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2015 ; 2015
(ä): 358263
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A Neurologist s Guide to TNF Biology and to the Principles behind the Therapeutic
Removal of Excess TNF in Disease
#MMPMID26221543
Clark IA
; Vissel B
Neural Plast
2015[]; 2015
(ä): 358263
PMID26221543
show ga
Tumor necrosis factor (TNF) is an ancient and widespread cytokine required in
small amounts for much physiological function. Higher concentrations are central
to innate immunity, but if unchecked this cytokine orchestrates much chronic and
acute disease, both infectious and noninfectious. While being a major
proinflammatory cytokine, it also controls homeostasis and plasticity in
physiological circumstances. For the last decade or so these principles have been
shown to apply to the central nervous system as well as the rest of the body.
Nevertheless, whereas this approach has been a major success in treating
noncerebral disease, its investigation and potential widespread adoption in
chronic neurological conditions has inexplicably stalled since the first open
trial almost a decade ago. While neuroscience is closely involved with this
approach, clinical neurology appears to be reticent in engaging with what it
offers patients. Unfortunately, the basic biology of TNF and its relevance to
disease is largely outside the traditions of neurology. The purpose of this
review is to facilitate lowering communication barriers between the traditional
anatomically based medical specialties through recognition of shared disease
mechanisms and thus advance the prospects of a large group of patients with
neurodegenerative conditions for whom at present little can be done.