Department of Cell and Tissue Biology, University of California at San Francisco (UCSF), San Francisco, CA, USA.
Department of Anatomy, UCSF, San Francisco, CA, USA.
Nat Rev Clin Oncol. 2021 Jan;18(1):9-34. doi: 10.1038/s41571-020-0403-1. Epub 2020 Jul 24.
TGFβ signalling has key roles in cancer progression: most carcinoma cells have inactivated their epithelial antiproliferative response and benefit from increased TGFβ expression and autocrine TGFβ signalling through effects on gene expression, release of immunosuppressive cytokines and epithelial plasticity. As a result, TGFβ enables cancer cell invasion and dissemination, stem cell properties and therapeutic resistance. TGFβ released by cancer cells, stromal fibroblasts and other cells in the tumour microenvironment further promotes cancer progression by shaping the architecture of the tumour and by suppressing the antitumour activities of immune cells, thus generating an immunosuppressive environment that prevents or attenuates the efficacy of anticancer immunotherapies. The repression of TGFβ signalling is therefore considered a prerequisite and major avenue to enhance the efficacy of current and forthcoming immunotherapies, including in tumours comprising cancer cells that are not TGFβ responsive. Herein, we introduce the mechanisms underlying TGFβ signalling in tumours and their microenvironment and discuss approaches to inhibit these signalling mechanisms as well as the use of these approaches in cancer immunotherapies and their potential adverse effects.
TGFβ 信号通路在癌症进展中具有关键作用:大多数癌细胞已经失活了其上皮细胞的抗增殖反应,并通过 TGFβ 表达的增加和自分泌 TGFβ 信号通路获益,从而影响基因表达、免疫抑制细胞因子的释放和上皮可塑性。结果,TGFβ 使癌细胞的侵袭和扩散、干细胞特性和治疗耐药性得以增强。癌细胞、基质成纤维细胞和肿瘤微环境中的其他细胞释放的 TGFβ 进一步促进肿瘤进展,通过塑造肿瘤的结构和抑制免疫细胞的抗肿瘤活性,从而产生抑制抗肿瘤免疫治疗疗效的免疫抑制环境。因此,抑制 TGFβ 信号通路被认为是增强当前和即将到来的免疫疗法疗效的前提和主要途径,包括在不响应 TGFβ 的癌细胞组成的肿瘤中。本文中,我们介绍了肿瘤及其微环境中 TGFβ 信号通路的作用机制,并讨论了抑制这些信号通路的方法以及在癌症免疫治疗中的应用及其潜在的不良反应。
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