The role of TNF-alpha in chronic inflammatory conditions, intermediary metabolism, and cardiovascular risk.

Abstract:

:The recent insight that inflammation contributes to the development of atherosclerosis and type 2 diabetes mellitus constitutes a major breakthrough in understanding the mechanisms underlying these conditions. In addition, it opens the way for new therapeutic approaches that might eventually decrease the prevalence of these public health problems. Tumor necrosis factor-alpha (TNF-alpha) has been shown to play a key role in these processes and thus might be a potential therapeutic target. Increased concentrations of TNF-alpha are found in acute and chronic inflammatory conditions (e.g., trauma, sepsis, infection, rheumatoid arthritis), in which a shift toward a proatherogenic lipid profile and impaired glucose tolerance occurs. Although therapeutic blockade of TNF-alpha worsens the prognosis in patients with abscesses and granulomatous infections, this strategy is highly beneficial in the case of chronic inflammatory conditions, including rheumatoid arthritis. Current investigations assessing the impact of anti-TNF agents on intermediary metabolism suggest that TNF-alpha blockade may improve insulin resistance and lipid profiles in patients with chronic inflammatory diseases.

journal_name

J Lipid Res

authors

Popa C,Netea MG,van Riel PL,van der Meer JW,Stalenhoef AF

doi

10.1194/jlr.R600021-JLR200

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

751-62

issue

4

eissn

0022-2275

issn

1539-7262

pii

R600021-JLR200

journal_volume

48

pub_type

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