PMID- 28718426 OWN - NLM STAT- MEDLINE DCOM- 20180604 LR - 20240109 IS - 2405-8025 (Electronic) IS - 2405-8025 (Linking) VI - 3 IP - 1 DP - 2017 Jan TI - Targeting TGF-beta Signaling in Cancer. PG - 56-71 LID - S2405-8033(16)30186-8 [pii] LID - 10.1016/j.trecan.2016.11.008 [doi] AB - The transforming growth factor (TGF)-beta signaling pathway is deregulated in many diseases, including cancer. In healthy cells and early-stage cancer cells, this pathway has tumor-suppressor functions, including cell-cycle arrest and apoptosis. However, its activation in late-stage cancer can promote tumorigenesis, including metastasis and chemoresistance. The dual function and pleiotropic nature of TGF-beta signaling make it a challenging target and imply the need for careful therapeutic dosing of TGF-beta drugs and patient selection. We review here the rationale for targeting TGF-beta signaling in cancer and summarize the clinical status of pharmacological inhibitors. We discuss the direct effects of TGF-beta signaling blockade on tumor and stromal cells, as well as biomarkers that can predict the efficacy of TGF-beta inhibitors in cancer patients. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Colak, Selcuk AU - Colak S AD - Department of Molecular Cell Biology, Cancer Genomics Centre Netherlands, Leiden University Medical Center, Postbus 9600, 2300 RC Leiden, The Netherlands. Electronic address: S.Colak@lumc.nl. FAU - Ten Dijke, Peter AU - Ten Dijke P AD - Department of Molecular Cell Biology, Cancer Genomics Centre Netherlands, Leiden University Medical Center, Postbus 9600, 2300 RC Leiden, The Netherlands; Ludwig Institute for Cancer Research, Science for Life Laboratory, Uppsala University, Uppsala, Sweden; Department of Cancer Signaling, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan. Electronic address: P.ten_Dijke@lumc.nl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20170103 PL - United States TA - Trends Cancer JT - Trends in cancer JID - 101665956 RN - 0 (Biomarkers, Tumor) RN - 0 (Smad Proteins) RN - 0 (Transforming Growth Factor beta) SB - IM MH - Animals MH - Biomarkers, Tumor/metabolism MH - Drug Resistance, Neoplasm MH - Humans MH - Neoplasms/*drug therapy/metabolism MH - Precision Medicine MH - Signal Transduction MH - Smad Proteins/metabolism MH - Transforming Growth Factor beta/*antagonists & inhibitors OTO - NOTNLM OT - TGF-beta OT - cancer OT - microenvironment OT - therapy resistance OT - tumor-initiating cells EDAT- 2017/07/19 06:00 MHDA- 2018/06/05 06:00 CRDT- 2017/07/19 06:00 PHST- 2016/09/08 00:00 [received] PHST- 2016/11/18 00:00 [revised] PHST- 2016/11/28 00:00 [accepted] PHST- 2017/07/19 06:00 [entrez] PHST- 2017/07/19 06:00 [pubmed] PHST- 2018/06/05 06:00 [medline] AID - S2405-8033(16)30186-8 [pii] AID - 10.1016/j.trecan.2016.11.008 [doi] PST - ppublish SO - Trends Cancer. 2017 Jan;3(1):56-71. doi: 10.1016/j.trecan.2016.11.008. Epub 2017 Jan 3.