Revisiting the TGFβ paradox: insights from HPV-driven cancer and the DNA damage response

Mary Helen Barcellos-Hoff1, Sue S Yom2

  • 1Department of Radiation Oncology, University of California, San Francisco, San Francisco, CA, USA. maryhelen.barcellos-hoff@ucsf.edu.

PubMed

Insights

Transforming growth factor-β (TGFβ) paradoxically suppresses healthy tissues but promotes established cancers. Targeting TGFβ

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • The transforming growth factor-β (TGFβ) paradox describes its dual role in cancer: suppression in healthy tissues and promotion in established malignancies.
  • TGFβ inhibitors have shown limited success in clinical trials due to a lack of patient selection criteria.
  • Understanding TGFβ's role in DNA repair is crucial for developing targeted cancer therapies.

Purpose of the Study:

  • To explore the therapeutic potential of targeting TGFβ regulation of DNA repair in human papillomavirus (HPV)-driven head and neck squamous cell carcinoma (HNSCC).
  • To review how loss of TGFβ signaling impacts DNA repair and its potential for synthetic lethality induction.
  • To investigate TGFβ's role in predicting response to immune checkpoint inhibitors and the utility of biomarkers for patient selection.

Main Methods:

  • Review of existing literature on TGFβ signaling, DNA repair mechanisms, and HPV-driven HNSCC.
  • Analysis of the interplay between HPV, TGFβ inhibition, and DNA damage repair pathways.
  • Exploration of synthetic lethality strategies targeting DNA repair deficits.
  • Assessment of TGFβ's predictive value for immune checkpoint inhibitor response.

Main Results:

  • HPV inhibits TGFβ signaling, leading to reduced DNA damage repair in HNSCC.
  • This DNA repair deficit confers sensitivity to cancer treatments and contributes to favorable prognosis in HPV-positive HNSCC.
  • Targeting the DNA repair deficit caused by TGFβ loss offers a potential synthetic lethality strategy.
  • TGFβ pathway status may predict response to immune checkpoint inhibitors.

Conclusions:

  • TGFβ's complex role in cancer necessitates refined therapeutic strategies.
  • Targeting DNA repair deficits induced by TGFβ pathway alterations presents a promising approach for specific cancer types.
  • Biomarkers are essential for identifying patients who would benefit from TGFβ-targeted therapies, including immune checkpoint inhibitors.

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