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Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
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Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
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Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
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Determination of the Relative Potency of an Anti-TNF Monoclonal Antibody mAb by Neutralizing TNF Using an In Vitro Bioanalytical Method
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Anti-TNF Therapy.

Irina Udalova1, Claudia Monaco1, Jagdeep Nanchahal1

  • 1Kennedy Institute of Rheumatology, NDORMS, University of Oxford, Botnar Research Centre, Headington, Oxford OX3 7LD, United Kingdom.

Microbiology Spectrum
|October 12, 2016
PubMed
Summary
This summary is machine-generated.

Tumor necrosis factor (TNF) is a key cytokine in host defense, but prolonged production is linked to inflammatory diseases like rheumatoid arthritis. Anti-TNF therapies offer benefits but have limitations, with potential applications in other conditions.

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Area of Science:

  • Immunology
  • Cytokine Biology
  • Inflammatory Diseases

Background:

  • Tumor necrosis factor (TNF) is a critical cytokine produced by macrophages, essential for host defense.
  • Rapid release of TNF occurs after injury, but sustained production is associated with chronic inflammatory conditions.
  • The role of TNF in diseases such as rheumatoid arthritis, Crohn's disease, and psoriasis is well-established.

Purpose of the Study:

  • To review the discovery and development of anti-TNF therapies.
  • To discuss the benefits and limitations of current anti-TNF treatments.
  • To explore the potential of anti-TNF therapy in non-inflammatory diseases and novel strategies for TNF synthesis inhibition.

Main Methods:

  • Literature review of anti-TNF therapy discovery.
  • Analysis of clinical benefits and limitations of anti-TNF treatments.
  • Discussion of emerging applications and therapeutic targets for TNF modulation.

Main Results:

  • Anti-TNF therapies have demonstrated significant efficacy in treating chronic inflammatory diseases.
  • Limitations of anti-TNF therapy include potential side effects and incomplete response in some patients.
  • Emerging research suggests potential benefits in cardiovascular diseases and fibrosis, alongside strategies to block TNF synthesis.

Conclusions:

  • Anti-TNF therapy represents a major advancement in managing inflammatory diseases.
  • Further research is needed to optimize anti-TNF treatments and expand their therapeutic scope.
  • Targeting TNF synthesis offers a promising avenue for future therapeutic interventions.