[HTML][HTML] Anti-TNF-α therapies in systemic lupus erythematosus

LJ Zhu, X Yang, XQ Yu - BioMed Research International, 2010 - hindawi.com
LJ Zhu, X Yang, XQ Yu
BioMed Research International, 2010hindawi.com
Tumor necrosis factor (TNF)-𝛼 is not just a proinflammatory cytokine. It has also been
proposed to be an immunoregulatory molecule that can alter the balance of T regulatory
cells. Anti-TNF-𝛼 therapies have been provided clinical benefit to many patients and
introduced for treating moderate to severe rheumatoid arthritis, Crohn's disease, and other
chronic inflammatory disorders. However, their use also is accompanied by new or
aggravated forms of autoimmunity, such as formation of autoantibodies, including …
Tumor necrosis factor (TNF)- 𝛼 is not just a proinflammatory cytokine. It has also been proposed to be an immunoregulatory molecule that can alter the balance of T regulatory cells. Anti-TNF- 𝛼 therapies have been provided clinical benefit to many patients and introduced for treating moderate to severe rheumatoid arthritis, Crohn's disease, and other chronic inflammatory disorders. However, their use also is accompanied by new or aggravated forms of autoimmunity, such as formation of autoantibodies, including antinuclear antibodies (ANAs), antidouble-stranded DNA (dsDNA) antibodies, and anticardiolipin antibodies (ACL). Systemic lupus erythematosus (SLE) is a disease with autoimmune disturbance and inflammatory damage. The role of TNF- 𝛼 in human SLE is controversial. Here we review the role of TNF- 𝛼 in the pathophysiological processes of SLE and the likely effects of blocking TNF- 𝛼 in treatment of SLE.
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