The Role of TGF-β in Bone Metastases

Complications associated with advanced cancer are a major clinical challenge and, if associated with bone metastases, worsen the prognosis and compromise the survival of the patients. Breast and prostate cancer cells exhibit a high propensity to metastasize to bone. The bone microenvironment is uniq...

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Main Authors: Trupti Trivedi, Gabriel M. Pagnotti, Theresa A. Guise, Khalid S. Mohammad
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/11/11/1643
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author Trupti Trivedi
Gabriel M. Pagnotti
Theresa A. Guise
Khalid S. Mohammad
author_facet Trupti Trivedi
Gabriel M. Pagnotti
Theresa A. Guise
Khalid S. Mohammad
author_sort Trupti Trivedi
collection DOAJ
description Complications associated with advanced cancer are a major clinical challenge and, if associated with bone metastases, worsen the prognosis and compromise the survival of the patients. Breast and prostate cancer cells exhibit a high propensity to metastasize to bone. The bone microenvironment is unique, providing fertile soil for cancer cell propagation, while mineralized bone matrices store potent growth factors and cytokines. Biologically active transforming growth factor β (TGF-β), one of the most abundant growth factors, is released following tumor-induced osteoclastic bone resorption. TGF-β promotes tumor cell secretion of factors that accelerate bone loss and fuel tumor cells to colonize. Thus, TGF-β is critical for driving the feed-forward vicious cycle of tumor growth in bone. Further, TGF-β promotes epithelial-mesenchymal transition (EMT), increasing cell invasiveness, angiogenesis, and metastatic progression. Emerging evidence shows TGF-β suppresses immune responses, enabling opportunistic cancer cells to escape immune checkpoints and promote bone metastases. Blocking TGF-β signaling pathways could disrupt the vicious cycle, revert EMT, and enhance immune response. However, TGF-β’s dual role as both tumor suppressor and enhancer presents a significant challenge in developing therapeutics that target TGF-β signaling. This review presents TGF-β’s role in cancer progression and bone metastases, while highlighting current perspectives on the therapeutic potential of targeting TGF-β pathways.
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spelling doaj.art-bcea8097de5c448abc431ca453ee68b02023-11-22T22:34:13ZengMDPI AGBiomolecules2218-273X2021-11-011111164310.3390/biom11111643The Role of TGF-β in Bone MetastasesTrupti Trivedi0Gabriel M. Pagnotti1Theresa A. Guise2Khalid S. Mohammad3Department of Endocrine Neoplasia and Hormonal Disorders, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Endocrine Neoplasia and Hormonal Disorders, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Endocrine Neoplasia and Hormonal Disorders, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Endocrine Neoplasia and Hormonal Disorders, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USAComplications associated with advanced cancer are a major clinical challenge and, if associated with bone metastases, worsen the prognosis and compromise the survival of the patients. Breast and prostate cancer cells exhibit a high propensity to metastasize to bone. The bone microenvironment is unique, providing fertile soil for cancer cell propagation, while mineralized bone matrices store potent growth factors and cytokines. Biologically active transforming growth factor β (TGF-β), one of the most abundant growth factors, is released following tumor-induced osteoclastic bone resorption. TGF-β promotes tumor cell secretion of factors that accelerate bone loss and fuel tumor cells to colonize. Thus, TGF-β is critical for driving the feed-forward vicious cycle of tumor growth in bone. Further, TGF-β promotes epithelial-mesenchymal transition (EMT), increasing cell invasiveness, angiogenesis, and metastatic progression. Emerging evidence shows TGF-β suppresses immune responses, enabling opportunistic cancer cells to escape immune checkpoints and promote bone metastases. Blocking TGF-β signaling pathways could disrupt the vicious cycle, revert EMT, and enhance immune response. However, TGF-β’s dual role as both tumor suppressor and enhancer presents a significant challenge in developing therapeutics that target TGF-β signaling. This review presents TGF-β’s role in cancer progression and bone metastases, while highlighting current perspectives on the therapeutic potential of targeting TGF-β pathways.https://www.mdpi.com/2218-273X/11/11/1643bone metastasestransforming growth factor-β (TGF-β)programmed cell death ligand (PD-L1)immune cellsTGF-β therapeutic targetscheck-point inhibitors
spellingShingle Trupti Trivedi
Gabriel M. Pagnotti
Theresa A. Guise
Khalid S. Mohammad
The Role of TGF-β in Bone Metastases
Biomolecules
bone metastases
transforming growth factor-β (TGF-β)
programmed cell death ligand (PD-L1)
immune cells
TGF-β therapeutic targets
check-point inhibitors
title The Role of TGF-β in Bone Metastases
title_full The Role of TGF-β in Bone Metastases
title_fullStr The Role of TGF-β in Bone Metastases
title_full_unstemmed The Role of TGF-β in Bone Metastases
title_short The Role of TGF-β in Bone Metastases
title_sort role of tgf β in bone metastases
topic bone metastases
transforming growth factor-β (TGF-β)
programmed cell death ligand (PD-L1)
immune cells
TGF-β therapeutic targets
check-point inhibitors
url https://www.mdpi.com/2218-273X/11/11/1643
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