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Clinical Medicine & Research
Volume 1, Number 1 : 13 -20
doi:10.3121/cmr.1.1.13
© 2003 Marshfield Clinic
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Systematic Review

Medical Applications of Transforming Growth Factor-ß

Kathleen C. Flanders, PhD

Laboratory of Cell Regulation and Carcinogenesis, National Institutes of Health, Bethesda, Maryland

James K. Burmester, PhD

Personalized Medicine Research Center, Marshfield Medical Research Foundation, Marshfield, Wisconsin

REPRINT REQUESTS: James K. Burmester, PhD, Personalized Medicine Research Center, Marshfield Medical Research Foundation, 1000 North Oak Avenue, Marshfield, WI 54449, Telephone: 715-389-4368, Fax: 715-389-3808, Email: burmester.james{at}marshfieldclinic.org

Abstract

Transforming growth factor-ß (TGF-ß) proteins and their antagonists have entered clinical trials. These multi-functional regulators of cell growth and differentiation induce extracellular matrix proteins and suppress the immune system making TGF-ßs useful in treatment of wounds with impaired healing, mucositis, fractures, ischemia-reperfusion injuries, and autoimmune disease. In diseases such as keloids, glomerulonephritis and pulmonary fibrosis, excessive expression of TGF-ß has been implicated as being responsible for accumulation of detrimental scar tissue. In these conditions, agents that block TGF-ß have prevented or reversed disease. Similarly, in carcinogenesis, blocking TGF-ß activity may be valuable in stimulating an immune response towards metastasis. As these blocking agents receive approval, we will likely have new therapies for previously recalcitrant diseases.


Key Words: Fibrosis • Cancer • Immunosuppression • Knockout mice




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