天津医药 ›› 2024, Vol. 52 ›› Issue (7): 781-784.doi: 10.11958/20231620

• 综述 • 上一篇    

TGF-β信号通路在骨髓增生异常综合征中作用机制的研究进展

刘青青1(), 李宜蔷1, 石玉士1, 陆海颂2, 程纬民2,()   

  1. 1 广西中医药大学研究生学院(邮编530001)
    2 广西中医药大学第一附属医院血液内科
  • 收稿日期:2023-11-09 修回日期:2024-01-11 出版日期:2024-07-15 发布日期:2024-07-11
  • 通讯作者: E-mail:cheng5min@126.com
  • 作者简介:刘青青(1996),女,硕士在读,主要从事血液系统疾病相关机制方面研究。E-mail:571230817@qq.com
  • 基金资助:
    广西中医药管理局资助项目(GZZC2019058)

Research progress on the mechanism of the TGF-β signaling pathway in myelodysplastic syndrome

LIU Qingqing1(), LI Yiqiang1, SHI Yushi1, LU Haisong2, CHENG Weimin2,()   

  1. 1 Graduate School of Guangxi University of Traditional Chinese Medicine, Nanning 530001, China
    2 Department of Hematology, First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine
  • Received:2023-11-09 Revised:2024-01-11 Published:2024-07-15 Online:2024-07-11
  • Contact: E-mail:cheng5min@126.com

摘要:

骨髓增生异常综合征(MDS)是一种细胞遗传学与分子遗传学高度异质性的恶性克隆性疾病,且进展为急性髓系白血病(AML)的风险极高。转化生长因子-β(TGF-β)与MDS的发病密切相关,是免疫稳态及免疫耐受的关键执行者,可抑制免疫系统许多组成部分的扩张和功能。TGF-β信号通路能调控微环境中的造血细胞及免疫细胞,抑制其发挥正常生物学功能,从而加快MDS的疾病进展。就近年来TGF-β信号通路对MDS红细胞、T淋巴细胞、自然杀伤细细胞、巨噬细胞的调控作用进行综述,以期为MDS的发病机制及治疗提供新的视角。

关键词: 骨髓增生异常综合征, 转化生长因子β, 信号传导, 免疫细胞, 作用机制

Abstract:

Myelodysplastic syndrome (MDS) is a malignant clonal disease with high heterogeneity in cytogenetics and molecular genetics, and the risk of progression to acute myeloid leukemia (AML) is extremely high. Transforming growth factor-β (TGF-β) is closely related to the pathogenesis of MDS. It is a key executor of immune homeostasis and immune tolerance, and can inhibit the expansion and function of many components of immune system. TGF-β signaling pathway can regulate hematopoietic cells and immune cells in microenvironment, inhibit their normal biological functions, and thus accelerate the progression of MDS. This study reviews regulatory effects of TGF-β signaling pathway on MDS blood cells, T lymphocytes, natural killer cells and macrophages in recent years, and provides a new perspective for the pathogenesis and treatment of MDS.

Key words: myelodysplastic syndromes, transforming growth factor beta, signal transduction, immune cells, mechanism of action

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