Overview of TGF-β signaling immunotherapies
Type | Treatment | Mechanism | Status | Reference |
---|---|---|---|---|
Antibodies | Fresolimumab | Neutralization of TGF-β1, TGF-β2 and TGF-β3 | Phase II | [124] |
NIS793 | Neutralization of pan TGF-β ligands | Phase II | [125] | |
SAR439459 | Neutralization of TGF-β1, TGF-β2 and TGF-β3 | Phase I/II | [126] | |
TβM1 (LY2382770) | Selective neutralization of TGF-β1 | Phase I | [127] | |
XPA-42-089 | Blockage of TGF-β1 and TGF-β2 | Preclinical | [125] | |
ABBV-151 | Blockage of the GARP-TGF-β1 complex and the release of TGF-β1 | Preclinical | [128] | |
Anti-LAP | Reducing the latent release of inactive TGF-β from LAP/TGF-β complex | Phase I | [129] | |
264RAD | Inhibition on αvβ6 and αvβ8 integrin | Preclinical | [130] | |
Anti-αVβ8 (ADWA-11) | Neutralization of αVβ8 | Preclinical | [131] | |
Anti-αVβ8 (C6D4) | Neutralization of αVβ8 | Preclinical | [132] | |
SRK-181 | Binding to latent TGF-β to prevent its activation | Phase I | [133] | |
IMC-TR1 (LY3022859) | Inhibition on TβRII | Phase I | [134] | |
ASOs | ISTH0036 | Selective inhibition on TGF-β2 mRNA | Phase I | [140] |
ISTH0047 or ISTH1047 | Reduction of TGF-β1 or TGF-β2 expression | Preclinical | [141] | |
Trabedersen (AP 12009) | Inhibition on TGF-β2 expression | Phase I/II/III | [143] | |
Bifunctional fusion protein | 4T-Trap | Binding to CD4 and inhibiting Th cell TGF-β signaling | Preclinical | [147] |
AVID200 | Neutralization of TGF-β1 and TGF-β3 | Phase I | [148] | |
Bintrafusp alfa (M7824) | Reduction in expression of TGF-β and blockage of PD-L1 on CD8+ T cells | Phase II/III | [149] | |
SHR-1701 | Blockage of TGF-β/TβR pathway and rescue on PD-1/PD-L1 pathway | Phase I | [152] | |
sTβRII-Fc | Inhibition on TGF-β1-dependent Smad3 phosphorylation | Preclinical | [154] | |
Soluble β-glycan/TβRIII | Activating the TGF-β2-Smad signaling and the expression of TβRIII | Preclinical | [157] | |
Small-molecule inhibitors | AZ12601011, AZ12799734 | Inhibition on TβRI-mediated phosphorylation of Smad2 and BMP pathway | Preclinical | [160] |
Galunisertib (LY2157299) | Inhibition on TβRI-mediated phosphorylation of Smad2 | Phase I/II | [161] | |
GFH-018 | Inhibition on TβRI | Phase I/II | [165] | |
LY3200882 | Competitive inhibition on the serine-threonine kinase domain of TβRI | Phase I/II | [167] | |
PF-06952229 | Inhibition on TβRI | Phase I | [169] | |
SB431542 | Inhibition on TβRI | Preclinical | [171] | |
SD-208 | Inhibition on both TβRI and TβRII | Preclinical | [171] | |
TD-1058 | Inhibition on TβRI | Phase I | [178] | |
Vactosertib (TEW7197) | Inhibition on TβRI | Phase I/II | [172] | |
YL-13027 | Inhibition on TβRI | Phase I | [175] | |
TCVs | Belagenpumatucel-L | Expressing the antisense strand of the TGF-β2 to suppress the expression of TGF-β2 | Phase II/III | [181] |
Gemogenovatucel-T | Suppression on TGF-β1 and TGF-β2 levels by a furin-targeting RNA | Phase II | [182] |
MKKC and ELYC equally contributed to: Conceptualization, Investigation, Writing—original draft, Writing—review & editing, Visualization. ZZJ, ASWC: Investigation, Data curation, Writing—review & editing. CL, KTL, KFT: Conceptualization, Methodology. PMKT: Conceptualization, Writing—original draft, Writing—review & editing, Visualization.
The authors declare that they have no conflicts of interest.
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This study was supported by the Research Grants Council of Hong Kong [RGC 14106518, 14111019, 14111720] RGC Postdoctoral Fellowship Scheme [PDFS2122-4S06] Health and Medical Research Fund [10210726] The Chinese University of Hong Kong’s Faculty Innovation Award [4620528], Direct Grant for Research [4054510, 4054668], Postdoctoral Fellowship Scheme [NL/LT/PDFS2022/0360/22lt], CU Medicine Passion for Perfection Scheme [PFP202210-004] and Global Physician-Leadership Stream programme. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
© The Author(s) 2023.