TGF-β in inflammatory bowel disease: a key regulator of immune cells, epithelium, and the intestinal microbiota

J Gastroenterol. 2017 Jul;52(7):777-787. doi: 10.1007/s00535-017-1350-1. Epub 2017 May 22.

Abstract

Inflammatory bowel disease (IBD) is defined as chronic intestinal inflammation, and includes ulcerative colitis and Crohn's disease. Multiple factors are involved in the pathogenesis of IBD, and the condition is characterized by aberrant mucosal immune reactions to intestinal microbes in genetically susceptible hosts. Transforming growth factor-β (TGF-β) is an immune-suppressive cytokine produced by many cell types and activated by integrins. Active TGF-β binds to its receptor and regulates mucosal immune reactions through the TGF-β signaling pathway. Dysregulated TGF-β signaling is observed in the intestines of IBD patients. TGF-β signal impairment in specific cell types, such as T-cells and dendritic cells, results in spontaneous colitis in mouse models. In addition, specific intestinal microbes contribute to immune homeostasis by modulating TGF-β production. In this review, we describe the role of TGF-β in intestinal immunity, focusing on immune cells, epithelium, and intestinal microbes. In addition, we present potential therapeutic strategies for IBD that target TGF-β.

Keywords: Adhesion molecules; Dendritic cells; Inflammatory bowel disease; Microbiota; Transforming growth factor-β.

Publication types

  • Review

MeSH terms

  • Dendritic Cells / immunology
  • Epithelium / metabolism
  • Extracellular Matrix / metabolism
  • Gastrointestinal Microbiome
  • Humans
  • Inflammatory Bowel Diseases / drug therapy
  • Inflammatory Bowel Diseases / immunology*
  • Inflammatory Bowel Diseases / metabolism*
  • Inflammatory Bowel Diseases / microbiology
  • Intestinal Mucosa / immunology*
  • Lymphocytes / immunology*
  • Signal Transduction
  • Transforming Growth Factor beta / immunology*
  • Transforming Growth Factor beta / metabolism*

Substances

  • Transforming Growth Factor beta