Evidence map›Paper›PMID 40389543›Full record

ReviewNature reviews. Cancer2025

Revisiting the TGFβ paradox: insights from HPV-driven cancer and the DNA damage response.

Mary Helen Barcellos-Hoff, Sue S Yom

Abstract readReview
In one paragraph

Review in Nature reviews. Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Beyond DNA damage: 3D tumor models and the integrin mechanobiology of radioresistance.Journal of experimental & clinical cancer research : CR · 2026
    Review
  2. Review
  3. Role of E5 from HPV16 in the Evasion of the Immune Response.International journal of molecular sciences · 2026
    Review
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mary Helen Barcellos-HoffDepartment of Radiation Oncology, University of California, San Francisco, San Francisco, CA, USA. maryhelen.barcellos-hoff@ucsf.edu.ORCID http://orcid.org/0000-0002-5994-9558
Sue S YomDepartment of Radiation Oncology, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-0779-7476

Funding

Definition of Immune Infiltrate Phenotype and DNA Damage Response Deficits Across Diverse Murine Mammary CarcinomasR01CA239235 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BARCELLOS-HOFF, MARY HELEN · 2019 to 2023
$2.5M
Investigating the Genesis of Tumor Immune Microenvironment (TIME) as a function of InflammationR01CA270332 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary Helen Barcellos-Hoff · 2023 to 2026
$2.2M
NCI NIH HHS R01 CA239235NCI NIH HHS R01 CA270332
6 · The paper itself

Abstract

The transforming growth factor-β (TGFβ) paradox refers to the well-established role of TGFβ in suppressing cancer in healthy tissues yet promoting malignancy in established cancers. Although this positioned TGFβ inhibitors as a potential therapeutic strategy for malignancy, therapuetic blockade has failed in multiple clinical trials. The general lack of selection principles for defining which patients would most benefit from the addition of a TGFβ inhibitor has probably hindered its deployment. Here, we highlight the therapeutic potential in TGFβ regulation of DNA repair using human papillomavirus (HPV)-driven head and neck squamous cell carcinoma (HNSCC) as an illustrative example. HPV inhibits TGFβ signalling, which in turn reduces DNA damage repair, ultimately conferring sensitivity to cancer treatments and thus contributing to the favourable prognosis of HPV-positive HNSCC. Here, we review the DNA repair deficit caused by a loss of TGFβ signalling and how this could be targeted to induce synthetic lethality. Moreover, we explore its role in predicting response to immune checkpoint inhibitors and the potential of biomarkers to select which patients with cancer could ultimately benefit from TGFβ inhibition.

Indexed as

DNA DamageHead and Neck NeoplasmsPapillomavirus InfectionsSquamous Cell Carcinoma of Head and NeckTransforming Growth Factor betaAnimalsDNA RepairHumansPapillomaviridaeSignal TransductionTransforming Growth Factor beta

Identifiers

PMID40389543
PMCPMC12557705

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.