Stromal Modulators of TGF- in Cancer
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Journal of Clinical Medicine Review Stromal Modulators of TGF-β in Cancer Brunella Costanza 1,†, Ijeoma Adaku Umelo 1,†, Justine Bellier 1,†, Vincent Castronovo 1 and Andrei Turtoi 1,2,* 1 Metastasis Research Laboratory, GIGA-Cancer, University of Liege, 4000 Liege, Belgium; [email protected] (B.C.); [email protected] (I.A.U.); [email protected] (J.B.); [email protected] (V.C.) 2 Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université Montpellier, Institut Régional du Cancer de Montpellier, 34298 Montpellier, France * Correspondence: [email protected]; Tel.: +33-467-61-3746 † These authors contributed equally to this work. Academic Editor: Emanuel F. Petricoin Received: 4 November 2016; Accepted: 23 December 2016; Published: 6 January 2017 Abstract: Transforming growth factor-β (TGF-β) is an intriguing cytokine exhibiting dual activities in malignant disease. It is an important mediator of cancer invasion, metastasis and angiogenesis, on the one hand, while it exhibits anti-tumor functions on the other hand. Elucidating the precise role of TGF-β in malignant development and progression requires a better understanding of the molecular mechanisms involved in its tumor suppressor to tumor promoter switch. One important aspect of TGF-β function is its interaction with proteins within the tumor microenvironment. Several stromal proteins have the natural ability to interact and modulate TGF-β function. Understanding the complex interplay between the TGF-β signaling network and these stromal proteins may provide greater insight into the development of novel therapeutic strategies that target the TGF-β axis. The present review highlights our present understanding of how stroma modulates TGF-β activity in human cancers. Keywords: cancer-associated fibroblasts; proteases; proteoglycans; TGF-β; stroma 1. Introduction The transforming growth factor-β ligands (TGF-β1, TGF-β2 and TGF-β3) are members of a super family of secreted cytokines that regulate a variety of physiological cellular processes, including proliferation, differentiation, migration, survival and immunity [1–3]. In its active form, TGF-β signals to the nucleus mainly through its cognate receptors, TGF-β type I and type II receptors (TGFβRI and TGFβRII), which phosphorylate canonical SMAD2/3 downstream transducers (Figure1)[ 4,5]. In addition, several factors, such as various mitogen-activated protein kinases (MAPKs; namely, the extracellular signal-regulated kinase (ERK), c-Jun N-terminal kinase (JNK)and p38 MAPK), phosphatidylinositide 3-kinase (PI3K)/AKT, Rho-like GTPases (Rho) and TNF receptor-associated factor 4/6 (TRAF 4/6), can be activated by TGF-β via non-canonical signaling cascades (Figure1)[ 6]. Of note, emerging evidence has revealed that both TGF-β canonical and non-canonical signaling cascades can simultaneously occur through crosstalk of core pathway components and combined utilization of SMAD/non-SMAD transcription factors [7] (Figure1). A number of excellent reviews have extensively covered TGF-β signal transduction [8–11]. J. Clin. Med. 2017, 6, 7; doi:10.3390/jcm6010007 www.mdpi.com/journal/jcm J. Clin. Med. 2017, 6, 7 2 of 25 J. Clin. Med. 2017, 6, 7 2 of 24 Figure 1. Canonical and non-canonicalnon‐canonical TGF-TGF‐β β signaling pathways. ( (AA)) In In the canonical signaling pathway, biologically active TGF-TGF‐β β ligands bind to TGF βRII,RII, which in turn activates TGF βRI.RI. TGFβRIRI-regulated‐regulated SMAD2/3 proteins proteins are are phosphorylated phosphorylated at at their their C C-terminal‐terminal serine residues and form complexes with SMAD4 (co (co-SMAD),‐SMAD), initiating a number of biological processes through transcriptional regulation of target genes. ( B)) In the non-canonicalnon‐canonical signaling pathways, the TGF-TGF‐β β receptor complex transmits its signal through other factors, such as the mitogen-activatedmitogen‐activated protein kinases (MAPKs),(MAPKs), phosphatidylinositide phosphatidylinositide 3-kinase 3‐kinase (PI3K), (PI3K), TNF receptor-associated TNF receptor‐associated factor 4/6 (TRAF4/6)factor 4/6 (TRAF4/6)and Rho family and Rho of small family GTPases. of small Activated GTPases. MAPKs Activated can exert MAPKs transcriptional can exert transcriptional regulation either regulation through eitherdirect interactionthrough direct with interaction the nuclear with SMAD the protein nuclear complex SMAD or protein via other complex downstream or via proteins.other downstream Moreover, proteins.activated Moreover, JNK/p38/ERK activated act in JNK/p38/ERK concert with act SMADs in concert to regulate with SMADs cellular to apoptosis regulate cellular and proliferation, apoptosis whereasand proliferation, they mediate whereas