Review
TGFβ: a sleeping giant awoken by integrins

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Transforming growth factor beta (TGFβ) controls numerous cellular responses, including proliferation, differentiation, apoptosis and migration. This cytokine is produced by many different cell types and has been implicated in the pathogenesis of many diseases, ranging from autoimmune disorders and infectious diseases to fibrosis and cancer. However, TGFβ is always produced as an inactive complex that must be activated to enable binding to its receptor and subsequent function. Recent evidence highlights a crucial role for members of the integrin receptor family in controlling the activation of TGFβ. These pathways are important in human health and disease, and new insights into the biochemical mechanisms that allow integrins to control TGFβ activation could prove useful in the design of therapeutics.

Section snippets

TGFβ is produced as an inactive complex

Transforming growth factor beta (TGFβ) is a critical multi-functional cytokine and founding member of the TGFβ superfamily of molecules. Three isoforms of TGFβ exist (TGFβ1, -2 and -3), all of which are conserved and show similar functional properties in vitro. However, knockout mice lacking individual TGFβ isoforms show distinct phenotypes, suggesting strongly that each isoform has specific and non-overlapping functions in vivo [1].

TGFβ functions by binding to its receptor and activating

The structure of latent TGFβ

Each TGFβ isoform is encoded by separate genes that each encode a 25 kDa N-terminal propeptide termed latency-associated peptide (LAP) and a 12.5 kDa C-terminal active TGFβ moiety, which form a homodimeric LAP–TGFβ propeptide complex (Figure 1). LAP and TGFβ are cleaved in the Golgi by the protease furin; this event is important for the efficient production and subsequent function of TGFβ in vivo [3]. However, the cleaved LAP–TGFβ remains non-covalently associated upon secretion, which blocks

A critical role for integrins in activating the latent complex of TGFβ

A number of different processes have been proposed to activate latent TGFβ. These include heat, acidic pH, reactive oxygen species, various proteases, the membrane glycoprotein thrombospondin-1 [2] and shear stress [8]. However, recent compelling evidence has suggested that, in many physiological situations, the key activators of TGFβ are integrins.

Integrins are a large family of cell adhesion and signaling receptors, consisting of an α and a β subunit that combine to form a heterodimeric type

Integrins αvβ3 and αvβ5

Integrins αvβ3 and αvβ5 are both expressed in many different cell types; however, in most cells, there is little evidence to support a role for these integrins in TGFβ activation. Indeed, mice lacking either αvβ3, αvβ5 or both do not display any steady-state pathology associated with decreased TGFβ activation 20, 21, 22. However, evidence does suggest that both αvβ3 and αvβ5 can activate TGFβ when expressed in certain fibroblastic cells. Dermal fibroblasts from patients with the autoimmune

How do integrins activate TGFβ?

All TGFβ-binding integrins interact with the RGD integrin-binding motif in the LAP region of the latent complex, but how does this interaction result in the generation of active TGFβ? Evidence suggests that different integrins can activate TGFβ in one of two distinct ways.

Concluding remarks

Although it has been appreciated for decades that the powerful cytokine TGFβ is produced as a latent complex that must be activated to function, only in recent years have important mechanisms of TGFβ activation in vivo been uncovered, with integrins taking center stage. The recent findings that specific integrin receptors play a key role in regulating TGFβ activity in many biological settings, including development, control of immune homeostasis and during pathogenesis of a range of diseases,

Acknowledgements

We thank Prof. Dean Sheppard (University of California, San Francisico) and Prof. Charles Streuli (University of Manchester) for their helpful comments on the manuscript. Work in the Travis laboratory is supported by the Biotechnology and Biological Sciences Research Council (BBSRC).

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      TGF-β, the prototypic family member, is synthesised and secreted bound to the latency-associated peptide as a small latent complex which is biologically inactive (Aashaq et al., 2021; Worthington et al., 2011). This pro-TGF-β dimerises then crosslinks with latent TGF-β binding protein to form the large latent complex, which resides in the extracellular matrix (Tzavlaki and Moustakas, 2020; Worthington et al., 2011). TGF-β is liberated from this complex by integrin-dependent and independent mechanisms before it can interact with cell-surface receptors and initiate signal transduction (Robertson and Rifkin, 2016; Tzavlaki and Moustakas, 2020).

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    These authors contributed equally to this work.

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