[TGF-beta: usage in nephrology]

TGF beta is a ubiquitous multifunctional cytokine produced by a wide variety of cells; its amino acid sequence indicates a marked conservation across species. Five isoforms have been identified, three of which, TGF beta 1, 2, 3, in mammals. It is secreted in a biologically latent form and is then activated by physiological mechanisms which are still poorly characterized. TGF beta is known as a regulator of cell growth, differentiation and proliferation, but exerts also a tight control over extracellular matrix synthesis. Although TGF beta has been found to have a beneficial role in connective tissue and bone repair processes, its overexpression could lead to fibrosis and fibroproliferative diseases. TGF beta is also involved in kidney fibrogenesis and new pathways aimed at preventing glomerulosclerosis and interstitial fibrosis using TGF beta-inhibitors are new topics of research.