Target intelligence / Profile preview

Tumor necrosis factor alpha-induced NF-kappaB signaling (TNF-NF-kB)

Target
TNF-NF-kB
Molecular classification
Signaling pathway, Cytokine, Receptor, Transcription factor
01

Overview

Tumor necrosis factor alpha (TNF-alpha)-induced NF-kappaB signaling is a fundamental proinflammatory pathway that coordinates the body's response to injury and infection. The process begins when the cytokine TNF-alpha binds to its cell surface receptors, TNFR1 or TNFR2, triggering a complex intracellular signaling cascade (Source: UniProt P01375). This cascade leads to the activation of the IkappaB kinase (IKK) complex, which phosphorylates IkappaB proteins, leading to their degradation and the subsequent release of the NF-kappaB transcription factor (Source: PMID: 12748582). Once liberated, NF-kappaB translocates to the nucleus to drive the expression of genes involved in inflammation, cell survival, and immune regulation (Source: PMID: 10891884). Dysregulation of this signaling axis is a key driver in chronic inflammatory conditions such as rheumatoid arthritis, psoriasis, and inflammatory bowel disease, as well as in various cancers where it promotes tumor cell survival (Source: PMID: 16751774). Therapeutic strategies include the use of monoclonal antibodies to neutralize TNF-alpha or small molecules to inhibit downstream components like the proteasome (Source: FDA Drug Labels).

Other names
TNF-alpha signalingNF-kappaB activation pathwayTNF-TNFR-NFkB axisTumor necrosis factor-mediated NF-kappaB activation
02

Mechanism of action

Drugs targeting this pathway primarily function by neutralizing the TNF-alpha ligand, thereby preventing its interaction with TNFR1 and TNFR2 receptors and subsequent downstream NF-kappaB activation (Source: PMID: 21244308). Other agents, such as proteasome inhibitors, prevent the degradation of IkappaB, which sequesters NF-kappaB in the cytoplasm and inhibits its transcriptional activity (Source: PMID: 15128704).

03

Biological functions

Immune responseInflammationApoptosisCell survivalSignal transduction
04

Disease associations

InflammationAutoimmune diseaseCancerRheumatoid arthritisInflammatory bowel disease
05

Safety considerations

Increased risk of serious infections (e.g., tuberculosis)Risk of lymphoma and other malignanciesExacerbation of heart failureDemyelinating disorders
06

Interacting drugs

Infliximab

5 more in the full profile.

07

Biomarkers

C-reactive protein (CRP)Serum TNF-alpha levelsPhosphorylated p65 (RelA)IkappaB-alpha levels

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