Cited by 940TGF-β signaling in diseasesImmune cells in cancerT-cell and B-cell Immunology

The polarization of immune cells in the tumour environment by TGFβ

Open access
Flavell, Richard A., Sanjabi, Shomyseh, Wrzesinski, Stephen H., Licona-Limón, Paula·2010·Nature Reviews Immunology

Abstract

Transforming growth factor-beta (TGFbeta) is an immunosuppressive cytokine produced by tumour cells and immune cells that can polarize many components of the immune system. This Review covers the effects of TGFbeta on natural killer (NK) cells, dendritic cells, macrophages, neutrophils, CD8(+) and CD4(+) effector and regulatory T cells, and NKT cells in animal tumour models and in patients with cancer. Collectively, many recent studies favour the hypothesis that blocking TGFbeta-induced signalling in the tumour microenvironment enhances antitumour immunity and may be beneficial for cancer therapy. An overview of the current drugs and reagents available for inhibiting TGFbeta-induced signalling and their phase in clinical development is also provided.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/nri2808

Cites

5 of 5 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • CAFs secrete growth factors, proinflammatory cytokines, and chemokines, particularly TGF-β, IL-6, and CCL2, which recruit immunosuppressive cells into the tumor stroma and lead to immune escape.

    “In addition, CAFs secrete substantial amounts of growth factors, proinflammatory cytokines, and chemokines, particularly TGF-β, IL-6, and CC-chemokine ligand 2, which recruit immunosuppressive cells into the tumor stroma and lead to immune escape 20-22.”

    From TBX3 shapes an immunosuppressive microenvironment and induces immunotherapy resistance (2025) · cites this paper as [20]

    The section on TGFβ’s effects on innate immune cells (page unavailable) says TGFβ-mediated macrophage recruitment into skin tumours has an important role in immune escape. But the paper does not identify CAFs as the source of those signals or support the claimed secretion and recruitment roles of IL-6 and CCL2; its discussion of regulatory-cell trafficking instead mentions CCL22 produced by tumour-associated macrophages. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 149

  1. [1]Massague J TGFbeta in Cancer Cell 134 215 30 2008 18662538 PMC3512574
  2. [2]Wrzesinski SH Wan YY Flavell RA Transforming Growth Factor-{beta} and the Immune Response: Implications for Anticancer Therapy Clin Cancer Res 13 5262 5270 2007 17875754
  3. [3]Padua D Massague J Roles of TGFbeta in metastasis Cell Res 19 89 102 2009 19050696
  4. [4]Tian M Schiemann WP The TGF-beta paradox in human cancer: an update Future Oncol 5 259 71 2009 19284383 PMC2710615
  5. [5]Bierie B Moses HL Transforming growth factor beta (TGF-beta) and inflammation in cancer Cytokine Growth Factor Rev 2009 PMC2834863 20018551
  6. [6]Li MO Wan YY Sanjabi S Robertson AK Flavell RA Transforming growth factor-beta regulation of immune responses Annu Rev Immunol 24 99 146 2006 16551245
  7. [7]Zou W Restifo NP T(H)17 cells in tumour immunity and immunotherapy Nat Rev Immunol 10 248 56 2010 20336152 PMC3242804
  8. [8]Laouar Y Sutterwala FS Gorelik L Flavell RA Transforming growth factor-beta controls T helper type 1 cell development through regulation of natural killer cell interferon-gamma Nat Immunol 6 600 7 2005 15852008
  9. [9]Rook AH Effects of transforming growth factor beta on the functions of natural killer cells: depressed cytolytic activity and blunting of interferon responsiveness J Immunol 136 3916 20 1986 2871107
  10. [10]Wahl SM Wen J Moutsopoulos NM The kiss of death: interrupted by NK-cell close encounters of another kind Trends Immunol 27 161 4 2006 16504582
  11. [11]Trotta R TGF-beta utilizes SMAD3 to inhibit CD16-mediated IFN-gamma production and antibody-dependent cellular cytotoxicity in human NK cells J Immunol 181 3784 92 2008 18768831 PMC2924753
  12. [12]Lanier LL Up on the tightrope: natural killer cell activation and inhibition Nat Immunol 9 495 502 2008 18425106 PMC2669298
