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Tumor necrosis factor alpha (TNFα) and Lymphotoxin alpha (LTα) (TNF (for Tumor necrosis factor alpha), LTα (for Lymphotoxin alpha))

Target
TNF (for Tumor necrosis factor alpha), LTα (for Lymphotoxin alpha)
Molecular classification
Cytokine, Member of the tumor necrosis factor superfamily, Soluble signaling protein
01

Overview

Tumor necrosis factor alpha (TNFα) is a pro-inflammatory cytokine produced primarily by macrophages and other immune cells, acting as a central mediator in immune system function and inflammation. TNFα exists in both a transmembrane form and a soluble form, binding to two main receptors (TNFR1 and TNFR2) to initiate a variety of signaling pathways that can lead to inflammation, cell proliferation, apoptosis, and necroptosis. Lymphotoxin alpha (LTα), formerly called TNF-beta, is structurally and functionally related to TNFα, belonging to the same cytokine superfamily. LTα plays a distinct and essential role in the development of secondary lymphoid organs, immune regulation, and can also induce cytotoxic effects on tumor cells. Both TNFα and LTα contribute to the pathology of inflammatory, autoimmune, and malignant diseases, making them key therapeutic targets for monoclonal antibodies and receptor fusion proteins designed to block their activity[1][2][3][4][5][6].

Other names
TNFα: Tumor necrosis factor, cachectinLTα: Lymphotoxin-alpha, Tumor necrosis factor beta (TNF-β), TNF-beta
02

Mechanism of action

Neutralization of TNFα/LTα cytokine activity by monoclonal antibodies or receptor fusion proteins, leading to reduced inflammation and immune activation Blockade of TNF receptor interactions to prevent downstream signaling events such as activation of NF-κB and induction of apoptosis or inflammatory mediators

03

Biological functions

Immune responseInflammationApoptosis (programmed cell death)Cell proliferationSignal transductionAntiviral responseDevelopment of secondary lymphoid organs (mainly LTα)Cytotoxic activity against tumor cells
04

Disease associations

InflammationCancerAutoimmune diseasesInfectionCardiovascular diseaseMetabolic disease (cachexia)
05

Safety considerations

Increased risk of serious infections (e.g., tuberculosis, opportunistic infections)Increased risk of certain malignancies (particularly lymphomas)Injection/infusion site reactionsDemyelinating disease (rare, potential)Congestive heart failure exacerbationAutoantibody induction
06

Interacting drugs

Infliximab (anti-TNFα monoclonal antibody)

4 more in the full profile.

07

Biomarkers

Serum TNFα levelsC-reactive protein (for general inflammation monitoring in anti-TNF therapy)Disease-specific activity markers (e.g., rheumatoid arthritis activity scores)

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