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Therapeutic Implications of TGFβ in Cancer Treatment: A Systematic Review
1Department of Biomedical Sciences (Area of Pharmacology), School of Medicine and Health Sciences, University of Alcalá, 28805 Alcalá de Henares, Madrid, Spain.
Abstract:
Transforming growth factor β (TGFβ) is a pleiotropic cytokine that participates in a wide range of biological functions. The alterations in the expression levels of this factor, or the deregulation of its signaling cascade, can lead to different pathologies, including cancer. A great variety of therapeutic strategies targeting TGFβ, or the members included in its signaling pathway, are currently being researched in cancer treatment. However, the dual role of TGFβ, as a tumor suppressor or a tumor-promoter, together with its crosstalk with other signaling pathways, has hampered the development of safe and effective treatments aimed at halting the cancer progression. This systematic literature review aims to provide insight into the different approaches available to regulate TGFβ and/or the molecules involved in its synthesis, activation, or signaling, as a cancer treatment. The therapeutic strategies most commonly investigated include antisense oligonucleotides, which prevent TGFβ synthesis, to molecules that block the interaction between TGFβ and its signaling receptors, together with inhibitors of the TGFβ signaling cascade-effectors. The effectiveness and possible complications of the different potential therapies available are also discussed.
Insights
Transforming growth factor beta (TGFβ) plays a dual role in cancer, acting as both a tumor suppressor and promoter. Research explores various TGFβ-targeting therapies, including antisense oligonucleotides and receptor blockers, to treat cancer effectively.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Transforming growth factor beta (TGFβ) is a critical cytokine involved in numerous biological processes.
- Dysregulation of TGFβ signaling is implicated in various pathologies, notably cancer.
- The complex, context-dependent role of TGFβ in cancer (suppressor vs. promoter) complicates therapeutic development.
Purpose of the Study:
- To systematically review current therapeutic strategies targeting TGFβ signaling for cancer treatment.
- To provide insights into approaches regulating TGFβ synthesis, activation, and signaling pathways.
- To discuss the efficacy and potential complications of these emerging cancer therapies.
Main Methods:
- Systematic literature review of therapeutic strategies targeting TGFβ in cancer.
- Analysis of approaches including antisense oligonucleotides, receptor interaction blockers, and signaling cascade inhibitors.
- Evaluation of the effectiveness and safety profiles of discussed therapeutic interventions.
Main Results:
- Multiple therapeutic avenues targeting TGFβ are under investigation for cancer treatment.
- Strategies include inhibiting TGFβ synthesis (e.g., antisense oligonucleotides) and blocking its receptor interactions.
- Inhibitors of downstream TGFβ signaling components are also explored.
Conclusions:
- Targeting TGFβ presents a promising but challenging strategy in cancer therapy due to its dual role.
- A range of therapeutic approaches are being researched, each with potential benefits and drawbacks.
- Further research is needed to develop safe and effective TGFβ-targeted cancer treatments.
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