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TNF superfamily control of tissue remodeling and fibrosis
Hope Steele1,2, Jason Cheng1, Ashley Willicut3
1Division of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Abstract:
Fibrosis is the result of extracellular matrix protein deposition and remains a leading cause of death in USA. Despite major advances in recent years, there remains an unmet need to develop therapeutic options that can effectively degrade or reverse fibrosis. The tumor necrosis super family (TNFSF) members, previously studied for their roles in inflammation and cell death, now represent attractive therapeutic targets for fibrotic diseases. In this review, we will summarize select TNFSF and their involvement in fibrosis of the lungs, the heart, the skin, the gastrointestinal tract, the kidney, and the liver. We will emphasize their direct activity on epithelial cells, fibroblasts, and smooth muscle cells. We will further report on major clinical trials targeting these ligands. Whether in isolation or in combination with other anti-TNFSF member or treatment, targeting this superfamily remains key to improve efficacy and selectivity of currently available therapies for fibrosis.
Insights
Tumor necrosis super family (TNFSF) members offer new therapeutic targets for fibrosis, a condition marked by excess matrix protein deposition. Targeting TNFSF may improve treatments for fibrotic diseases affecting organs like the lungs, heart, and liver.
Area of Science:
- Biomedical Science
- Molecular Biology
- Pathology
Background:
- Fibrosis, characterized by excessive extracellular matrix deposition, is a major cause of mortality.
- Current therapeutic strategies for fibrosis are limited, highlighting the need for novel treatment options.
- The tumor necrosis super family (TNFSF) is increasingly recognized for its potential in treating fibrotic diseases.
Purpose of the Study:
- To review the role of select TNFSF members in various fibrotic conditions.
- To highlight the direct impact of TNFSF on epithelial cells, fibroblasts, and smooth muscle cells.
- To discuss ongoing clinical trials targeting TNFSF ligands for fibrosis.
Main Methods:
- Literature review of TNFSF involvement in fibrotic diseases.
- Analysis of TNFSF interactions with key cellular components in fibrosis.
- Summary of clinical trial data for anti-TNFSF therapies.
Main Results:
- TNFSF members play significant roles in the pathogenesis of fibrosis across multiple organs.
- Direct cellular effects of TNFSF on epithelial, fibroblast, and smooth muscle cells are evident.
- Clinical trials are actively investigating TNFSF-targeted therapies for fibrotic conditions.
Conclusions:
- Targeting TNFSF represents a promising therapeutic strategy for managing fibrotic diseases.
- Combination therapies involving TNFSF modulators may enhance treatment efficacy and selectivity.
- Further research into TNFSF pathways is crucial for developing effective anti-fibrotic treatments.
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