Tumor necrosis factor (TNF, cachexin, or cachectin; formerly known as tumor necrosis factor alpha or TNF-α[5][6]) is a cytokine and member of the TNF superfamily, which consists of various transmembrane proteins with a homologous TNF domain. It is the first cytokine to be described as an adipokine as secreted by adipose tissue.[7]
TNF signaling occurs through two receptors: TNFR1 and TNFR2.[8][9] TNFR1 is constitutively expressed on most cell types, whereas TNFR2 is restricted primarily to endothelial, epithelial, and subsets of immune cells.[8][9] TNFR1 signaling tends to be pro-inflammatory and apoptotic, whereas TNFR2 signaling is anti-inflammatory and promotes cell proliferation.[8][9] Suppression of TNFR1 signaling has been important for treatment of autoimmune diseases,[10] whereas TNFR2 signaling promotes wound healing.[9]
TNF-α exists as a transmembrane form (mTNF-α) and as a soluble form (sTNF-α). sTNF-α results from enzymatic cleavage of mTNF-α,[11] by a process called substrate presentation. mTNF-α is mainly found on monocytes/macrophages where it interacts with tissue receptors by cell-to-cell contact.[11] sTNF-α selectively binds to TNFR1, whereas mTNF-α binds to both TNFR1 and TNFR2.[12] TNF-α binding to TNFR1 is irreversible, whereas binding to TNFR2 is reversible.[13]
^Gravallese EM, Monach PA (January 2015). "The rheumatoid joint: Synovitis and tissue destruction.". Rheumatology. Vol. 1 (Sixth ed.). Mosby. pp. 768–784. doi:10.1016/B978-0-323-09138-1.00094-2. ISBN978-0-323-09138-1. The simplified name TNF is now preferred over the former designation TNF-α because the corresponding term TNF-β, an alternative name for LT, is now obsolete.
^Szondy Z, Pallai A (January 2017). "Transmembrane TNF-alpha reverse signaling leading to TGF-beta production is selectively activated by TNF targeting molecules: Therapeutic implications". Pharmacological Research. 115: 124–132. doi:10.1016/j.phrs.2016.11.025. PMID27888159. S2CID40818956.
^Swardfager W, Lanctôt K, Rothenburg L, Wong A, Cappell J, Herrmann N (November 2010). "A meta-analysis of cytokines in Alzheimer's disease". Biological Psychiatry. 68 (10): 930–941. doi:10.1016/j.biopsych.2010.06.012. PMID20692646. S2CID6544784.
^Dowlati Y, Herrmann N, Swardfager W, Liu H, Sham L, Reim EK, et al. (March 2010). "A meta-analysis of cytokines in major depression". Biological Psychiatry. 67 (5): 446–457. doi:10.1016/j.biopsych.2009.09.033. PMID20015486. S2CID230209.
^Victor FC, Gottlieb AB (December 2002). "TNF-alpha and apoptosis: implications for the pathogenesis and treatment of psoriasis". Journal of Drugs in Dermatology. 1 (3): 264–275. PMID12851985.