Use of mouse models to validate and therapeutically target transforming growth factor beta as an important player in breast cancer progression

Transforming growth factor betas (TGF-βs) play key roles in embryogenesis, maintenance of adult homeostasis and response to injury. In epithelial carcinogenesis the TGF-β play complex roles, functioning as tumor suppressors early in the process, but as pro-oncogenic factors in late-stage metastatic disease, when TGF-β ligands are frequently overexpressed. To probe this complexity in vivo, and determine whether TGF-β might be a viable therapeutic target, we developed a transgenic mouse overexpressing a soluble TGF-β antagonist. This antagonist ('SR2F') consisted of the extracellular domain of the type II TGF-β receptor fused to the Fc domain of human IgG₁. The SR2F was secreted into the circulation and distributed to all organs except the brain. To determine the effect of this TGF-β antagonist on breast carcinogenesis, the mouse mammary tumor virus (MMTV)-SR2F and wild-type control mice were crossed with the MMTV-neu transgenic mouse model of metastatic breast cancer. The neu/SR2F bigenic mice showed a significant threefold decrease in the incidence of lung metastases compared with mice expressing neu alone. A similar suppression of metastasis was seen in using a tail vein injection model of metastatic melanoma. Importantly, the SR2F did not accelerate primary tumorigenesis, despite the fact that TGF-β has been shown to function as a tumor suppressor in the MMTV-neu model [1]. Furthermore, none of the pathology that is usually associated with TGF-β loss, such as autoimmune disease and increased spontaneous tumorigenesis, was observed on prolonged exposure to SR2F. The mechanistic basis for the unexpected selectivity of the SR2F in antagonizing the pro-metastatic effects of TGF-β while sparing effects on tumor suppression and normal homeostasis is currently not clear, but it does not seem to be a dosage effect. Overall, our data suggest that high molecular weight TGF-β antagonists might have promise in the clinic for prevention of metastasis. This study demonstrates the utility of a transgenic approach for testing expensive protein-based therapeutics in long-term realistic models of cancer progression.