The inhibitory effects of transforming growth factor-beta-1 (TGF-β1) in autoimmune diseases

The importance of transforming growth factor-beta-1 (TGF-beta 1) in immunoregulation and tolerance has been increasingly recognized. It is now proposed that there are populations of regulatory T cells (T-reg), some designated T-helper type 3 (Th3), that exert their action primarily by secreting this cytokine. Here, we emphasize the following concepts: (1) TGF-beta 1 has multiple suppressive actions on T cells, B cells, macrophages, and other cells, and increased TGF-beta 1 production correlates with protection and/or recovery from autoimmune diseases; (2) TGF-beta 1 and CTLA-4 are molecules that work together to terminate immune responses; (3) Th0, Th1 and Th2 clones can all secrete TGF-beta 1 upon cross-linking of CTLA-4 (the functional significance of this in autoimmune diseases has not been reported, but TGF-beta 1-producing regulatory T-cell clones can produce type 1 inflammatory cytokines); (4) TGF-beta 1 may play a role in the passage from effector to memory T cells; (5) TGF-beta 1 acts with Some other inhibitory molecules to maintain a state of tolerance, which is most evident in immunologically privileged sites, but may also be important in other organs; (6) TGF-beta 1 is produced by many cell types, is always present in the plasma (in its latent form) and permeates all organs, binding to matrix components and creating a reservoir of this immunosuppressive molecule; and (7) TGF-beta 1 downregulates adhesion molecules and inhibits adhesion of leukocytes to endothelial cells. We propose that rather than being passive targets of autoimmunity, tissues and organs actively suppress autoreactive lymphocytes. We review the beneficial effects of administering TGF-beta 1 in several autoimmune diseases, and show that it can be effectively administered by a somatic gene therapy approach, which results in depressed inflammatory cytokine production and increased endogenous regulatory cytokine production. (C) 2000 Academic Press.