TGF-β可能是最多效性的分泌蛋白,其作为形态发生子,介导包括血液生成、激素分泌的调控、免疫应答、血管生成、组织形态发生和再生以及骨诱导和调节在内的几种生理过程。关于骨诱导,TGF-β诱导肌肉组织部位大量软骨内骨形成,但缺抑制骨部位中骨形成(参考文献1)。TGF-β信号传导的失调与多种疾病的发展有关,例如血液系统恶性肿瘤,例如白血病、血液性毛细血管扩张、软骨发育不良、伤口愈合不良、神经退行性疾病、发育障碍和肺动脉高压等。TGF-β信号传导的遗传性或表观遗传性丢失,会通过抑制免疫系统和上皮肿瘤细胞的细胞分化变化来促进肿瘤发生,这种现象称为EMT (Epithelial Mesenchymal Transdifferentiation)(参考文献2)。另外,也有研究将TGF-β与瘤抑制的其他过程联系起来,包括维持基因组稳定性、诱导衰老、抑制端粒酶活性和防止不适当的血管生成。最近,在某些感染了HIV1的患者中,TGF-β水平的升高促进了病毒的产生,损害了宿主的免疫系统,这表明TGF-β可能在HIV1病毒基因的调控和发病机制中发挥了作用(参考文献7)。参考文献:1. Ripamonti U, Crooks J, Matsaba T, TaskerJ. Induction of endochondral bone formation by recombinant humantransforming growth factor-beta2 in the baboon (Papio ursinus). GrowthFactors. 2000; 17(4): 269-85. PubMed ID: 108010762. Moustakas A, Pardali K, Gaal A, HeldinCH. Mechanisms of TGF-beta signaling in regulation of cell growth anddifferentiation. Immunol Lett. 2002 Jun 3; 82(1-2): 85-91. PubMed ID: 120080393. Roberts AB, Derynck R. Meetingreport: signaling schemes for TGF-beta. Sci STKE. 2001 Dec 18; 2001(113):PE43. PubMed ID: 117526314. Imai Y, Kurokawa M, Izutsu K, HangaishiA, Maki K, Ogawa S, Chiba S, Mitani K, Hirai H. Mutations of the SMAD4 genein acute myelogeneous leukemia and their functional implications inleukemogenesis. Oncogene. 2001 Jan 4; 20(1): 88-96. PubMed ID: 112445075. Huo YY, Zhang KT, Li BY, Duan RF, FanBX, Xiang XQ, Hu YC, Xie L, Wu DC. Regulation of SMAD7 gene by TGF-beta 1 inprocess of malignant transformation. Ai Zheng 2002 Feb; 21(2): 117-21 PubMedID: 124790576. Wu JW, Krawitz AR, Chai J, Li W, ZhangF, Luo K, Shi Y. Structural mechanism of SMAD4 recognition by the nuclearoncoprotein Ski: insights on Ski-mediated repression of TGF-beta signaling.Cell. 2002 Nov 1; 111(3): 357-67. PubMed ID: 124192467. Li JM, Shen X, Hu PP, Wang XF. Transforminggrowth factor beta stimulates the human immunodeficiency virus 1 enhancer andrequires NF-kappaB activity. Mol. Cell Biol. 1998 Jan; 18(1): 110-21. PubMedID: 9418859