  13. [13]Castriconi R Transforming growth factor beta 1 inhibits expression of NKp30 and NKG2D receptors: consequences for the NK-mediated killing of dendritic cells Proc Natl Acad Sci USA 100 4120 5 2003 12646700 PMC153058
  14. [14]Crane CA TGF-beta downregulates the activating receptor NKG2D on NK cells and CD8+ T cells in glioma patients Neuro Oncol 12 7 13 2010 20150362 PMC2940557
  15. [15]Lee JC Lee KM Kim DW Heo DS Elevated TGF-beta 1 Secretion and Down- Modulation of NKG2D Underlies Impaired NK Cytotoxicity in Cancer Patients J Immunol 172 7335 7340 2004 15187109
  16. [16]Kopp HG Placke T Salih HR Platelet-Derived Transforming Growth Factor-{beta} Down-Regulates NKG2D Thereby Inhibiting Natural Killer Cell Antitumor Reactivity 69 7775 7783 2009 19738039
  17. [17]Li H Han Y Guo Q Zhang M Cao X Cancer-expanded myeloid-derived suppressor cells induce anergy of NK cells through membrane-bound TGF-beta 1 J Immunol 182 240 9 2009 19109155
  18. [18]Steinman RM Banchereau J Taking dendritic cells into medicine Nature 449 419 26 2007 17898760
  19. [19]Ferlazzo G Munz C Dendritic cell interactions with NK cells from different tissues J Clin Immunol 29 265 73 2009 19280325
  20. [20]Dhodapkar MV Dhodapkar KM Palucka AK Interactions of tumor cells with dendritic cells: balancing immunity and tolerance Cell Death Differ 15 39 50 2008 17948027 PMC2762352
  21. [21]Mellman I Steinman RM Dendritic cells: specialized and regulated antigen processing machines Cell 106 255 8 2001 11509172
  22. [22]Hawiger D Dendritic cells induce peripheral T cell unresponsiveness under steady state conditions in vivo J Exp Med 194 769 79 2001 11560993 PMC2195961
  23. [23]Steinman RM Hawiger D Nussenzweig MC Tolerogenic dendritic cells Annu Rev Immunol 21 685 711 2003 12615891
  24. [24]Yamazaki S Steinman RM Dendritic cells as controllers of antigen-specific Foxp3+ regulatory T cells J Dermatol Sci 54 69 75 2009 19286352 PMC2680740
  25. [25]Kortylewski M Regulation of the IL-23 and IL-12 balance by Stat3 signaling in the tumor microenvironment Cancer Cell 15 114 23 2009 19185846 PMC2673504
  26. [26]Ito M Tumor-derived TGFbeta-1 induces dendritic cell apoptosis in the sentinel lymph node J Immunol 176 5637 43 2006 16622033
  27. [27]Weber F Transforming growth factor-beta1 immobilises dendritic cells within skin tumours and facilitates tumour escape from the immune system Cancer Immunol Immunother 54 898 906 2005 15776284 PMC11033026
  28. [28]Halliday GM Le S Transforming growth factor-beta produced by progressor tumors inhibits, while IL-10 produced by regressor tumors enhances, Langerhans cell migration from skin Int Immunol 13 1147 54 2001 11526095
  29. [29]Bekeredjian-Ding I Tumour-derived prostaglandin E and transforming growth factor-beta synergize to inhibit plasmacytoid dendritic cell-derived interferon-alpha Immunology 128 439 50 2009 20067543 PMC2770691
  30. [30]Zhang X CD4-8- dendritic cells prime CD4+ T regulatory 1 cells to suppress antitumor immunity J Immunol 175 2931 7 2005 16116179
  31. [31]Roncarolo MG Levings MK Traversari C Differentiation of T regulatory cells by immature dendritic cells J Exp Med 193 F5 9 2001 11208869 PMC2193342
  32. [32]Yamazaki S Direct expansion of functional CD25+ CD4+ regulatory T cells by antigen- processing dendritic cells J Exp Med 198 235 47 2003 12874257 PMC2194081
  33. [33]Tarbell KV Yamazaki S Olson K Toy P Steinman RM CD25+ CD4+ T cells, expanded with dendritic cells presenting a single autoantigenic peptide, suppress autoimmune diabetes J Exp Med 199 1467 77 2004 15184500 PMC2211787
  34. [34]Banerjee DK Dhodapkar MV Matayeva E Steinman RM Dhodapkar KM Expansion of FOXP3 high regulatory T cells by human dendritic cells (DCs) in vitro and after injection of cytokine-matured DCs in myeloma patients Blood 108 2655 61 2006 16763205 PMC1895594
  35. [35]Chung DJ Indoleamine 2,3-dioxygenase-expressing mature human monocyte-derived dendritic cells expand potent autologous regulatory T cells Blood 114 555 63 2009 19465693 PMC2713474
