Research progress on drugs targeting the TGF-β signaling pathway in fibrotic diseases

Ning Shi1,2, Zhihong Wang3, Hecheng Zhu4

  • 1Department of Neurosurgery, Cancer Research Institute, School of Basic Medical Science, Xiangya Hospital, Central South University, Changsha, 410008, China.

Immunologic Research
|February 11, 2022
PubMed

Insights

Fibrosis causes global disability and death, with no current treatments. This review explores targeting the transforming growth factor (TGF)-β pathway for safe and effective fibrosis drug development.

Area of Science:

  • Biomedical Science
  • Drug Discovery
  • Molecular Biology

Background:

  • Tissue fibrosis is a major cause of mortality and morbidity globally, lacking approved therapeutic interventions.
  • Transforming growth factor (TGF)-β is a critical pro-fibrotic cytokine, presenting a potential therapeutic target.
  • Systemic inhibition of TGF-β carries risks due to its diverse biological roles, necessitating targeted approaches.

Purpose of the Study:

  • To review the pivotal role of the TGF-β signaling pathway in fibrotic diseases.
  • To examine recent advancements in antifibrotic drug development.
  • To identify potential therapeutic targets for fibrotic diseases, guiding future research.

Main Methods:

  • Literature review of studies on TGF-β signaling in fibrosis.
  • Analysis of recent developments in small molecule inhibitors and neutralizing antibodies targeting TGF-β.
  • Exploration of emerging therapeutic strategies and targets in fibrotic disease treatment.

Main Results:

  • The TGF-β signaling pathway is central to the pathogenesis of various fibrotic conditions.
  • Current drug development focuses on selective inhibition of TGF-β signaling to mitigate adverse effects.
  • Several novel therapeutic strategies and targets are emerging for fibrosis treatment.

Conclusions:

  • Targeting the TGF-β pathway holds promise for treating fibrotic diseases.
  • Developing safe and efficient TGF-β inhibitors is crucial for effective fibrosis therapy.
  • Further research into specific targets within the TGF-β pathway is warranted to guide the next generation of antifibrotic drugs.

Related Concept Videos

TGF - β Signaling Pathway01:16

TGF - β Signaling Pathway

The TGF-β signaling pathway regulates cell growth, differentiation, adhesion, motility, and development. TGF-β ligands that induce TGF-β signaling are synthesized in their latent form. Several proteases or cell surface receptors such as integrins act upon the latent form, releasing the active ligand. There are three types of mammalian TGF-βs: (TGF-β1, TGF-β2, and TGF-β3) that bind as homodimers or heterodimers to TGF-β receptors. The TGF-β receptors...
7.9K
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
3.0K
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF01:24

Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF

Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
249
The JAK-STAT Signaling Pathway01:20

The JAK-STAT Signaling Pathway

Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
9.5K
Introduction to Fibroblasts01:09

Introduction to Fibroblasts

Rudolph Virchow discovered spindle-shaped cells called fibroblasts in 1858. Inactive fibroblasts, called fibrocytes, become activated by various stimuli, such as growth factors and inflammatory cytokines. Activated fibroblasts play a crucial role in wound healing, inflammation, formation of new blood vessels, and cancer progression. Uncontrolled activation of fibroblasts results in fibrosis, the excess deposition of fibrous tissue, which can lead to scarring and affect normal organs. This...
3.2K
NF-κB-dependent Signaling Pathway02:26

NF-κB-dependent Signaling Pathway

The transcription factor NF-κB was discovered in 1986 in the lab of Nobel laureate Professor David Baltimore, for its interaction with the immunoglobulin light chain enhancer in B-cells. After more than three decades of study, it is now evident that NF-κB regulates the expression of over 100 genes. Most of these genes play an essential role in the innate and adaptive immune responses as well as the inflammatory responses of animals.
NF-κB-dependent Signaling Mechanism
The...
7.9K