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Tumor Necrosis Factor-Alpha (TNF-α) is a multifunctional cytokine involved in various cellular processes, including apoptosis, cell survival, inflammation, and immunity . It plays a crucial role in the body’s defense mechanisms and has been extensively studied for its therapeutic potential in treating various diseases, including cancer and inflammatory disorders .
TNF-α is a protein primarily produced by activated macrophages, although it can also be secreted by other cell types such as lymphocytes, natural killer cells, and endothelial cells . It exists in two forms: a membrane-bound form and a soluble form. The soluble form is generated by the cleavage of the membrane-bound form by the enzyme TNF-α converting enzyme (TACE) .
TNF-α exerts its effects by binding to two distinct receptors: TNF receptor 1 (TNFR1) and TNF receptor 2 (TNFR2) . These receptors activate various intracellular signaling pathways, leading to diverse biological effects, including inflammation, cell proliferation, differentiation, and apoptosis .
Recombinant TNF-α is a genetically engineered form of the natural cytokine. It is produced using recombinant DNA technology, which involves inserting the gene encoding TNF-α into a suitable expression system, such as bacteria or mammalian cells . This allows for the large-scale production of TNF-α for research and therapeutic purposes .
Cancer Treatment: TNF-α has shown significant antitumor activity in preclinical studies and clinical trials . It can induce apoptosis in cancer cells and enhance the efficacy of chemotherapy by increasing the permeability of tumor vasculature, allowing better drug delivery . TNF-α is used in isolated limb perfusion (ILP) for treating locally advanced soft tissue sarcomas and metastatic melanomas .
Inflammatory Disorders: Anti-TNF-α therapies, including monoclonal antibodies such as infliximab, adalimumab, and certolizumab pegol, have revolutionized the treatment of chronic inflammatory disorders like rheumatoid arthritis, inflammatory bowel disease, and psoriasis . These therapies work by neutralizing TNF-α, thereby reducing inflammation and preventing tissue damage .
The antitumor effects of TNF-α are primarily mediated through its interaction with TNFR1 . Binding of TNF-α to TNFR1 activates several signaling pathways, including the nuclear factor-kappa B (NF-κB) pathway, which promotes cell survival and inflammation, and the caspase pathway, which induces apoptosis . In cancer treatment, TNF-α targets the tumor-associated vasculature, leading to increased permeability and destruction of the vascular lining, which enhances the delivery of chemotherapeutic agents to the tumor site .
Despite its therapeutic potential, the use of TNF-α in clinical settings is limited by its systemic toxicity and the development of resistance in some patients . Ongoing research aims to develop more targeted delivery systems and combination therapies to enhance the efficacy and safety of TNF-α-based treatments .
In conclusion, recombinant anti-human TNF-α represents a promising therapeutic approach for treating various cancers and inflammatory disorders. Continued research and development are essential to overcome the current challenges and fully realize its potential in clinical applications.