  36. [36]Luo X Dendritic cells with TGF-beta1 differentiate naive CD4+CD25− T cells into islet- protective Foxp3+ regulatory T cells Proc Natl Acad Sci U S A 104 2821 6 2007 17307871 PMC1815265
  37. [37]Levings MK Bacchetta R Schulz U Roncarolo MG The role of IL-10 and TGF-beta in the differentiation and effector function of T regulatory cells Int Arch Allergy Immunol 129 263 76 2002 12483031
  38. [38]Ghiringhelli F Tumor cells convert immature myeloid dendritic cells into TGF-beta- secreting cells inducing CD4+CD25+ regulatory T cell proliferation J Exp Med 202 919 29 2005 16186184 PMC2213166
  39. [39]Liu VC Tumor Evasion of the Immune System by Converting CD4+CD25− T Cells into CD4+CD25+ T Regulatory Cells: Role of Tumor-Derived TGF-beta J Immunol 178 2883 2892 2007 17312132
  40. [40]Yamazaki S CD8+ CD205+ splenic dendritic cells are specialized to induce Foxp3+ regulatory T cells J Immunol 181 6923 33 2008 18981112 PMC2814590
  41. [41]Dumitriu IE Dunbar DR Howie SE Sethi T Gregory CD Human dendritic cells produce TGF-beta 1 under the influence of lung carcinoma cells and prime the differentiation of CD4+CD25+Foxp3+ regulatory T cells J Immunol 182 2795 807 2009 19234174
  42. [42]Mantovani A Sica A Allavena P Garlanda C Locati M Tumor-associated macrophages and the related myeloid-derived suppressor cells as a paradigm of the diversity of macrophage activation Hum Immunol 70 325 30 2009 19236898
  43. [43]Steidl C Tumor-Associated Macrophages and Survival in Classic Hodgkin’s Lymphoma N Engl J Med 362 875 885 2010 20220182 PMC2897174
  44. [44]Martinez FO Helming L Gordon S Alternative activation of macrophages: an immunologic functional perspective Annu Rev Immunol 27 451 83 2009 19105661
  45. [45]Byrne SN Knox MC Halliday GM TGFbeta is responsible for skin tumour infiltration by macrophages enabling the tumours to escape immune destruction Immunol Cell Biol 86 92 7 2008 17768418
  46. [46]Biswas SK A distinct and unique transcriptional program expressed by tumor-associated macrophages (defective NF-kappaB and enhanced IRF-3/STAT1 activation) Blood 107 2112 22 2006 16269622
  47. [47]Saccani A p50 nuclear factor-kappaB overexpression in tumor-associated macrophages inhibits M1 inflammatory responses and antitumor resistance Cancer Res 66 11432 40 2006 17145890
  48. [48]Porta C Tolerance and M2 (alternative) macrophage polarization are related processes orchestrated by p50 nuclear factor kappaB Proc Natl Acad Sci U S A 106 14978 83 2009 19706447 PMC2736429
  49. [49]Mantovani A Sica A Macrophages, innate immunity and cancer: balance, tolerance, and diversity Curr Opin Immunol 2010 20144856
  50. [50]Torroella-Kouri M Identification of a subpopulation of macrophages in mammary tumor- bearing mice that are neither M1 nor M2 and are less differentiated Cancer Res 69 4800 9 2009 TGFβ and prostaglandin E2, individually and additively downregulate NF-κB and C/EBP in a unique less differentiated macrophage subpopulation 19458073
  51. [51]Umemura N Tumor-infiltrating myeloid-derived suppressor cells are pleiotropic-inflamed monocytes/macrophages that bear M1- and M2-type characteristics J Leukoc Biol 83 1136 44 2008 18285406
  52. [52]Fichtner-Feigl S Strober W Kawakami K Puri RK Kitani A IL-13 signaling through the IL-13alpha2 receptor is involved in induction of TGF-beta1 production and fibrosis Nat Med 12 99 106 2006 16327802
  53. [53]Gratchev A Activation of a TGF-beta-specific multistep gene expression program in mature macrophages requires glucocorticoid-mediated surface expression of TGF-beta receptor II J Immunol 180 6553 65 2008 18453574
  54. [54]Allen SS Altered inflammatory responses following transforming growth factor-beta neutralization in experimental guinea pig tuberculous pleurisy Tuberculosis (Edinb) 88 430 6 2008 18555747
  55. [55]Smith WB Transforming growth factor-beta 1 inhibits the production of IL-8 and the transmigration of neutrophils through activated endothelium J Immunol 157 360 8 1996 8683138
  56. [56]Shen L Inhibition of human neutrophil degranulation by transforming growth factor- beta1 Clin Exp Immunol 149 155 61 2007 17403059 PMC1942024
