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Updated: Jun 23, 2026

Molecular Analysis of Endothelial-mesenchymal Transition Induced by Transforming Growth Factor-β Signaling
Published on: August 3, 2018
The serum concentration of active transforming growth factor-beta is severely depressed in advanced atherosclerosis
D J Grainger1, P R Kemp, J C Metcalfe
1Department of Biochemistry, University of Cambridge, UK.
Insights
Transforming growth factor-beta (TGF-beta) is a key inhibitor of atherosclerosis. Lower active TGF-beta levels in patients with advanced atherosclerosis suggest its diagnostic and prognostic potential.
Area of Science:
- Cardiovascular Research
- Molecular Biology
- Immunology
Background:
- Atherosclerosis is a major cardiovascular disease.
- Transforming growth factor-beta (TGF-beta) is implicated in cardiovascular health.
- The role of TGF-beta in atherosclerosis requires further elucidation.
Purpose of the Study:
- To investigate the association between active TGF-beta levels and atherosclerosis.
- To determine the diagnostic and prognostic significance of TGF-beta in atherosclerosis.
- To explore potential therapeutic interventions targeting TGF-beta.
Main Methods:
- Sera from patients with advanced atherosclerosis and normal coronary arteries were analyzed.
- Active TGF-beta concentrations were measured.
- Correlation with known atherosclerosis risk factors was assessed.
- The effect of aspirin medication on TGF-beta levels was examined.
Main Results:
- Patients with advanced atherosclerosis exhibited significantly lower active TGF-beta serum concentrations (fivefold difference) compared to controls.
- The correlation between active TGF-beta and atherosclerosis was stronger than for established risk factors.
- Aspirin medication was associated with increased active TGF-beta levels.
Conclusions:
- Reduced active TGF-beta is strongly associated with advanced atherosclerosis.
- Active TGF-beta holds potential as a diagnostic and prognostic biomarker for atherosclerosis.
- TGF-beta levels can be influenced by therapeutic interventions like aspirin, suggesting treatment possibilities.
Abstract:
Recent evidence has led us to propose that transforming growth factor-beta (TGF-beta) is a key inhibitor of atherosclerosis. We show here that a population of patients with advanced atherosclerosis all have less active TGF-beta in their sera than patients with normal coronary arteries, with a fivefold difference in average concentration between the two groups. This correlation with atherosclerosis is much stronger than for other known major risk factors and it may therefore have important diagnostic and prognostic significance. Aspirin medication correlates with an increase in active TGF-beta concentration, indicating that therapeutic interventions for TGF-beta are possible.
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