Tumor necrosis factor alpha (TNF-α), anti-TNF-α and demyelination revisited: An ongoing story

被引:104
作者
Caminero, Ana [1 ,2 ]
Comabella, Manuel [1 ]
Montalban, Xavier [1 ]
机构
[1] Hosp Univ Vall dHebron, Unitat Neuroimmunol Clin, CEM Cat, Ctr Esclerosi Multiple Catalunya, Barcelona 08035, Spain
[2] Complejo Hosp Avila, Secc Neurol, Avila, Spain
关键词
Multiple sclerosis; Proinflammatory cytokines; TNF-alpha; Anti-TNF-alpha; EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS; MULTIPLE-SCLEROSIS; FACTOR RECEPTOR; FACTOR THERAPY; HUMAN-DISEASES; MECHANISMS; BLOCKADE; ONSET; INFLAMMATION; PATHOGENESIS;
D O I
10.1016/j.jneuroim.2011.03.004
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Tumor necrosis factor alpha (TNF-alpha) is a cytokine with pleiotropic actions that can be present both as a transmembrane protein and soluble cytokine (sTNF). Both ligands interact with two different receptors, TNFR1 and TNFR2, which mediate their biological effects. TNF-alpha is involved in the pathogenesis of multiple sclerosis (MS), however, administration of anti-TNF-alpha agents to MS patients has been associated with increased disease activity. Insomuch as TNFR1 mediates demyelination and TNFR2 remyelination, it could be hypothesized that anti-TNF-alpha agents Which selectively inhibit sTNF or signals from TNFR1 could be effective in treating MS. (C) 2011 Elsevier B.V. All rights reserved.
引用
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页码:1 / 6
页数:6
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