  57. [57]Di Carlo E The intriguing role of polymorphonuclear neutrophils in antitumor reactions Blood 97 339 45 2001 11154206
  58. [58]Fridlender ZG Polarization of tumor-associated neutrophil phenotype by TGF-beta: “N1” versus “N2” TAN Cancer Cell 16 183 94 2009 This study provides the first evidence that TGFβ controls the pro/anti-tumor responses by polarizing neutrophil subpopulations N1–N2 within the tumor microenvironment 19732719 PMC2754404
  59. [59]Nozawa H Chiu C Hanahan D Infiltrating neutrophils mediate the initial angiogenic switch in a mouse model of multistage carcinogenesis Proc Natl Acad Sci U S A 103 12493 8 2006 16891410 PMC1531646
  60. [60]Pekarek LA Starr BA Toledano AY Schreiber H Inhibition of tumor growth by elimination of granulocytes J Exp Med 181 435 40 1995 7807024 PMC2191807
  61. [61]Tazawa H Infiltration of neutrophils is required for acquisition of metastatic phenotype of benign murine fibrosarcoma cells: implication of inflammation-associated carcinogenesis and tumor progression Am J Pathol 163 2221 32 2003 14633597 PMC1892401
  62. [62]Schmielau J Finn OJ Activated granulocytes and granulocyte-derived hydrogen peroxide are the underlying mechanism of suppression of t-cell function in advanced cancer patients Cancer Res 61 4756 60 2001 11406548
  63. [63]Colombo MP Modesti A Parmiani G Forni G Local cytokine availability elicits tumor rejection and systemic immunity through granulocyte-T-lymphocyte cross-talk Cancer Res 52 4853 7 1992 1516042
  64. [64]Hicks AM Transferable anticancer innate immunity in spontaneous regression/complete resistance mice Proc Natl Acad Sci U S A 103 7753 8 2006 16682640 PMC1458507
  65. [65]Stoppacciaro A Regression of an established tumor genetically modified to release granulocyte colony-stimulating factor requires granulocyte-T cell cooperation and T cell- produced interferon gamma J Exp Med 178 151 61 1993 7686211 PMC2191097
  66. [66]Schumacher K Haensch W Roefzaad C Schlag PM Prognostic significance of activated CD8(+) T cell infiltrations within esophageal carcinomas Cancer Res 61 3932 6 2001 11358808
  67. [67]Nakano O Proliferative activity of intratumoral CD8(+) T-lymphocytes as a prognostic factor in human renal cell carcinoma: clinicopathologic demonstration of antitumor immunity Cancer Res 61 5132 6 2001 11431351
  68. [68]Zhang L Intratumoral T cells, recurrence, and survival in epithelial ovarian cancer N Engl J Med 348 203 13 2003 12529460
  69. [69]Gao Q Intratumoral balance of regulatory and cytotoxic T cells is associated with prognosis of hepatocellular carcinoma after resection J Clin Oncol 25 2586 93 2007 17577038
  70. [70]Thomas DA Massague J TGF-beta directly targets cytotoxic T cell functions during tumor evasion of immune surveillance Cancer Cell 8 369 80 2005 16286245
  71. [71]Zhang Q Blockade of transforming growth factor-{beta} signaling in tumor-reactive CD8(+) T cells activates the antitumor immune response cycle Mol Cancer Ther 5 1733 43 2006 16891459
  72. [72]Gorelik L Flavell RA Abrogation of TGFbeta signaling in T cells leads to spontaneous T cell differentiation and autoimmune disease Immunity 12 171 81 2000 10714683
  73. [73]Gorelik L Flavell RA Immune-mediated eradication of tumors through the blockade of transforming growth factor-beta signaling in T cells Nat Med 7 1118 22 2001 11590434
  74. [74]Zhang Q Adoptive transfer of tumor-reactive transforming growth factor-beta-insensitive CD8+T cells: eradication of autologous mouse prostate cancer Cancer Res 65 1761 9 2005 15753372
  75. [75]Wang L Immunotherapy for human renal cell carcinoma by adoptive transfer of autologous transforming growth factor beta-insensitive CD8+ T cells Clin Cancer Res 16 164 73 2010 20028741
  76. [76]Terabe M NKT cell-mediated repression of tumor immunosurveillance by IL-13 and the IL-4R-STAT6 pathway Nat Immunol 1 515 20 2000 11101874
  77. [77]Terabe M Transforming growth factor-beta production and myeloid cells are an effector mechanism through which CD1d-restricted T cells block cytotoxic T lymphocyte-mediated tumor immunosurveillance: abrogation prevents tumor recurrence J Exp Med 198 1741 52 2003 14657224 PMC2194133
