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Tumor necrosis factor alpha and lymphotoxin alpha (TNF-α (for tumor necrosis factor alpha), LT-α (for lymphotoxin alpha; formerly known as TNF-β))

Target
TNF-α (for tumor necrosis factor alpha), LT-α (for lymphotoxin alpha; formerly known as TNF-β)
Molecular classification
Cytokine, Receptor ligand, Signaling molecule, Tumor necrosis factor (TNF) superfamily
01

Overview

Tumor necrosis factor alpha (TNF-α) is a trimeric pro-inflammatory cytokine predominantly produced by macrophages, T cells, and natural killer cells; it exists in both membrane-bound and soluble forms and signals mainly via TNF receptors TNFR1 and TNFR2 to regulate inflammation, immune responses, cell death (apoptosis, necroptosis), and cell proliferation[2][3][6][7]. Dysregulation of TNF-α is implicated in the pathogenesis of multiple inflammatory and autoimmune diseases such as rheumatoid arthritis, Crohn’s disease, and psoriasis. Lymphotoxin alpha (LT-α; formerly TNF-β), encoded by a distinct gene (LTA), is structurally related, functions as a soluble homotrimer, and shares some receptor specificity and biological activities (particularly in the development of lymphoid organs and immune regulation), but with notable differences in tissue expression and function[5]. Drugs inhibiting TNF-α have transformed the treatment of autoimmune and inflammatory diseases, but carry risks related to immunosuppression. TNF-α and LT-α are archetypal representatives of the TNF superfamily, which play pleiotropic roles in inflammation, apoptosis, and tissue organization.

Other names
Tumor necrosis factor alpha: cachectin, TNF, TNFA, TNFαLymphotoxin alpha: Tumor necrosis factor beta, TNF-β, LT-α, lymphotoxin, TNFB
02

Mechanism of action

Neutralization of cytokine activity by direct binding; Inhibition of ligand-receptor interaction (blocking TNF-α or LT-α from activating TNFR1/TNFR2); Reduction of downstream pro-inflammatory signaling; Induction of apoptosis in pathological immune cells

03

Biological functions

Immune responseInflammationApoptosis (programmed cell death)Cell proliferationCell differentiationRegulation of secondary lymphoid organ development (more specific to LT-α)Host defense against infection and cancer
04

Disease associations

InflammationAutoimmune diseaseCancerInfectionCardiovascular diseaseNeurodegenerative disease
05

Safety considerations

Increased risk of infections (including tuberculosis, opportunistic infections)Reactivation of latent infectionsIncreased risk of some cancers (lymphoma, non-melanoma skin cancers)Potential for demyelinating disease, heart failure, and lupus-like syndromes
06

Interacting drugs

4 more in the full profile.

07

Biomarkers

Circulating TNF-α levels (for monitoring inflammation/autoimmune disease)TNF gene polymorphisms (as risk markers for inflammatory/autoimmune disease)sTNFR1/sTNFR2 (soluble receptor levels)C-reactive protein (CRP) and other acute phase reactants as indirect markers

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