TGFB1

Chr 19ARAD

transforming growth factor beta 1

Also known as: CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1, TGFB, TGFbeta

This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate a latency-associated peptide (LAP) and a mature peptide, and is found in either a latent form composed of a mature peptide homodimer, a LAP homodimer, and a latent TGF-beta binding protein, or in an active form consisting solely of the mature peptide homodimer. The mature peptide may also form heterodimers with other TGFB family members. This encoded protein regulates cell proliferation, differentiation and growth, and can modulate expression and activation of other growth factors including interferon gamma and tumor necrosis factor alpha. This gene is frequently upregulated in tumor cells, and mutations in this gene result in Camurati-Engelmann disease. [provided by RefSeq, Aug 2016]

Primary Disease Associations & Inheritance

{Cystic fibrosis lung disease, modifier of}MIM #219700
AR
Camurati-Engelmann disease 1MIM #131300
AD
Inflammatory bowel disease, immunodeficiency, and encephalopathyMIM #618213
AR
12
Active trials
1
Pathogenic / LP
288
ClinVar variants
346
Pubs (1 yr)
1.9
Missense Z
0.61
LOEUF
Clinical SummaryTGFB1
🧬
Gene-Disease Validity (ClinGen)
inflammatory bowel disease, immunodeficiency, and encephalopathy · ARLimited

Limited evidence — not for standalone diagnostic reporting

Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.31) despite low pLI — interpret in context.
📋
ClinVar Variants
1 Pathogenic / Likely Pathogenic· 185 VUS of 288 total submissions
💊
Clinical Trials
12 active or recruiting trials — potential therapeutic options may be available
📖
GeneReview available — TGFB1
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.61LOEUF
pLI 0.037
Z-score 2.80
OE 0.31 (0.170.61)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
1.86Z-score
OE missense 0.66 (0.580.75)
154 obs / 234.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.31 (0.170.61)
00.351.4
Missense OE0.66 (0.580.75)
00.61.4
Synonymous OE0.80
01.21.6
LoF obs/exp: 6 / 19.3Missense obs/exp: 154 / 234.3Syn Z: 1.65
LOF
DN
0.6066th %ile
GOF
0.4282th %ile
LOF
0.4136th %ile

The Badonyi & Marsh model scores dominant-negative highest, but genomic evidence most strongly supports loss-of-function (haploinsufficiency) as the primary mechanism.

LOF1 literature citation

Literature Evidence

LOFModulation of tumor induction and progression of oncogenic K-ras-positive tumors in the presence of TGF- b1 haploinsufficiencyPMID:17690114

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

288 submitted variants in ClinVar

Classification Summary

Likely Pathogenic1
VUS185
Likely Benign101
Benign1
1
Likely Pathogenic
185
VUS
101
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
0
0
0
Likely Pathogenic
1
0
0
0
1
VUS
10
149
24
2
185
Likely Benign
0
2
37
62
101
Benign
0
0
1
0
1
Total111516264288

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

TGFB1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Gene2Phenotype Curations

TGFB1-related Camurati-Engelmann disease

definitive
ADUndeterminedAltered Gene Product Structure
Dev. DisordersSkeletal
G2P ↗
missense variantinframe deletioninframe insertion

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

Non-Alcoholic Fatty Liver Disease

Aronia and Non-alcoholic Fatty Liver Disease

NOT YET RECRUITING
NCT06450769Phase NAIstanbul Kent UniversityStarted 2024-06-15
Aronia juiceMediterranean dietLow-fat diet
Periodontitis, Adult

Non-surgical Periodontal Treatment in Smokers on SIRT-1, NLRP3 Inflammasome and LncRNAs

NOT YET RECRUITING
NCT06351722Necmettin Erbakan UniversityStarted 2024-05-15
Before non-surgical periodontal treatmentnon-surgical periodontal treatment3rd month after non-surgical periodontal treatment
Congenital Heart Disease (CHD)

Butyric Acid Supplementation for Gut Improvement After Cardiac Surgery in Kids

NOT YET RECRUITING
NCT06882772Phase PHASE1, PHASE2University of NebraskaStarted 2026-03
2 mL SunButyrate-TGPlacebo4 mL SunButyrate-TG
Healthy

Pulmonary Immune Cell-microbiome Interactions in the Healthy Lung

RECRUITING
NCT05846620Hvidovre University HospitalStarted 2023-04-17
Bronchoalveolar lavage
Congenital Heart Disease

Fontan Associated Liver Disease and the Evaluation of Biomarkers for Disease Severity Assessment

RECRUITING
NCT05213598National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Started 2022-09-07
Human Papillomavirus-Related CarcinomaHuman Papillomavirus Positive Oropharyngeal CarcinomaHuman Papillomavirus Positive Cervical Carcinoma

HPV-16/18 E6/E7-Specific T Lymphocytes, Relapsed HPV-Associated Cancers, HESTIA

ACTIVE NOT RECRUITING
NCT02379520Phase PHASE1Baylor College of MedicineStarted 2015-09
HPV Specific T CellsCytoxanFludarabine
Metastatic MelanomaStage III Cutaneous Melanoma AJCC v7Stage IIIA Cutaneous Melanoma AJCC v7

Genetically Modified T-Cells Followed by Aldesleukin in Treating Patients With Stage III-IV Melanoma

ACTIVE NOT RECRUITING
NCT01955460Phase PHASE1M.D. Anderson Cancer CenterStarted 2014-10-15
AldesleukinCyclophosphamideFludarabine Phosphate
Emphysema

Characterizing Matrix Metalloproteinase-12 (MMP12) in Sputum

RECRUITING
NCT04761393McMaster UniversityStarted 2022-11-29
Hyperpolarized 129Xe (Xenon) diffusion-weighted MRI
Knee Osteoarthritis

Dietary Supplementation With Blueberry in OA

ACTIVE NOT RECRUITING
NCT05784545Phase NAUniversity of ExeterStarted 2023-05-22
Blueberry powder supplementMaltodextrin supplementation
Acute-On-Chronic Liver FailureAlcoholic HepatitisLiver Cirrhosis, Alcoholic

A-TANGO Phase 2 Study

NOT YET RECRUITING
NCT06890039Phase PHASE2Yaqrit LtdStarted 2025-09-01
PlaceboTAK-242G-CSF (Filgrastim)
Breast Cancer

Higher Per Daily Treatment-Dose Radiation Therapy or Standard Per Daily Treatment Radiation Therapy in Treating Patients With Early-Stage Breast Cancer That Was Removed by Surgery

ACTIVE NOT RECRUITING
NCT01349322Phase PHASE3Radiation Therapy Oncology GroupStarted 2011-05-24
Standard fractionation whole breast irradiationHypofractionated whole breast irradiationConcurrent boost
LymphomaHodgkin's DiseaseRelapse

Autologous/Allogeneic TGFbeta-resistant LMP-specific CTL, Lymphoma (TGF-beta)

ACTIVE NOT RECRUITING
NCT00368082Phase PHASE1Baylor College of MedicineStarted 2006-04
TGFbeta resistant LMP-specific CTLs
Clinical Literature
Landmark / reviewRecent case evidence