TGF-β signaling: critical nexus of fibrogenesis and cancer

Anna O Giarratana1, Conor M Prendergast2, Mary M Salvatore3

  • 1Northwell Health - Peconic Bay Medical Center, 1 Heroes Way, Riverhead, NY, 11901, USA. agiarratana@northwell.edu.

Insights

Transforming growth factor-beta (TGF-β) signaling regulates cell functions and tissue homeostasis. Its dual role as a tumor suppressor in normal conditions and a promoter in cancer highlights its complex involvement in disease.

Area of Science:

  • Molecular Biology
  • Cell Signaling
  • Oncology

Background:

  • The transforming growth factor-beta (TGF-β) signaling pathway is crucial for regulating cell behavior.
  • It operates via canonical SMAD-mediated and noncanonical pathways (MAPK, PI3K/AKT, Rho-GTPases, NF-κB).
  • This pathway is implicated in tissue homeostasis, fibrosis, and cancer progression.

Purpose of the Study:

  • To elucidate the dual role of TGF-β signaling in physiological and pathological contexts.
  • To detail the involvement of TGF-β in cancer and fibrosis.
  • To explore potential theranostic strategies targeting the TGF-β pathway.

Main Methods:

  • Review of existing literature on TGF-β signaling mechanisms.
  • Analysis of TGF-β's function in normal cell processes.
  • Investigation of TGF-β's role in cancer and fibrotic disease development.

Main Results:

  • TGF-β signaling acts as a tumor suppressor in normal conditions by promoting quiescence and apoptosis.
  • In pathological states like cancer and inflammation, TGF-β promotes tumor progression and fibrosis.
  • Interactions between canonical and noncanonical pathways fine-tune TGF-β's complex actions.

Conclusions:

  • TGF-β signaling exhibits paradoxical functions, acting as a tumor suppressor or promoter depending on the context.
  • The pathway's intricate regulation is key to its diverse roles in health and disease.
  • Targeting TGF-β signaling offers potential for novel cancer and fibrosis theranostics.

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