alexa The role of tumor necrosis factor-alpha in systemic lupus erythematosus.
Immunology

Immunology

Journal of Clinical & Cellular Immunology

Author(s): Aringer M, Smolen JS

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Abstract Murine models of systemic lupus erythematosus (SLE) have shown apparently contradictory evidence in that either (a) tumor necrosis factor (TNF) expression was low and TNF administration helpful or (b) TNF was high and TNF blockade of therapeutic benefit, depending on the mouse model investigated. In fact, TNF apparently has both effects, checking autoimmunity, at least to some degree, and fostering inflammation. TNF blockade regularly, but transiently, induces or increases autoantibodies to chromatin and to phospholipids. At the same time, open-label data suggest that TNF blockade suppresses inflammatory manifestations of SLE, and long-term benefit was seen in patients with lupus nephritis. A controlled clinical trial is under way.
This article was published in Arthritis Res Ther and referenced in Journal of Clinical & Cellular Immunology

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