Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β Drugs

Objective: Oral submucous fibrosis (OSMF) is a chronic irreversible potentially malignant condition causing morbidity. Transforming Growth Factor beta (TGF-β1) plays the central role in its development. Hence early intervention is the key to limit the progress of the disease. The aim of this paper w...

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Main Authors: Ranganath Sheshaprasad, Anuradha Pai
Format: Article
Language:English
Published: West Asia Organization for Cancer Prevention 2018-06-01
Series:Asian Pacific Journal of Cancer Care
Subjects:
Online Access:http://www.waocp.com/journal/index.php/apjcc/article/view/42
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author Ranganath Sheshaprasad
Anuradha Pai
author_facet Ranganath Sheshaprasad
Anuradha Pai
author_sort Ranganath Sheshaprasad
collection DOAJ
description Objective: Oral submucous fibrosis (OSMF) is a chronic irreversible potentially malignant condition causing morbidity. Transforming Growth Factor beta (TGF-β1) plays the central role in its development. Hence early intervention is the key to limit the progress of the disease. The aim of this paper was to review the effective therapeutic agents available to neutralize the pathological effect of TGF-β1 in OSMF. Methods: An electronic search was conducted and we reviewed the records of the https://clinicaltrials.gov/, the registry of clinical trials that have been conducted internationally and in the United States in order to look for drugs associated with different types of fibrotic disorder. The studies related to pulmonary fibrosis were also included. We performed another search in the PubMed database and chose the successfully tested drugs as the result of our previous search and used the keywords "Name of the selected drug" "TGF" "Fibrosis." Results: A total of 89 studies were listed in the search and finally, 9 studies were considered for the analysis. The search results indicated the potential benefit of two drugs namely nintedanib and pirfenidone. It was noted that nintedanib reversed TGF-β1-induced EMT in non-small cell lung cancer cells and pirfenidone treatment inhibited TGF-β1-induced up-regulation of phosphorylation of ERK1/2, p38 and Jun amino-terminal kinases (JNK) in a renal fibrosis rat model. Conclusion: It was concluded that pirfenidone and nintedanib were found to have a promising role in the treatment of pulmonary fibrosis also linked to the pathological effect of TGF-β pathway. Therefore, we put forward the suggestion of designing preclinical studies, as well as clinical trials to test the effectiveness of these drugs in treating oral submucous fibrosis.
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spelling doaj.art-62aad07b315c431a8184e0bbcd3f37262024-01-26T14:04:47ZengWest Asia Organization for Cancer PreventionAsian Pacific Journal of Cancer Care2588-36822018-06-0132212110.31557/apjcc.2018.3.2.2142Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β DrugsRanganath SheshaprasadAnuradha PaiObjective: Oral submucous fibrosis (OSMF) is a chronic irreversible potentially malignant condition causing morbidity. Transforming Growth Factor beta (TGF-β1) plays the central role in its development. Hence early intervention is the key to limit the progress of the disease. The aim of this paper was to review the effective therapeutic agents available to neutralize the pathological effect of TGF-β1 in OSMF. Methods: An electronic search was conducted and we reviewed the records of the https://clinicaltrials.gov/, the registry of clinical trials that have been conducted internationally and in the United States in order to look for drugs associated with different types of fibrotic disorder. The studies related to pulmonary fibrosis were also included. We performed another search in the PubMed database and chose the successfully tested drugs as the result of our previous search and used the keywords "Name of the selected drug" "TGF" "Fibrosis." Results: A total of 89 studies were listed in the search and finally, 9 studies were considered for the analysis. The search results indicated the potential benefit of two drugs namely nintedanib and pirfenidone. It was noted that nintedanib reversed TGF-β1-induced EMT in non-small cell lung cancer cells and pirfenidone treatment inhibited TGF-β1-induced up-regulation of phosphorylation of ERK1/2, p38 and Jun amino-terminal kinases (JNK) in a renal fibrosis rat model. Conclusion: It was concluded that pirfenidone and nintedanib were found to have a promising role in the treatment of pulmonary fibrosis also linked to the pathological effect of TGF-β pathway. Therefore, we put forward the suggestion of designing preclinical studies, as well as clinical trials to test the effectiveness of these drugs in treating oral submucous fibrosis.http://www.waocp.com/journal/index.php/apjcc/article/view/42osmf-potentially malignant condition- tgf-β1- pirfenidone
spellingShingle Ranganath Sheshaprasad
Anuradha Pai
Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β Drugs
Asian Pacific Journal of Cancer Care
osmf-potentially malignant condition- tgf-β1- pirfenidone
title Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β Drugs
title_full Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β Drugs
title_fullStr Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β Drugs
title_full_unstemmed Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β Drugs
title_short Oral Sub Mucous Fibrosis: Exploring Therapeutic Strategies Using -anti TGF β Drugs
title_sort oral sub mucous fibrosis exploring therapeutic strategies using anti tgf β drugs
topic osmf-potentially malignant condition- tgf-β1- pirfenidone
url http://www.waocp.com/journal/index.php/apjcc/article/view/42
work_keys_str_mv AT ranganathsheshaprasad oralsubmucousfibrosisexploringtherapeuticstrategiesusingantitgfbdrugs
AT anuradhapai oralsubmucousfibrosisexploringtherapeuticstrategiesusingantitgfbdrugs