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Transforming growth factor β (TGF-β) is a group of structurally similar transforming growth factors that have multiple functions to regulate cell functions, such as regulating cell proliferation and differentiation, apoptosis, cell migration, and cell adhesion. In addition, they play important roles in embryonic development, immune monitoring, and stem cell self-renewal and differentiation. Furthermore, TGF-β plays an important role in maintaining the normal structure of the vascular wall and has a certain protective effect on atherosclerosis. In endothelial cells, TGF-β inhibits the activation of endothelial cells and reduces the recruitment of lymphocytes by inhibiting the expression of the adhesion factor E-selectin. The proliferation of vascular smooth muscle cells can be inhibited by TGF-β, which promote collagen formation, and proliferate extracellular matrix. Besides, TGF-β can affect the uptake of fat particles by macrophages, thereby reducing the formation of foam cells.