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TGF-β Signaling and Resistance to Cancer Therapy

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FRONTIERS MEDIA SA
DOI: 10.3389/fcell.2021.786728

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TGF-beta pathway; TGF-beta; chemotherapy resistance; targeted therapy resistance; immunotherapy resistance

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  1. State Key Laboratory of Membrane Biology

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The TGF-beta pathway in cancer has dual roles and is considered a potential new avenue for cancer therapy, but its functions and mechanisms of action require further investigation.
The transforming growth factor beta (TGF-beta) pathway, which is well studied for its ability to inhibit cell proliferation in early stages of tumorigenesis while promoting epithelial-mesenchymal transition and invasion in advanced cancer, is considered to act as a double-edged sword in cancer. Multiple inhibitors have been developed to target TGF-beta signaling, but results from clinical trials were inconsistent, suggesting that the functions of TGF-beta in human cancers are not yet fully explored. Multiple drug resistance is a major challenge in cancer therapy; emerging evidence indicates that TGF-beta signaling may be a key factor in cancer resistance to chemotherapy, targeted therapy and immunotherapy. Finally, combining anti-TGF-beta therapy with other cancer therapy is an attractive venue to be explored for the treatment of therapy-resistant cancer.

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