Targeting TGF? signal transduction for cancer therapy.
Ontology highlight
ABSTRACT: Transforming growth factor-? (TGF?) family members are structurally and functionally related cytokines that have diverse effects on the regulation of cell fate during embryonic development and in the maintenance of adult tissue homeostasis. Dysregulation of TGF? family signaling can lead to a plethora of developmental disorders and diseases, including cancer, immune dysfunction, and fibrosis. In this review, we focus on TGF?, a well-characterized family member that has a dichotomous role in cancer progression, acting in early stages as a tumor suppressor and in late stages as a tumor promoter. The functions of TGF? are not limited to the regulation of proliferation, differentiation, apoptosis, epithelial-mesenchymal transition, and metastasis of cancer cells. Recent reports have related TGF? to effects on cells that are present in the tumor microenvironment through the stimulation of extracellular matrix deposition, promotion of angiogenesis, and suppression of the anti-tumor immune reaction. The pro-oncogenic roles of TGF? have attracted considerable attention because their intervention provides a therapeutic approach for cancer patients. However, the critical function of TGF? in maintaining tissue homeostasis makes targeting TGF? a challenge. Here, we review the pleiotropic functions of TGF? in cancer initiation and progression, summarize the recent clinical advancements regarding TGF? signaling interventions for cancer treatment, and discuss the remaining challenges and opportunities related to targeting this pathway. We provide a perspective on synergistic therapies that combine anti-TGF? therapy with cytotoxic chemotherapy, targeted therapy, radiotherapy, or immunotherapy.
SUBMITTER: Liu S
PROVIDER: S-EPMC7791126 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
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