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Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
[Does TNF play a role in the pathogenesis of solid tumors?]
1Medizinische Klinik mit Schwerpunkt Rheumatologie, Charité-Universitätsmedizin Berlin, Campus Mitte, Charitéplatz 1, 10117 Berlin.
Abstract:
Tumor necrosis factor (TNF)-alpha blocking agents play an important role in rheumatology. For this reason, questions about the pathogenic characteristics of TNF in carcinogenesis are of the utmost importance. The observation that TNF leads to necrosis in tumor tissue gave rise to the hope that an agent had been identified for the treatment of malignant tumors. However, this expectation remained unfulfilled, not the least due to the toxicity of systemically applied TNF. In addition, TNF is produced by many tumor cells. There is evidence that for some tumors TNF promotes tumor growth, invasiveness and metastasis. It is quite possible, therefore, that the inhibition of TNF-alpha has an inhibitive effect on carcinogenesis and/or tumor progression. In 2009 the US Food and Drug Administration (FDA) issued a cancer warning for the use of TNF inhibitors in children and adolescents. There is still some controversy as to whether TNF blocking therapy, co-medication or the rheumatic disease itself leads to an increased cancer risk in these young patients. In adults, safety information so far available suggests a favorable risk-benefit profile for the long-term use of TNF inhibitors. However, many questions remain unanswered as to the role TNF itself plays in the pathogenesis of solid tumors.
Insights
Tumor necrosis factor (TNF)-alpha blocking agents are crucial in rheumatology. While TNF can cause tumor necrosis, its role in cancer promotion and the risks of TNF inhibitors require further investigation.
Area of Science:
- Rheumatology
- Oncology
- Immunology
Context:
- Tumor necrosis factor (TNF)-alpha blocking agents are vital in rheumatology.
- TNF's dual role in cancer, potentially causing tumor necrosis but also promoting tumor growth, invasiveness, and metastasis, presents a complex challenge.
- The use of TNF inhibitors has raised concerns regarding cancer risk, particularly in pediatric patients.
Purpose:
- To explore the pathogenic characteristics of TNF in carcinogenesis.
- To evaluate the potential benefits and risks of TNF inhibition in cancer treatment and progression.
- To clarify the association between TNF inhibitors, rheumatic diseases, and cancer risk in different age groups.
Summary:
- TNF-alpha blocking agents are important in rheumatology, but their role in cancer is complex.
- While TNF can induce tumor necrosis, it can also promote tumor growth and metastasis in some cancers.
- Evidence suggests TNF inhibition might impede carcinogenesis, yet concerns about increased cancer risk with TNF inhibitors persist, especially in children.
Impact:
- Understanding TNF's role in carcinogenesis is crucial for optimizing rheumatologic treatments.
- Further research is needed to elucidate the precise impact of TNF inhibition on solid tumor pathogenesis.
- Clarifying cancer risks associated with TNF inhibitors will inform clinical practice and patient safety, particularly in long-term use.
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