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Published on: October 27, 2020
Exploiting Canonical TGFβ Signaling in Cancer Treatment
Qi Liu1, Genwen Chen2, Jade Moore3
1Institute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, Guangdong, China.
Abstract:
TGFβ is a pleiotropic cytokine that plays critical roles to define cancer cell phenotypes, construct the tumor microenvironment, and suppress antitumor immune responses. As such, TGFβ is a lynchpin for integrating cancer cell intrinsic pathways and communication among host cells in the tumor and beyond that together affect responses to genotoxic, targeted, and immune therapy. Despite decades of preclinical and clinical studies, evidence of clinical benefit from targeting TGFβ in cancer remains elusive. Here, we review the mechanisms by which TGFβ acts to oppose successful cancer therapy, the reported prognostic and predictive value of TGFβ biomarkers, and the potential impact of inhibiting TGFβ in precision oncology. Paradoxically, the diverse mechanisms by which TGFβ impedes therapeutic response are a principal barrier to implementing TGFβ inhibitors because it is unclear which TGFβ mechanism is functional in which patient. Companion diagnostic tools and specific biomarkers of TGFβ targeted biology will be the key to exploiting TGFβ biology for patient benefit.
Insights
Transforming growth factor beta (TGFβ) is crucial in cancer, impacting tumor growth and therapy response. Targeting TGFβ shows promise, but understanding its complex roles and developing biomarkers are key for effective cancer treatment.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Transforming growth factor beta (TGFβ) is a pleiotropic cytokine with critical roles in cancer progression.
- TGFβ influences cancer cell phenotypes, the tumor microenvironment, and immune suppression.
- It integrates cancer cell-intrinsic pathways and host cell communication, affecting therapeutic responses.
Purpose of the Study:
- To review mechanisms of TGFβ in opposing cancer therapy.
- To examine the prognostic and predictive value of TGFβ biomarkers.
- To assess the potential of TGFβ inhibition in precision oncology.
Main Methods:
- Literature review of preclinical and clinical studies on TGFβ in cancer therapy.
- Analysis of TGFβ's role in resistance to genotoxic, targeted, and immune therapies.
- Evaluation of existing and potential TGFβ biomarkers and diagnostic tools.
Main Results:
- TGFβ impedes successful cancer therapy through diverse mechanisms.
- Clinical benefit from targeting TGFβ has remained elusive despite extensive research.
- Identifying the specific functional TGFβ mechanism in patients is a major challenge.
Conclusions:
- TGFβ is a critical factor in cancer therapy resistance.
- Targeting TGFβ requires a deeper understanding of its context-specific roles.
- Development of companion diagnostics and specific biomarkers is essential for clinical success.
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