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TGFβ: Signaling Blockade for Cancer Immunotherapy
Szu-Ying Chen1, Ons Mamai1, Rosemary J Akhurst1,2
1Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California, USA.
Abstract:
Discovered over four decades ago, transforming growth factor β (TGFβ) is a potent pleiotropic cytokine that has context-dependent effects on most cell types. It acts as a tumor suppressor in some cancers and/or supports tumor progression and metastasis through its effects on the tumor stroma and immune microenvironment. In TGFβ-responsive tumors it can promote invasion and metastasis through epithelial-mesenchymal transformation, the appearance of cancer stem cell features, and resistance to many drug classes, including checkpoint blockade immunotherapies. Here we consider the biological activities of TGFβ action on different cells of relevance toward improving immunotherapy outcomes for patients, with a focus on the adaptive immune system. We discuss recent advances in the development of drugs that target the TGFβ signaling pathway in a tumor-specific or cell type-specific manner to improve the therapeutic window between response rates and adverse effects.
Insights
Transforming growth factor beta (TGFβ) has dual roles in cancer, suppressing tumors or promoting metastasis. Targeting TGFβ signaling may enhance immunotherapy by modulating the tumor microenvironment and adaptive immunity.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Transforming growth factor beta (TGFβ) is a pleiotropic cytokine with context-dependent roles in cancer.
- TGFβ can act as a tumor suppressor or promote tumor progression, metastasis, and drug resistance.
Purpose of the Study:
- To review the biological activities of TGFβ on various cells relevant to improving cancer immunotherapy.
- To focus on TGFβ's impact on the adaptive immune system in the context of cancer.
Main Methods:
- Literature review of TGFβ's functions in cancer and immunotherapy.
- Analysis of TGFβ signaling pathways and their cellular effects.
- Discussion of novel therapeutic strategies targeting TGFβ.
Main Results:
- TGFβ promotes tumor invasion, metastasis, and resistance to therapies like checkpoint blockade immunotherapies.
- TGFβ influences the tumor stroma and immune microenvironment, affecting immunotherapy outcomes.
- Targeting TGFβ can potentially overcome resistance mechanisms and improve therapeutic efficacy.
Conclusions:
- Understanding TGFβ's multifaceted roles is crucial for optimizing cancer immunotherapy.
- Developing targeted TGFβ inhibitors with specific cell type or tumor targeting can improve the therapeutic window.
- Modulating TGFβ signaling holds promise for enhancing patient responses to immunotherapies.
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