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Published on: October 27, 2020
Targeting TGF-β signal transduction for fibrosis and cancer therapy
Dandan Peng1, Minyang Fu1, Manni Wang1
1Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, No. 17, Block 3, Southern Renmin Road, Chengdu, 610041, PR, Sichuan, China.
Abstract:
Transforming growth factor β (TGF-β) has long been identified with its intensive involvement in early embryonic development and organogenesis, immune supervision, tissue repair, and adult homeostasis. The role of TGF-β in fibrosis and cancer is complex and sometimes even contradictory, exhibiting either inhibitory or promoting effects depending on the stage of the disease. Under pathological conditions, overexpressed TGF-β causes epithelial-mesenchymal transition (EMT), extracellular matrix (ECM) deposition, cancer-associated fibroblast (CAF) formation, which leads to fibrotic disease, and cancer. Given the critical role of TGF-β and its downstream molecules in the progression of fibrosis and cancers, therapeutics targeting TGF-β signaling appears to be a promising strategy. However, due to potential systemic cytotoxicity, the development of TGF-β therapeutics has lagged. In this review, we summarized the biological process of TGF-β, with its dual role in fibrosis and tumorigenesis, and the clinical application of TGF-β-targeting therapies.
Insights
Transforming growth factor beta (TGF-β) plays a dual role in fibrosis and cancer. Targeting TGF-β signaling offers therapeutic potential, but challenges remain due to cytotoxicity concerns.
Area of Science:
- Cell biology
- Molecular biology
- Oncology
Background:
- Transforming growth factor beta (TGF-β) is crucial for embryonic development, immune function, and tissue repair.
- TGF-β exhibits complex, context-dependent roles in fibrosis and cancer, acting as both an inhibitor and promoter.
- Overexpression of TGF-β under pathological conditions drives fibrosis and cancer progression via mechanisms like epithelial-mesenchymal transition (EMT).
Purpose of the Study:
- To review the biological functions of TGF-β.
- To elucidate the dual role of TGF-β in fibrosis and tumorigenesis.
- To discuss the clinical applications and challenges of TGF-β-targeting therapies.
Main Methods:
- Literature review of TGF-β's biological processes.
- Analysis of TGF-β's involvement in fibrotic and cancerous conditions.
- Examination of clinical studies on TGF-β-targeted therapeutics.
Main Results:
- TGF-β signaling is implicated in epithelial-mesenchymal transition (EMT), extracellular matrix (ECM) deposition, and cancer-associated fibroblast (CAF) formation.
- The therapeutic targeting of TGF-β signaling is a promising strategy for treating fibrosis and cancer.
- Development of TGF-β therapeutics is hindered by potential systemic cytotoxicity.
Conclusions:
- TGF-β is a critical mediator in fibrosis and cancer development.
- Targeting TGF-β pathways holds therapeutic promise but requires careful consideration of side effects.
- Further research is needed to overcome the challenges in developing safe and effective TGF-β-targeting drugs.
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