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Updated: Jul 17, 2025

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
Targeting transforming growth factor beta (TGF-β) using Pirfenidone, a potential repurposing therapeutic strategy in
Hamid Jamialahmadi1,2,3, Seyedeh Elnaz Nazari1, Hamid TanzadehPanah1,2,4
1Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:
The modulating factors within the tumor microenvironment, for example, transforming growth factor beta (TGF-β), may limit the response to chemo and immunotherapy protocols in colorectal cancer (CRC). In the current study, the therapeutic potential of targeting the TGF-β pathway using Pirfenidone (PFD), a TGF-β inhibitor, either alone or in combination with five fluorouracil (5-FU) has been explored in preclinical models of CRC. The anti-proliferative and migratory effects of PFD were assessed by MTT and wound-healing assays respectively. Xenograft models were used to study the anti-tumor activity, histopathological, and side effects analysis. Targeting of TGF-β resulted in suppression of cell proliferation and migration, associated with modulation of survivin and MMP9/E-cadherin. Moreover, the PFD inhibited TGF-β induced tumor progression, fibrosis, and inflammatory response through perturbation of collagen and E-cadherin. Targeting the TGF-β pathway using PFD may increase the anti-tumor effects of 5-FU and reduce tumor development, providing a new therapeutic approach to CRC treatment.
Insights
Pirfenidone (PFD), a transforming growth factor beta (TGF-β) inhibitor, suppressed colorectal cancer (CRC) cell proliferation and migration. PFD combined with 5-fluorouracil (5-FU) shows potential for enhanced CRC treatment.
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- The tumor microenvironment, including transforming growth factor beta (TGF-β), can limit colorectal cancer (CRC) treatment efficacy.
- TGF-β signaling plays a critical role in CRC progression, proliferation, and metastasis.
Purpose of the Study:
- To investigate the therapeutic potential of Pirfenidone (PFD), a TGF-β inhibitor, in preclinical colorectal cancer models.
- To evaluate PFD alone and in combination with 5-fluorouracil (5-FU) for anti-tumor activity in CRC.
Main Methods:
- In vitro assessment of PFD's anti-proliferative and anti-migratory effects using MTT and wound-healing assays.
- In vivo evaluation of PFD's anti-tumor activity, histopathology, and side effects in CRC xenograft models.
- Analysis of molecular markers including survivin, MMP9, E-cadherin, and collagen.
Main Results:
- PFD significantly suppressed CRC cell proliferation and migration, modulating survivin and MMP9/E-cadherin.
- PFD inhibited TGF-β-induced tumor progression, fibrosis, and inflammation by affecting collagen and E-cadherin.
- The combination of PFD and 5-FU demonstrated enhanced anti-tumor effects compared to monotherapy.
Conclusions:
- Targeting the TGF-β pathway with PFD shows promise in reducing CRC cell proliferation and migration.
- PFD, particularly in combination with 5-FU, may offer a novel therapeutic strategy to improve CRC treatment outcomes.
- Inhibition of TGF-β signaling by PFD can mitigate tumor progression and associated stromal changes in CRC.
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