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Transforming growth factor beta type II receptor and transforming growth factor beta type I receptor (TGF-β type II receptor (TGFBR2) and TGF-β type I receptor (TGFBR1 or ALK5))

Target
TGF-β type II receptor (TGFBR2) and TGF-β type I receptor (TGFBR1 or ALK5)
Molecular classification
Receptor, Serine/threonine protein kinase, Enzyme-linked receptor
01

Overview

Transforming growth factor beta (TGF-β) signals through a heterotetrameric complex composed of two type II receptors (TGFBR2) and two type I receptors (TGFBR1/ALK5). TGFBR2 binds TGF-β ligand with high affinity, recruits and phosphorylates TGFBR1 in the GS domain, activating its serine/threonine kinase function. This triggers phosphorylation of SMAD2 and SMAD3, which then complex with SMAD4, translocate to the nucleus, and regulate gene expression involved in cell growth, differentiation, apoptosis, and tissue remodeling. Dysregulation of TGF-β receptor signaling is implicated in cancer, fibrosis, immune disorders, and vascular disease, making both TGFBR1 and TGFBR2 critical targets for therapeutic modulation.

Other names
TGF-β type II receptor: TGFBR2, TβRIITGF-β type I receptor: TGFBR1, ALK5, TβRI, Activin receptor-like kinase 5TGF-β receptors (when referring to both together)
02

Mechanism of action

Small molecule inhibitors block the kinase activity of TGFBR1 (ALK5), thus preventing phosphorylation of SMAD2/3 and downstream signaling. Antibodies or ligand traps block ligand binding or neutralize TGF-β in the extracellular environment, preventing complex assembly.

03

Biological functions

Signal transductionCell differentiationApoptosisCell proliferationExtracellular matrix productionImmune regulationFibrosis and tissue repair
04

Disease associations

Cancer (including tumor suppression and progression, depending on context)FibrosisCardiovascular diseaseInflammatory diseasesAutoimmune diseasesDevelopmental disorders
05

Safety considerations

Potential for impaired wound healingRisk of immune dysregulation or autoimmunityEffects on cardiac and vascular tissuesDual role in tumor biology: TGF-β signaling can be tumor suppressive or pro-metastatic, depending on disease stage and tissue context
06

Interacting drugs

Galunisertib (LY2157299) – TGFBR1 (ALK5) inhibitor

3 more in the full profile.

07

Biomarkers

Phosphorylated SMAD2/3 as a readout for pathway activationTGF-β levels (in tissue, plasma, or tumor microenvironment)Expression of TGFBR1, TGFBR2, and canonical TGF-β target genes (including PAI-1, CTGF, fibronectin)

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