Transforming growth factor β signaling pathway: A promising therapeutic target for cancer

J Cell Physiol. 2020 Mar;235(3):1903-1914. doi: 10.1002/jcp.29108. Epub 2019 Jul 22.

Abstract

Transforming growth factor β (TGF-β) is part of the transforming growth factor β superfamily which is involved in many physiological processes and closely related to the carcinogenesis. Here, we discuss the TGF-β structure, function, and its canonical Smads signaling pathway. Importantly, TGF-β has been proved that it plays both tumor suppressor as well as an activator role in tumor progression. In an early stage, TGF-β inhibits cell proliferation and is involved in cell apoptosis. In an advanced tumor, TGF-β signaling pathway induces tumor invasion and metastasis through promoting angiogenesis, epithelial-mesenchymal transition, and immune escape. Furthermore, we are centered on updated research results into the inhibitors as drugs which have been studied in preclinical or clinical trials in tumor carcinogenesis to prevent the TGF-β synthesis and block its signaling pathways such as antibodies, antisense molecules, and small-molecule tyrosine kinase inhibitors. Thus, it is highlighting the crucial role of TGF-β in tumor therapy and may provide opportunities for the new antitumor strategies in patients with cancer.

Keywords: TGF-β; clinical application; drug; inhibitors; tumor.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Apoptosis / drug effects
  • Cell Proliferation / drug effects
  • Humans
  • Neoplasms / drug therapy
  • Neoplasms / metabolism*
  • Signal Transduction / drug effects
  • Signal Transduction / physiology*
  • Transforming Growth Factor beta / metabolism*

Substances

  • Antineoplastic Agents
  • Transforming Growth Factor beta