  78. [78]Nam JS An anti-transforming growth factor beta antibody suppresses metastasis via cooperative effects on multiple cell compartments Cancer Res 68 3835 43 2008 18483268 PMC2587151
  79. [79]Wallace A Transforming growth factor-beta receptor blockade augments the effectiveness of adoptive T-cell therapy of established solid cancers Clin Cancer Res 14 3966 74 2008 18559619 PMC2491721
  80. [80]Takaku S Blockade of TGF-beta enhances tumor vaccine efficacy mediated by CD8(+) T cells Int J Cancer 126 1666 74 2010 19830696 PMC2818422
  81. [81]Terabe M Synergistic enhancement of CD8+ T cell-mediated tumor vaccine efficacy by an anti-transforming growth factor-beta monoclonal antibody Clin Cancer Res 15 6560 9 2009 19861451 PMC2804258
  82. [82]Ueda R Systemic inhibition of transforming growth factor-beta in glioma-bearing mice improves the therapeutic efficacy of glioma-associated antigen peptide vaccines Clin Cancer Res 15 6551 9 2009 These studies demonstrate that the combination of a TGFβ-specific antibody with a vaccine results in a synergistic improvement in the inhibition of tumour growth that is mediated by increased number and activity of CD8+ T cells 19861464 PMC2783346
  83. [83]Sanjabi S Mosaheb MM Flavell RA Opposing effects of TGF-beta and IL-15 cytokines control the number of short-lived effector CD8+ T cells Immunity 31 131 44 2009 This study demonstrates the ability of TGF-beta to promote apoptosis of effector CD8+ T cells under immunogenic conditions, such as vaccination 19604492 PMC2765785
  84. [84]Ahmadzadeh M Rosenberg SA TGF-beta 1 attenuates the acquisition and expression of effector function by tumor antigen-specific human memory CD8 T cells J Immunol 174 5215 23 2005 15843517 PMC2562293
  85. [85]di Bari MG TGF-beta modulates the functionality of tumor-infiltrating CD8+ T cells through effects on TCR signaling and Spred1 expression Cancer Immunol Immunother 58 1809 18 2009 19319531 PMC3499107
  86. [86]Nam JS Transforming growth factor beta subverts the immune system into directly promoting tumor growth through interleukin-17 Cancer Res 68 3915 23 2008 18483277 PMC2586596
  87. [87]Hinrichs CS Type 17 CD8+ T cells display enhanced antitumor immunity Blood 114 596 9 2009 This study demonstrate that IL-17 producing CD8+ mediate tumor regression and persist longer than normal CD8+ cells upon adoptive transfer in tumor-bearing mice 19471017 PMC2713473
  88. [88]Muranski P Tumor-specific Th17-polarized cells eradicate large established melanoma Blood 112 362 73 2008 18354038 PMC2442746
  89. [89]Martin-Orozco N T helper 17 cells promote cytotoxic T cell activation in tumor immunity Immunity 31 787 98 2009 These studies provide compiling evidence comparing the therapeutic potential of adoptively transferred T helper subpopulations and show that Th17 polarized cells where the most effective in tumor eradication 19879162 PMC2787786
  90. [90]Li MO Flavell RA TGF-beta: a master of all T cell trades Cell 134 392 404 2008 18692464 PMC3677783
  91. [91]Li XF Transforming growth factor-beta (TGF-beta)-mediated immunosuppression in the tumor-bearing state: enhanced production of TGF-beta and a progressive increase in TGF-beta susceptibility of anti-tumor CD4+ T cell function Jpn J Cancer Res 84 315 25 1993 8098027 PMC5919158
  92. [92]Maeda H Shiraishi A TGF-beta contributes to the shift toward Th2-type responses through direct and IL-10-mediated pathways in tumor-bearing mice J Immunol 156 73 8 1996 8598496
  93. [93]Knutson KL Disis ML Tumor antigen-specific T helper cells in cancer immunity and immunotherapy Cancer Immunol Immunother 54 721 8 2005 16010587 PMC11032889
  94. [94]Muranski P Restifo NP Adoptive immunotherapy of cancer using CD4(+) T cells Curr Opin Immunol 21 200 8 2009 19285848 PMC2715842
  95. [95]Gao FG Antigen-specific CD4+ T-cell help is required to activate a memory CD8+ T cell to a fully functional tumor killer cell Cancer Res 62 6438 41 2002 12438231
