TGF-β in progression of liver disease

Cell Tissue Res. 2012 Jan;347(1):245-56. doi: 10.1007/s00441-011-1246-y. Epub 2011 Oct 19.

Abstract

Transforming growth factor-β (TGF-β) is a central regulator in chronic liver disease contributing to all stages of disease progression from initial liver injury through inflammation and fibrosis to cirrhosis and hepatocellular carcinoma. Liver-damage-induced levels of active TGF-β enhance hepatocyte destruction and mediate hepatic stellate cell and fibroblast activation resulting in a wound-healing response, including myofibroblast generation and extracellular matrix deposition. Being recognised as a major profibrogenic cytokine, the targeting of the TGF-β signalling pathway has been explored with respect to the inhibition of liver disease progression. Whereas interference with TGF-β signalling in various short-term animal models has provided promising results, liver disease progression in humans is a process of decades with different phases in which TGF-β or its targeting might have both beneficial and adverse outcomes. Based on recent literature, we summarise the cell-type-directed double-edged role of TGF-β in various liver disease stages. We emphasise that, in order to achieve therapeutic effects, we need to target TGF-β signalling in the right cell type at the right time.

Publication types

  • Review

MeSH terms

  • Animals
  • Chronic Disease
  • Disease Progression*
  • Epithelial-Mesenchymal Transition / physiology
  • Humans
  • Liver Diseases / pathology*
  • Liver Diseases / physiopathology
  • Liver Neoplasms / pathology
  • Liver Neoplasms / physiopathology
  • Signal Transduction / physiology
  • Transforming Growth Factor beta / metabolism*

Substances

  • Transforming Growth Factor beta