Interference with systemic negative feedback as a potential mechanism for nonmonotonic dose-responses of

Mayur S Mitra1, Wendy Halpern2, Michelle Lepherd1

  • 1Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, United States.

Insights

Selective inhibition of transforming growth factor-β (TGFβ) isoforms, unlike broad inhibition, shows promise for safer therapies. Targeting individual TGFβ isoforms (TGFβ1, TGFβ2, or TGFβ3) avoids toxicities seen with pan-TGFβ inhibition.

Area of Science:

  • Immunology
  • Molecular Biology
  • Pharmacology

Background:

  • The transforming growth factor-β (TGFβ) cytokine family is crucial in diseases like cancer and fibrosis.
  • Previous attempts to inhibit TGFβ broadly have led to significant toxicities, limiting therapeutic development.

Purpose of the Study:

  • To evaluate toxicities associated with selective inhibition of individual or dual TGFβ isoforms.
  • To assess the safety of isoform-specific TGFβ inhibition in preclinical models.

Main Methods:

  • Utilized monoclonal antibodies (mAbs) targeting specific TGFβ isoforms (TGFβ1, TGFβ2, TGFβ3).
  • Administered isoform-specific mAbs to mice and cynomolgus monkeys to assess toxicity profiles.
  • Investigated effects of individual (TGFβ1, TGFβ2, TGFβ3) and dual (TGFβ1,2 or TGFβ2,3) inhibition.

Main Results:

  • Dual inhibition of TGFβ2,3 caused adverse cardiovascular toxicities.
  • Selective inhibition of TGFβ1, TGFβ2, or TGFβ3 was generally well-tolerated without significant adverse effects.
  • The anti-TGFβ3 mAb RO7303509 showed good tolerability in toxicology studies, with minor findings.

Conclusions:

  • Isoform-specific inhibition of TGFβ is generally safe in preclinical toxicology studies.
  • Targeting individual TGFβ isoforms offers a potentially safer therapeutic strategy compared to broad inhibition.
  • Further exploration of isoform-specific TGFβ inhibition for therapeutic intervention is warranted.