TGF- is a mixed effect cytokine. It may have both pro and anti inflammatory effects.
As outlined above TGF- inhibits the production of most monokines and lymphokines. In this respect it is anti-inflammatory by reduction in release of IL-1, IL-6 and TNF- .
TGF- besides its anti-inflammatory effects is pro inflammatory. It acts as a chemoattractant for neutorphils, T cells and unactivated monocytes.
Systemic TGF- is anti-inflammatory while local TGF- is pro-inflammatory. It has an important role to play in scar formation and promotes neo-vascularisation and proliferation of connective tissue cells.