  96. [96]Perez-Diez A CD4 cells can be more efficient at tumor rejection than CD8 cells Blood 109 5346 54 2007 This report shows the potential of CD4+ T cells in tumor elimination even in the absence of CD8+ T cells and independent on MHCII expression by tumor cells 17327412 PMC1890845
  97. [97]Martin-Orozco N Dong C The IL-17/IL-23 axis of inflammation in cancer: friend or foe? Curr Opin Investig Drugs 10 543 9 2009 19513943
  98. [98]Murugaiyan G Saha B Protumor vs antitumor functions of IL-17 J Immunol 183 4169 75 2009 19767566
  99. [100]Su X Tumor microenvironments direct the recruitment and expansion of human Th17 cells J Immunol 184 1630 41 2010 20026736
  100. [101]Nurieva R Yang XO Chung Y Dong C Cutting edge: in vitro generated Th17 cells maintain their cytokine expression program in normal but not lymphopenic hosts J Immunol 182 2565 8 2009 19234148 PMC2755098
  101. [102]Xie Y Naive tumor-specific CD4(+) T cells differentiated in vivo eradicate established melanoma J Exp Med 207 651 67 2010 This report shows for the first time the potential use of naïve CD4+ T cells in transfer experiments to induce potent antitumor immunity in vivo 20156973 PMC2839147
  102. [103]Quezada SA Tumor-reactive CD4(+) T cells develop cytotoxic activity and eradicate large established melanoma after transfer into lymphopenic hosts J Exp Med 207 637 50 2010 20156971 PMC2839156
  103. [104]Kryczek I Cutting edge: Th17 and regulatory T cell dynamics and the regulation by IL-2 in the tumor microenvironment J Immunol 178 6730 3 2007 17513719
  104. [105]Pellegrini M Adjuvant IL-7 antagonizes multiple cellular and molecular inhibitory networks to enhance immunotherapies Nat Med 15 528 36 2009 19396174
  105. [106]Curotto de Lafaille MA Lafaille JJ Natural and adaptive foxp3+ regulatory T cells: more of the same or a division of labor? Immunity 30 626 35 2009 19464985
  106. [107]Curiel TJ Specific recruitment of regulatory T cells in ovarian carcinoma fosters immune privilege and predicts reduced survival Nat Med 10 942 949 2004 15322536
  107. [108]Merlo A FOXP3 expression and overall survival in breast cancer J Clin Oncol 27 1746 52 2009 19255331
  108. [109]Moo-Young TA Tumor-derived TGF-[beta] Mediates Conversion of CD4+Foxp3+ Regulatory T Cells in a Murine Model of Pancreas Cancer J Immunother 32 12 21 2009 TGFβ derived from the tumor promotes in situ Treg differentiation demonstrating a mechanism of immune surveillance 19307989 PMC3862184
  109. [110]Beyer M Schultze JL Regulatory T cells in cancer Blood 108 804 811 2006 16861339
  110. [111]Solinas G Germano G Mantovani A Allavena P Tumor-associated macrophages (TAM) as major players of the cancer-related inflammation J Leukoc Biol 86 1065 73 2009 19741157
  111. [112]Han Y Guo Q Zhang M Chen Z Cao X CD69+ CD4+ CD25− T cells, a new subset of regulatory T cells, suppress T cell proliferation through membrane-bound TGF-beta 1 J Immunol 182 111 20 2009 19109141
  112. [113]Chen W Conversion of Peripheral CD4+CD25− Naive T Cells to CD4+CD25+ Regulatory T Cells by TGF-{beta} Induction of Transcription Factor Foxp3 J Exp Med 198 1875 1886 2003 14676299 PMC2194145
  113. [114]Fantini MC Cutting Edge: TGF-{beta} Induces a Regulatory Phenotype in CD4+CD25− T Cells through Foxp3 Induction and Down-Regulation of Smad7 J Immunol 172 5149 5153 2004 15100250
  114. [115]Petrausch U Disruption of TGF-beta signaling prevents the generation of tumor-sensitized regulatory T cells and facilitates therapeutic antitumor immunity J Immunol 183 3682 9 2009 19692636 PMC2850273
  115. [116]Niederkorn JY Emerging concepts in CD8(+) T regulatory cells Curr Opin Immunol 20 327 31 2008 18406591 PMC2525788
  116. [117]Kapp JA Bucy RP CD8+ suppressor T cells resurrected Hum Immunol 69 715 20 2008 18817830
  117. [118]Jarnicki AG Lysaght J Todryk S Mills KH Suppression of antitumor immunity by IL-10 and TGF-beta-producing T cells infiltrating the growing tumor: influence of tumor environment on the induction of CD4+ and CD8+ regulatory T cells J Immunol 177 896 904 2006 16818744
