[Tumor necrosis factor alfa in cardiovascular diseases: molecular biology and genetics]

José Manuel Fragoso Lona1, Mónica Sierra Martínez, Gilberto Vargas Alarcón

  • 1Departamento de Biología Molecular, Instituto Nacional de Cardiología «Ignacio Chávez», México, D.F. dr.julian.ramirez.inv@gmail.com.

Gaceta Medica De Mexico
|October 11, 2013
PubMed

Insights

Tumor necrosis factor alpha (TNF-α) plays a key role in coronary artery disease (CAD) development and progression. Genetic variations in TNF-α influence CAD susceptibility, severity, and treatment outcomes.

Area of Science:

  • Immunology
  • Cardiology
  • Genetics

Context:

  • Cardiovascular diseases (CVDs) are a leading global health issue, causing significant mortality and morbidity.
  • In the US, CVDs accounted for 41% of deaths in 1997, affecting approximately 60 million individuals.
  • CVDs are chronic inflammatory conditions linked to immune system dysregulation.

Purpose:

  • To review the biological role of tumor necrosis factor alpha (TNF-α) in the initiation and progression of endothelial dysfunction.
  • To summarize evidence on how TNF-α contributes to atherosclerosis complications.
  • To examine the impact of TNF-α genetic variations on coronary artery disease (CAD) susceptibility, severity, and treatment response.

Summary:

  • Tumor necrosis factor alpha (TNF-α), a potent cytokine, is implicated in the inflammatory processes underlying CAD.
  • Evidence suggests TNF-α drives endothelial dysfunction and atherosclerotic complications.
  • Genetic variations in the TNF-α gene are associated with varying susceptibility, disease severity, and response to treatments in CAD patients, including myocardial infarction and angina.

Impact:

  • Highlights TNF-α as a critical factor in cardiovascular disease pathogenesis.
  • Underscores the potential of targeting TNF-α or its genetic variations for improved CAD management and treatment strategies.
  • Provides a foundation for further research into the genetic and inflammatory underpinnings of coronary artery disease.

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