Cancer Research UK Beatson Institute, Garscube Estate, Switchback Road, Glasgow, G61 1BD, UK.
Institute for Medical Research, National Institute of the Republic of Serbia, University of Belgrade, Belgrade, Serbia.
Adv Exp Med Biol. 2023;1408:309-328. doi: 10.1007/978-3-031-26163-3_17.
Transforming growth factor-beta1 (TGF-β) regulates a plethora of cell-intrinsic processes that modulate tumor progression in a context-dependent manner. Thus, although TGF-β acts as a tumor suppressor in the early stages of tumorigenesis, in late stages, this factor promotes tumor progression and metastasis. In addition, TGF-β also impinges on the tumor microenvironment by modulating the immune system. In this aspect, TGF-β exhibits a potent immunosuppressive effect, which allows both cancer cells to escape from immune surveillance and confers resistance to immunotherapy. While TGF-β inhibits the activation and antitumoral functions of T-cell lymphocytes, dendritic cells, and natural killer cells, it promotes the generation of T-regulatory cells and myeloid-derived suppressor cells, which hinder antitumoral T-cell activities. Moreover, TGF-β promotes tumor-associated macrophages and neutrophils polarization from M1 into M2 and N1 to N2, respectively. Altogether, these effects contribute to the generation of an immunosuppressive tumor microenvironment and support tumor promotion. This review aims to analyze the relevant evidence on the complex role of TGF-β in cancer immunology, the current outcomes of combined immunotherapies, and the anti-TGF-β therapies that may improve the success of current and new oncotherapies.
转化生长因子-β1(TGF-β)调节多种细胞内过程,以依赖于上下文的方式调节肿瘤的进展。因此,尽管 TGF-β在肿瘤发生的早期阶段作为肿瘤抑制因子发挥作用,但在晚期阶段,该因子促进肿瘤的进展和转移。此外,TGF-β还通过调节免疫系统影响肿瘤微环境。在这方面,TGF-β表现出强大的免疫抑制作用,使癌细胞能够逃避免疫监视,并赋予其对免疫疗法的抗性。虽然 TGF-β抑制 T 细胞淋巴细胞、树突状细胞和自然杀伤细胞的激活和抗肿瘤功能,但它促进 T 调节细胞和髓源性抑制细胞的生成,从而阻碍抗肿瘤 T 细胞的活性。此外,TGF-β促进肿瘤相关的巨噬细胞和中性粒细胞分别从 M1 向 M2 和 N1 向 N2 极化。总之,这些作用导致了免疫抑制性肿瘤微环境的产生,并支持了肿瘤的促进。本综述旨在分析 TGF-β在癌症免疫学中的复杂作用、联合免疫疗法的当前结果以及抗 TGF-β治疗的相关证据,这些治疗可能会提高当前和新的肿瘤疗法的成功率。