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Updated: May 11, 2026

Determination of the Relative Potency of an Anti-TNF Monoclonal Antibody (mAb) by Neutralizing TNF Using an In Vitro Bioanalytical Method
Published on: September 16, 2017
The two directions of TNF-related apoptosis-inducing ligand in rheumatoid arthritis
Rachel Audo1, Bernard Combe, Michael Hahne
1Institut de Génétique Moléculaire de Montpellier, CNRS, UMR 5535, Montpellier, France. rachel.audo@igmm.cnrs.fr
Abstract:
The TNF-related apoptosis-inducing ligand (TRAIL) is a member of the tumor necrosis factor (TNF) superfamily that has been recognized for its specific pro-apoptotic effect on cancer cells and has been therefore proposed as a treatment in cancer. Studies on animal models have shown that TRAIL could also have a beneficial effect in rheumatoid arthritis (RA). This includes reports suggesting that TRAIL could be used to control the synovial hyperplasia and hyperactivation of immune cells observed in RA, but recent reports suggest a disease promoting role of TRAIL in RA. Indeed, adverse effects and mechanism of resistance could counteract beneficial effect of TRAIL. This review focuses on the role of TRAIL in immune regulation, synovial hyperplasia and joint remodeling in RA. We will also discuss the potential use of TRAIL in RA treatment.
Insights
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) shows promise for rheumatoid arthritis (RA) treatment by targeting immune cells and synovial hyperplasia. However, potential adverse effects and resistance mechanisms require further investigation for safe and effective therapeutic application.
Area of Science:
- Immunology
- Rheumatology
- Molecular Biology
Background:
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is a TNF superfamily member known for inducing apoptosis in cancer cells.
- TRAIL has been investigated for potential benefits in rheumatoid arthritis (RA), including controlling synovial hyperplasia and immune cell hyperactivation.
- Recent studies suggest TRAIL may also play a disease-promoting role in RA, with adverse effects and resistance mechanisms potentially counteracting therapeutic benefits.
Purpose of the Study:
- To review the multifaceted role of TRAIL in immune regulation within the context of RA.
- To examine TRAIL's impact on synovial hyperplasia and joint remodeling in RA.
- To discuss the potential therapeutic applications and challenges of using TRAIL for RA treatment.
Main Methods:
- Literature review of studies investigating TRAIL in cancer and rheumatoid arthritis.
- Analysis of mechanisms underlying TRAIL's pro-apoptotic and immune-modulating effects.
- Evaluation of evidence for both beneficial and detrimental roles of TRAIL in RA pathogenesis.
Main Results:
- TRAIL exhibits specific pro-apoptotic effects on cancer cells, leading to its consideration as an anti-cancer therapeutic.
- In RA models, TRAIL has demonstrated potential in managing synovial hyperplasia and immune cell activity.
- Contradictory findings indicate a potential disease-promoting role for TRAIL in RA, alongside concerns about adverse effects and resistance.
Conclusions:
- TRAIL's role in RA is complex, with both potential therapeutic benefits and risks.
- Understanding TRAIL's immune regulatory functions in RA is crucial for evaluating its treatment potential.
- Further research is needed to elucidate TRAIL's precise mechanisms in RA and to optimize its therapeutic use, addressing potential adverse effects and resistance.
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