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TGFβ Signaling in the Pancreatic Tumor Microenvironment
Daniel R Principe1,2, Kaytlin E Timbers2, Luke G Atia2
1Medical Scientist Training Program, University of Illinois College of Medicine, Chicago, IL 60612, USA.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) is associated with poor clinical outcomes, largely attributed to incomplete responses to standard therapeutic approaches. Recently, selective inhibitors of the Transforming Growth Factor β (TGFβ) signaling pathway have shown early promise in the treatment of PDAC, particularly as a means of augmenting responses to chemo- and immunotherapies. However, TGFβ is a potent and pleiotropic cytokine with several seemingly paradoxical roles within the pancreatic tumor microenvironment (TME). Although TGFβ signaling can have potent tumor-suppressive effects in epithelial cells, TGFβ signaling also accelerates pancreatic tumorigenesis by enhancing epithelial-to-mesenchymal transition (EMT), fibrosis, and the evasion of the cytotoxic immune surveillance program. Here, we discuss the known roles of TGFβ signaling in pancreatic carcinogenesis, the biologic consequences of the genetic inactivation of select components of the TGFβ pathway, as well as past and present attempts to advance TGFβ inhibitors in the treatment of PDAC patients.
Insights
Transforming Growth Factor β (TGFβ) inhibitors show promise for pancreatic cancer (PDAC) treatment by enhancing responses to other therapies. However, TGFβ has complex roles in PDAC progression and immune evasion.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Pancreatic ductal adenocarcinoma (PDAC) has poor outcomes due to limited treatment efficacy.
- Transforming Growth Factor β (TGFβ) signaling pathway inhibitors are emerging as potential PDAC therapeutics.
- TGFβ exhibits dual roles in PDAC, with both tumor-suppressive and tumor-promoting functions.
Purpose of the Study:
- To review the multifaceted roles of TGFβ signaling in pancreatic carcinogenesis.
- To discuss the impact of TGFβ pathway genetic inactivation on PDAC.
- To examine the clinical development of TGFβ inhibitors for PDAC.
Main Methods:
- Literature review of studies on TGFβ signaling in pancreatic cancer.
- Analysis of the biological consequences of TGFβ pathway genetic alterations.
- Evaluation of clinical trial data for TGFβ inhibitors in PDAC.
Main Results:
- TGFβ signaling promotes PDAC progression via epithelial-to-mesenchymal transition (EMT) and fibrosis.
- TGFβ signaling contributes to immune evasion within the pancreatic tumor microenvironment (TME).
- TGFβ inhibitors show potential to improve responses to chemotherapy and immunotherapy.
Conclusions:
- TGFβ signaling is a critical regulator of PDAC development and progression.
- Targeting TGFβ may offer a novel therapeutic strategy for PDAC.
- Further research and clinical trials are needed to optimize TGFβ inhibitor use in PDAC.
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