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Blood, 15 June 2006, Vol. 107, No. 12, pp. 4589-4596.
Prepublished online as a Blood First Edition Paper on February 16, 2006; DOI 10.1182/blood-2005-10-4169.
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Submitted October 20, 2005
Accepted February 3, 2006
Role of transforming growth factor- in hematological malignancies
Mei Dong and Gerard C Blobe*
Departments of Medicine and Pharmacology and Cancer Biology, Duke University Medical Center, Durham, NC, USA
* Corresponding author; email: blobe001{at}mc.duke.edu.
The transforming growth factor- (TGF- ) signaling pathway is an essential regulator of cellular processes including proliferation, differentiation, migration and cell survival. During hematopoiesis, the TGF- signaling pathway is a potent negative regulator of proliferation, while stimulating differentiation and apoptosis when appropriate. In hematological malignancies, including leukemias, myeloproliferative disorders, lymphomas and multiple myeloma, resistance to these homeostatic effects of TGF- develops. Mechanisms for this resistance include mutation or deletion of members of the TGF- signaling pathway and disruption of the pathway by oncoproteins. These alterations define a tumor suppressor role for the TGF- pathway in human hematological malignancies. On the other hand, elevated levels of TGF- can promote myelofibrosis and the pathogenesis of some hematological malignancies through their effects on the stroma and immune system. Advances in the TGF- signaling field should enable targeting of the TGF- signaling pathway for the treatment of hematological malignancies.

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