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During early tumour formation, transforming growth factor-β (TGFβ) can function as a tumour suppressor to prevent tumorigenesis; however, overproduction of TGFβ in established tumours is often associated with tumour metastasis and poor prognosis in patients with cancer. The tumour-promoting effects of TGFβ may be due to the immunosuppressive effects it has on both innate and adaptive immunity. TGFβ inhibits natural killer cell function by inhibiting cytokine production and downregulating the expression of activating receptors. TGFβ inhibits the maturation of, and cytokine production and proper antigen presentation by, dendritic cells, while promoting regulatory T (TReg) cell differentiation and an overall tolerogenic state. TGFβ also promotes an M2 phenotype for macrophages and an N2 phenotype for neutrophils. TGFβ directly dampens the function of CD4+ and CD8+ effector T cells and promotes the survival of TReg cells. Depending on the cytokine milieu, TGFβ greatly affects the differentiation of several key CD4+ T cell subsets in tumour immunology. There is great interest in targeting TGFβ-induced signalling for immunotherapy of cancer; however, the dosing, timing and combination of this approach with other immunotherapies to achieve the most successful antitumour effect need to be further investigated.
Nature Reviews Immunology – Springer Journals
Published: Jul 9, 2010
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