  118. [119]Shafer-Weaver KA Cutting Edge: Tumor-specific CD8+ T cells infiltrating prostatic tumors are induced to become suppressor cells J Immunol 183 4848 52 2009 19801511 PMC6948842
  119. [120]Chaput N Identification of CD8+CD25+Foxp3+ suppressive T cells in colorectal cancer tissue Gut 58 520 9 2009 19022917
  120. [121]Kiniwa Y CD8+ Foxp3+ regulatory T cells mediate immunosuppression in prostate cancer Clin Cancer Res 13 6947 58 2007 18056169
  121. [122]Godfrey DI MacDonald HR Kronenberg M Smyth MJ Kaer LV NKT cells: what’s in a name? Nat Rev Immunol 4 231 237 2004 15039760
  122. [123]Berzofsky J Terabe M A novel immunoregulatory axis of NKT cell subsets regulating tumor immunity Cancer Immunology, Immunotherapy 57 1679 1683 2008 18369622 PMC11030813
  123. [124]Berzofsky JA Terabe M The contrasting roles of NKT cells in tumor immunity Curr Mol Med 9 667 72 2009 19689293 PMC2729783
  124. [125]van der Vliet HJ Circulating myeloid dendritic cells of advanced cancer patients result in reduced activation and a biased cytokine profile in invariant NKT cells J Immunol 180 7287 93 2008 18490728 PMC2967461
  125. [127]Fakhrai H Phase I clinical trial of a TGF-beta antisense-modified tumor cell vaccine in patients with advanced glioma Cancer Gene Ther 13 1052 1060 2006 16826191
  126. [128]Nemunaitis J Phase II Study of Belagenpumatucel-L, a Transforming Growth Factor Beta-2 Antisense Gene-Modified Allogeneic Tumor Cell Vaccine in Non-Small-Cell Lung Cancer J Clin Oncol 24 4721 4730 2006 16966690
  127. [129]Nemunaitis J Phase II trial of Belagenpumatucel-L, a TGF-[beta]2 antisense gene modified allogeneic tumor vaccine in advanced non small cell lung cancer (NSCLC) patients Cancer Gene Ther 16 620 624 2009 One of the few recent studies evaluating blocking TGFβ blockade in humans; there are multiple limitations regarding design of trial and true “efficacy” of this approach 19287371
  128. [131]Schlingensiepen R Intracerebral and Intrathecal Infusion of the TGF-beta2-Specific Antisense Phosphorothioate Oligonucleotide AP 12009 in Rabbits and Primates: Toxicology and Safety Oligonucleotides 15 94 104 2005 15989424
  129. [134]Melero I Hervas-Stubbs S Glennie M Pardoll DM Chen L Immunostimulatory monoclonal antibodies for cancer therapy Nat Rev Cancer 7 95 106 2007 17251916
  130. [135]Schreiber TH Deyev VV Rosenblatt JD Podack ER Tumor-induced suppression of CTL expansion and subjugation by gp96-lg vaccination Cancer Res 69 2026 33 2009 19223534 PMC2676230
  131. [136]Levy L Hill CS Alterations in components of the TGF-beta superfamily signaling pathways in human cancer Cytokine Growth Factor Rev 17 41 58 2006 16310402
  132. [137]Siegel PM Massague J Cytostatic and apoptotic actions of TGF-beta in homeostasis and cancer Nat Rev Cancer 3 807 21 2003 14557817
  133. [138]Nagaraj NS Datta PK Targeting the transforming growth factor-beta signaling pathway in human cancer Expert Opin Investig Drugs 19 77 91 2010 PMC2796203 20001556
  134. [139]Wei S Tumor-induced immune suppression of in vivo effector T-cell priming is mediated by the B7-H1/PD-1 axis and transforming growth factor beta Cancer Res 68 5432 8 2008 18593946 PMC3094850
  135. [141]Khaw P A phase III study of subconjunctival human anti-transforming growth factor beta(2) monoclonal antibody (CAT-152) to prevent scarring after first-time trabeculectomy Ophthalmology 114 1822 30 2007 17908591
  136. [142]Benigni A Add-On Anti-TGF-beta Antibody to ACE Inhibitor Arrests Progressive Diabetic Nephropathy in the Rat J Am Soc Nephrol 14 1816 1824 2003 12819241
  137. [143]Morris JC GIS Tan AR Lawrence DP Olencki TE Dezube BJ Hsu FJ Reiss M Berzofsky JA Phase I/II study of GC1008: A human anti-transforming growth factor-beta (TGFβ) monoclonal antibody (MAb) in patients with advanced malignant melanoma (MM) or renal cell carcinoma (RCC) J Clin Oncol 26 2008 PMC3949712 24618589
  138. [144]Nam JS Bone Sialoprotein Mediates the Tumor Cell-Targeted Prometastatic Activity of Transforming Growth Factor beta in a Mouse Model of Breast Cancer Cancer Res 66 6327 6335 2006 16778210 PMC1528715
