Therapeutic use of specific tumour necrosis factor inhibitors in inflammatory diseases including COVID-19
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Updated: Nov 2, 2025

Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
1Downing College, Regent Street, Cambridge CB2 1DQ, UK; Ipswich Hospital, Heath Road, Ipswich IP4 5PD, UK.
Insights
Tumor necrosis factor (TNF) inhibitors may offer a promising therapeutic strategy for Coronavirus disease 2019 (COVID-19). These agents could potentially reduce inflammation and prevent disease progression in infected patients.
Area of Science:
- Immunology and Virology
- Pharmacology and Therapeutics
Background:
- Coronavirus disease 2019 (COVID-19) poses a global health challenge, with ongoing need for effective treatments beyond vaccines.
- Elevated cytokine levels, particularly tumor necrosis factor (TNF), are implicated in severe COVID-19 pathogenesis and mortality.
- Existing TNF blocker therapies for autoimmune diseases present a potential avenue for repurposing.
Purpose of the Study:
- To examine the biological activities of TNF inhibitors relevant to COVID-19.
- To review randomized controlled trials evaluating TNF inhibitors for COVID-19 treatment.
Main Methods:
- Review of biological mechanisms of TNF inhibitors.
- Analysis of existing clinical trial data on TNF inhibitors in COVID-19.
Main Results:
- Early data suggest TNF inhibitors can reduce pro-inflammatory cytokines.
- Further evaluation is needed to confirm efficacy in preventing COVID-19 progression.
Conclusions:
- TNF inhibitors show potential as a therapeutic option for COVID-19.
- Randomized controlled trials are crucial for assessing the benefit-risk profile of TNF inhibitors in COVID-19 patients.
Abstract:
Coronavirus disease 2019 (COVID-19) has caused significant devastation globally. Despite the development of several vaccines, with uncertainty around global uptake and vaccine efficacy, the need for effective therapeutic agents remains. Increased levels of cytokines including tumour necrosis factor are significant in the pathogenesis of COVID-19 and associated with poor outcomes including ventilator requirement and mortality. Repurposing tumour necrosis factor blocker therapy used in conditions such as rheumatoid arthritis and inflammatory bowel disease seems promising, with early feasibility data showing a reduction in circulation of pro-inflammatory cytokines and encouraging the evaluation of such interventions in preventing disease progression and clinical deterioration in patients with COVID-19. Here, we examine the biological activities of tumour necrosis factor inhibitors indicative of their potential in COVID-19 and briefly outline the randomised control trials assessing their benefit-risk profile in COVID-19 therapy.
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