Tumor necrosis factor alpha (TNF-@a), anti-TNF-@a and demyelination revisited: An ongoing story
J Neuroimmunol 234(1-2):6 (2011) PMID 21474190
Tumor necrosis factor alpha (TNF-@a) is a cytokine with pleiotropic actions that can be present both as a transmembrane protein and soluble cytokine (sTNF). Both ligands interact with two different receptors, TNFR1 and TNFR2, which mediate their biological effects. TNF-@a is involved in the pathogenesis of multiple sclerosis (MS), however, administration of anti-TNF-@a agents to MS patients has been associated with increased disease activity. Insomuch as TNFR1 mediates demyelination and TNFR2 remyelination, it could be hypothesized that anti-TNF-@a agents which selectively inhibit sTNF or signals from TNFR1 could be effective in treating MS.
Copyright © 2011 Elsevier Ltd. All rights reserved.
DOI: 10.1016/j.jneuroim.2011.03.004
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