  139. [146]Kano MR Improvement of cancer-targeting therapy, using nanocarriers for intractable solid tumors by inhibition of TGF-beta signaling PNAS 104 3460 3465 2007 17307870 PMC1800736
  140. [147]Scott Sawyer J Synthesis and activity of new aryl- and heteroaryl-substituted 5,6-dihydro-4H-pyrrolo[1,2-b]pyrazole inhibitors of the transforming growth factor-beta type I receptor kinase domain Bioorganic & Medicinal Chemistry Letters 14 3581 3584 2004 15177479
  141. [148]Inman GJ SB-431542 Is a Potent and Specific Inhibitor of Transforming Growth Factor- beta Superfamily Type I Activin Receptor-Like Kinase (ALK) Receptors ALK4, ALK5, and ALK7 Mol Pharmacol 62 65 74 2002 12065756
  142. [149]Saunier EF Akhurst RJ TGF Beta Inhibition for Cancer Therapy Curr Cancer Drug Targets 6 565 578 2006 17100564
  143. [151]Uhl M SD-208, a Novel Transforming Growth Factor beta Receptor I Kinase Inhibitor, Inhibits Growth and Invasiveness and Enhances Immunogenicity of Murine and Human Glioma Cells In vitro and In vivo Cancer Res 64 7954 7961 2004 15520202
  144. [152]Ehata S Ki26894, a novel transforming growth factor-beta type I receptor kinase inhibitor, inhibits in vitro invasion and in vivo bone metastasis of a human breast cancer cell line Cancer Sci 98 127 133 2007 17129361 PMC11159712
  145. [153]Kim S Systemic Blockade of Transforming Growth Factor-{beta} Signaling Augments the Efficacy of Immunogene Therapy Cancer Res 68 10247 10256 2008 Recent evidence of successful combinatorial therapy using TGF-beta blocking reagents 19074893 PMC2637471
  146. [154]Suzuki E A Novel Small-Molecule Inhibitor of Transforming Growth Factor beta Type I Receptor Kinase (SM16) Inhibits Murine Mesothelioma Tumor Growth In vivo and Prevents Tumor Recurrence after Surgical Resection Cancer Res 67 2351 2359 2007 17332368
  147. [155]Qiqi C Sang Kyun L Bryan Z Michael Hoffmann F Selective inhibition of TGF-beta responsive genes by Smad-interacting peptide aptamers from FoxH1 Lef1 and CBP Oncogene 24 3864 3874 2005 15750622
  148. [156]Llopiz D Peptide inhibitors of transforming growth factor-beta enhance the efficacy of antitumor immunotherapy Int J Cancer 125 2614 23 2009 19530254
  149. [158]Fujita T Inhibition of Transforming Growth Factor-{beta}-Mediated Immunosuppression in Tumor-Draining Lymph Nodes Augments Antitumor Responses by Various Immunologic Cell Types Cancer Res 69 5142 5150 2009 19491278

Cited by

Sorted by citations

Authors
Flavell, R. A., Sanjabi, S., Wrzesinski, S. H., & Licona-Limón, P.
Affiliations
  • Yale University (US)
  • University of California, San Francisco (US)
Corresponding author
Flavell, Richard A.
Venue
Nature Reviews Immunology
Published
2010-07-09
Volume
10
Issue
8
Pages
554-567
ISSN
  • 1474-1733 (ISSN-L)
  • 1474-1741
OpenAlex
W2020914260
Cited by
940
References
5
Citations by year
2026: 32 · 2025: 51 · 2024: 48 · 2023: 70 · 2022: 75 · 2021: 79 · 2020: 68 · 2019: 56 · 2018: 54 · 2017: 62 · 2016: 47 · 2015: 69 · 2014: 50 · 2013: 56 · 2012: 59
FWCI
4.97
Type
journal article
Language
en
Open access
Locations
  • Nature reviews. Immunology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Howard Hughes Medical Institute
  • National Cancer Institute (CA121974, P50CA121974)
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK051665, R01DK051665)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
  • Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
Keywords
TGF-beta, tumor microenvironment, immune cell polarization, immunosuppression, antitumor immunity, natural killer cells, dendritic cells, tumour-associated macrophages, neutrophils, regulatory T cells, CD8+ T cells, CD4+ T cells, NKT cells, cancer immunotherapy
MeSH terms
Animals, Antineoplastic Agents, Dendritic Cells, Hematopoiesis, Extramedullary, Humans, Immunosuppression Therapy, Killer Cells, Natural, Macrophages, Neoplasms, Neutrophils, Signal Transduction, T-Lymphocyte Subsets, Cytokines, Transforming Growth Factor beta, Cell Polarity, T-Lymphocytes, Regulatory

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review