metastasis, they mediate angiogenesis metastasis, and cellular angiogenesis growth and through cellular other growth transcription through factors, other transcriptionsuch as c-JUN factors, and ATF. such RhoA/ROCK as c‐JUN and can ATF. be activated RhoA/ROCK by TGF- canβ beto activated induce actin by TGF stress‐β fiberto induce formation actin stressduring fiber EMT formation via a non-transcriptional during EMT via a mechanism. non‐transcriptional TGF-β can mechanism. activate PI3K TGF‐β andcan AKT activate by inducing PI3K and a physicalAKT by interactioninducing a betweenphysical theinteraction PI3K p85 between subunit andthe PI3K the receptor p85 subunit complex and leading the receptor to translational complex leadingresponses to via translational mTOR/S6kinase responses activation. via mTOR/S6kinase TGF-β activation activation. of the TRAF TGF proteins‐β activation can initiate of the nuclear TRAF proteinsfactor-κB can (NF- initiateκB) signaling nuclear activity, factor‐κ leadingB (NF‐κ toB) the signaling inflammatory activity, response leading among to the other inflammatory processes. Theresponse arrows among indicate other activation/signaling processes. The arrows direction indicate of the activation/signaling respective pathway. direction of the respective pathway. Cancer cells use TGF-β in order to enhance their characteristic properties and features [2,12–14]. In theCancer transition cells use from TGF a‐β physiologicalin order to enhance to pathological their characteristic phenotype, properties TGF-β andcan features induce [2,12–14]. intrinsic Indichotomous the transition effects, from which a reflectphysiological both its tumorto pathological suppressive phenotype, and tumor promotingTGF‐β can function. induce Althoughintrinsic dichotomousthis dual role ofeffects, TGF-β whichin cancer reflect is poorly both understood its tumor [suppressive15,16], it is known and tumor that the promoting stage of progression function. Althoughand cellular this context dual role are of key TGF factors.‐β in cancer In epithelial is poorly cells understood and during [15,16], tumor it is initiation, known that TGF- theβ stageacts asof progressiona tumor suppressor and cellular by inhibiting context are the growthkey factors. of malignant In epithelial cells cells via canonical and during SMAD2/3 tumor initiation, signaling TGFactivity‐β acts [8,17 ].as Evidence a tumor also suppressor suggests thatby theinhibiting pro-apoptotic the growth effects of TGF-malignantβ contribute cells tovia its canonical observed SMAD2/3cytostatic featuressignaling during activity early [8,17]. tumor Evidence formation. also suggests TGF-β-induced that the apoptosis pro‐apoptotic has been effects observed of TGF‐β to contributeoccur with SMADto its observed [18], JNK [cytostatic19] and p38 features [20] signaling during activityearly tumor in neoplastic formation. epithelium. TGF‐β‐induced In later apoptosisstages of malignant has been progression,observed to however,occur with cells SMAD can induce [18], JNK the loss[19] ofand the p38 tumor [20] suppressive signaling activity activities in neoplasticof TGF-β signaling epithelium. by In acquiring later stages mutations of malignant or alterations progression, in canonical however, target cells genes.can induce This the switch loss inof theresponse tumor to suppressive TGF-β by tumor activities cells isof accompaniedTGF‐β signaling by epithelial-to-mesenchymal by acquiring mutations transitionor alterations (EMT), in canonicalas well as thetarget enhancement genes. This of switch a number in ofresponse cancer cellto hallmarks,TGF‐β by includingtumor cells angiogenesis, is accompanied invasion by epithelialand metastasis‐to‐mesenchymal [8,21]. Accordingly, transition pre-clinical(EMT), as well and as clinical the enhancement observations of a support number the of cancer prevailing cell hallmarks,hypothesis thatincluding TGF-β angiogenesis,exhibits two opposing invasion effectsand metastasis in tumor control[8,21]. andAccordingly, progression. pre Experimental‐clinical and clinicalevidence observations suggests that support the TGF- theβ prevailingsignaling hypothesis network can that indeed TGF‐β switchexhibits from two tumor opposing suppressor effects toin tumor control and progression. Experimental evidence suggests that the TGF‐β signaling network tumor promoter, especially in the presence of oncogenic events and epigenetic perturbations [17]. can indeed switch from tumor suppressor to tumor promoter, especially in the presence of oncogenic events and epigenetic perturbations [17]. Recently, PEAK1 (a novel non‐receptor tyrosine J. Clin. Med. 2017, 6, 7 3 of 25 Recently, PEAK1 (a novel non-receptor tyrosine kinase), highly expressed in invasive breast cancer, has been described as relevant for switching TGF-β