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Updated: May 21, 2025

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
Structural insights and clinical advances in small-molecule inhibitors targeting TGF-β receptor I
Carlota Leonardo-Sousa1, Rodrigo Barriga1, Helena F Florindo1
1Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, 1649-003 Lisboa, Portugal.
Abstract:
The dysregulation of the transforming growth factor β (TGF-β) signaling pathway plays a critical role in the onset and progression of several diseases, including cancer. Notably, TGF-β has emerged as a significant barrier to effective outcomes in cancer immunotherapies, particularly those using immune checkpoint inhibitors. In response to this challenge, small-molecule inhibitors targeting the TGF-β receptor I (TGF-βRI) have garnered attention as promising candidates for modulating the TGF-β signaling pathway. This comprehensive review focuses on the development of small-molecule inhibitors targeting TGF-βRI. We provide a detailed analysis of the structural biology of TGF-βRI, highlighting key binding interactions and structural insights derived from high-resolution X-ray crystal structures. Additionally, we review the current landscape of TGF-βRI inhibitors in clinical trials, including eight promising inhibitors, and discuss their mechanisms of action, selectivity, and therapeutic potential. Our investigation extends to the patent literature, summarizing over 2 decades of innovation from leading pharmaceutical companies, spanning January 2000-May 2024. This consolidated structural and biochemical knowledge aims to facilitate the design of next-generation TGF-βRI inhibitors, addressing unmet clinical needs in oncology and fibrosis treatment. The synergistic potential of combining TGF-βRI and immune checkpoint inhibitors is also explored, offering promising avenues for enhancing cancer immunotherapy efficacy.
Insights
Small-molecule inhibitors targeting transforming growth factor β receptor I (TGF-βRI) show promise for treating cancer and fibrosis. These TGF-βRI inhibitors may enhance cancer immunotherapy by overcoming treatment resistance.
Area of Science:
- Molecular Biology
- Pharmacology
- Oncology
Background:
- Dysregulated transforming growth factor β (TGF-β) signaling drives diseases like cancer.
- TGF-β impedes cancer immunotherapy efficacy, particularly with immune checkpoint inhibitors.
- Targeting TGF-β receptor I (TGF-βRI) with small molecules offers a therapeutic strategy.
Purpose of the Study:
- To review the development of small-molecule TGF-βRI inhibitors.
- To analyze TGF-βRI structural biology and binding interactions.
- To explore clinical trial data and patent literature for TGF-βRI inhibitors.
Main Methods:
- Analysis of high-resolution X-ray crystal structures of TGF-βRI.
- Review of clinical trial data for eight TGF-βRI inhibitors.
- Survey of patent literature from January 2000 to May 2024.
Main Results:
- Detailed structural insights into TGF-βRI binding interactions are presented.
- Eight TGF-βRI inhibitors in clinical trials are discussed regarding mechanism, selectivity, and potential.
- Over two decades of pharmaceutical innovation in TGF-βRI inhibitor development are summarized.
Conclusions:
- Consolidated knowledge facilitates the design of next-generation TGF-βRI inhibitors.
- TGF-βRI inhibitors address unmet needs in oncology and fibrosis.
- Combining TGF-βRI inhibitors with immune checkpoint inhibitors may enhance cancer immunotherapy.
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