Source:http://linkedlifedata.com/resource/pubmed/id/15968469
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
16
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pubmed:dateCreated |
2005-8-31
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pubmed:abstractText |
Excess levels of tumor necrosis factor-alpha (TNF-alpha) have been associated with certain autoimmune diseases. Under the rationale that elevated TNF-alpha levels are deleterious, several anti-TNF-alpha therapies are now available to block the action of TNF-alpha in patients with autoimmune diseases with a chronic inflammatory component to the destructive process. TNF-alpha antagonists have provided clinical benefit to many patients, but their use also is accompanied by new or aggravated forms of autoimmunity. Here we propose a mechanistically based hypothesis for the adverse events observed with TNF-alpha antagonists, and argue for the opposite therapeutic strategy: to boost or restore TNF-alpha activity as a treatment for some forms of autoimmunity. Activation defects in the transcription factor nuclear factor kappaB leave autoreactive T cells sensitive to TNF-alpha-induced apoptosis. Treatment with TNF-alpha, by destroying autoreactive T cells, appears to be a highly targeted strategy to interrupt the pathogenesis of type 1 diabetes, lupus and certain forms of autoimmunity.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
1420-682X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
62
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1850-62
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:15968469-Animals,
pubmed-meshheading:15968469-Apoptosis,
pubmed-meshheading:15968469-Autoimmune Diseases,
pubmed-meshheading:15968469-Diabetes Mellitus, Type 1,
pubmed-meshheading:15968469-Enzyme Activation,
pubmed-meshheading:15968469-Humans,
pubmed-meshheading:15968469-Lupus Vulgaris,
pubmed-meshheading:15968469-Mice,
pubmed-meshheading:15968469-Mice, Inbred NOD,
pubmed-meshheading:15968469-NF-kappa B,
pubmed-meshheading:15968469-T-Lymphocytes,
pubmed-meshheading:15968469-Tumor Necrosis Factor-alpha
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pubmed:year |
2005
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pubmed:articleTitle |
The therapeutic potential of tumor necrosis factor for autoimmune disease: a mechanistically based hypothesis.
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pubmed:affiliation |
Harvard Medical School and Massachusetts General Hospital-East, Boston, 02192, USA.
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
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