-CSF, IL-3, EGFR, and FGF21 has shown efficacy in inflammatory, autoimmune, oncologic, and metabolic diseases.
- Evidence suggests potential benefits but also risks associated with targeting these factors in cardiovascular contexts.
- The review highlights the need for careful consideration of specific growth factor roles in cardiovascular pathology.
Conclusions:
- Targeting specific growth factors like M-CSF, GM-CSF, IL-3, EGFR, and FGF21 presents a potential therapeutic avenue for cardiovascular disease.
- Translating successes from other disease areas requires careful evaluation of the unique cardiovascular environment.
- Further research is needed to determine the safety and efficacy of these targeted therapies for cardiovascular conditions.
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