Growth Factors as Immunotherapeutic Targets in Cardiovascular Disease

Arterioscler Thromb Vasc Biol. 2019 Jul;39(7):1275-1287. doi: 10.1161/ATVBAHA.119.311994. Epub 2019 May 16.

Abstract

Growth factors, such as CSFs (colony-stimulating factors), EGFs (epidermal growth factors), and FGFs (fibroblast growth factors), are signaling proteins that control a wide range of cellular functions. Although growth factor networks are critical for intercellular communication and tissue homeostasis, their abnormal production or regulation occurs in various pathologies. Clinical strategies that target growth factors or their receptors are used to treat a variety of conditions but have yet to be adopted for cardiovascular disease. In this review, we focus on M-CSF (macrophage-CSF), GM-CSF (granulocyte-M-CSF), IL (interleukin)-3, EGFR (epidermal growth factor receptor), and FGF21 (fibroblast growth factor 21). We first discuss the efficacy of targeting these growth factors in other disease contexts (ie, inflammatory/autoimmune diseases, cancer, or metabolic disorders) and then consider arguments for or against targeting them to treat cardiovascular disease. Visual Overview- An online visual overview is available for this article.

Keywords: atherosclerosis; immunotherapy; inflammation; myeloid cells.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiovascular Diseases / drug therapy*
  • ErbB Receptors / antagonists & inhibitors
  • Fibroblast Growth Factors / antagonists & inhibitors
  • Granulocyte-Macrophage Colony-Stimulating Factor / antagonists & inhibitors
  • Humans
  • Immunotherapy
  • Interleukin-3 / antagonists & inhibitors
  • Macrophage Colony-Stimulating Factor / antagonists & inhibitors

Substances

  • Interleukin-3
  • fibroblast growth factor 21
  • Fibroblast Growth Factors
  • Macrophage Colony-Stimulating Factor
  • Granulocyte-Macrophage Colony-Stimulating Factor
  • ErbB Receptors