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Tumor necrosis factor-α in the pathogenesis and treatment of cancer
The critical pathogenic role of tumor necrosis factor (TNF)α in inflammatory disorders such as rheumatoid arthritis and inflammatory bowel disease is well established. The role played by TNFα in both the treatment and pathogenesis of cancer remains less understood. Recent advances help to create a f...
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Published in: | Current opinion in pharmacology 2004-08, Vol.4 (4), p.314-320 |
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container_title | Current opinion in pharmacology |
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creator | Anderson, G Mark Nakada, Marian T DeWitte, Mark |
description | The critical pathogenic role of tumor necrosis factor (TNF)α in inflammatory disorders such as rheumatoid arthritis and inflammatory bowel disease is well established. The role played by TNFα in both the treatment and pathogenesis of cancer remains less understood. Recent advances help to create a framework for understanding seemingly paradoxical effects of TNFα as both an anti-tumour agent and a mediator of tumour growth. High pharmacological doses of TNFα combined with chemotherapy can regress otherwise intractable tumours, and efforts continue to optimize delivery to avoid severe toxicities. Mounting evidence demonstrates that pathophysiological concentrations of endogenous TNFα act to promote tumour genesis and growth. The cellular and molecular pathways mediating these phenomena are starting to be clarified. Current data support the continued development of both TNFα and anti-TNFα therapy for clinical treatment of cancers in distinct settings. |
doi_str_mv | 10.1016/j.coph.2004.04.004 |
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The role played by TNFα in both the treatment and pathogenesis of cancer remains less understood. Recent advances help to create a framework for understanding seemingly paradoxical effects of TNFα as both an anti-tumour agent and a mediator of tumour growth. High pharmacological doses of TNFα combined with chemotherapy can regress otherwise intractable tumours, and efforts continue to optimize delivery to avoid severe toxicities. Mounting evidence demonstrates that pathophysiological concentrations of endogenous TNFα act to promote tumour genesis and growth. The cellular and molecular pathways mediating these phenomena are starting to be clarified. 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The role played by TNFα in both the treatment and pathogenesis of cancer remains less understood. Recent advances help to create a framework for understanding seemingly paradoxical effects of TNFα as both an anti-tumour agent and a mediator of tumour growth. High pharmacological doses of TNFα combined with chemotherapy can regress otherwise intractable tumours, and efforts continue to optimize delivery to avoid severe toxicities. Mounting evidence demonstrates that pathophysiological concentrations of endogenous TNFα act to promote tumour genesis and growth. The cellular and molecular pathways mediating these phenomena are starting to be clarified. Current data support the continued development of both TNFα and anti-TNFα therapy for clinical treatment of cancers in distinct settings.</description><subject>Animals</subject><subject>Humans</subject><subject>Neoplasms - etiology</subject><subject>Neoplasms - therapy</subject><subject>Signal Transduction</subject><subject>Tumor Necrosis Factor-alpha - antagonists & inhibitors</subject><subject>Tumor Necrosis Factor-alpha - physiology</subject><subject>Tumor Necrosis Factor-alpha - therapeutic use</subject><issn>1471-4892</issn><issn>1471-4973</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNo1kNtKAzEURYMotlZ_wAfJD8yYyySTgi9Sr1DwpT6HXE5sinMhkwp-lj_iNzlDLWw4B87msPdC6JqSkhIqb3el6_ptyQipykmkOkFzWtW0qJY1Pz3uaslm6GIYdoRQwXl9jmZUMEEpY3P0sNk3XcItuNQNccDBuNyl4vcHxxbnLeDe5G33AS1MV9N6nBOY3ECbcRewM62DdInOgvkc4Op_LtD70-Nm9VKs355fV_frApgkuagra6xVvrYQFFjpnABplWDEW5CCWa-s5CL4wBwRwcp6CUqAoN5zqjjlC3Rz-NvvbQNe9yk2Jn3rY53RcHcwwJjiK0LSg4swRvQxgcvad1FToid6eqcnenqipyeRiv8BCBVjvQ</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Anderson, G Mark</creator><creator>Nakada, Marian T</creator><creator>DeWitte, Mark</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>20040801</creationdate><title>Tumor necrosis factor-α in the pathogenesis and treatment of cancer</title><author>Anderson, G Mark ; Nakada, Marian T ; DeWitte, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e260t-74babb8d7bef8eb6cc5e6b8520dbe652bd8b635fdf2c05fb679e85e51dd318313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Animals</topic><topic>Humans</topic><topic>Neoplasms - etiology</topic><topic>Neoplasms - therapy</topic><topic>Signal Transduction</topic><topic>Tumor Necrosis Factor-alpha - antagonists & inhibitors</topic><topic>Tumor Necrosis Factor-alpha - physiology</topic><topic>Tumor Necrosis Factor-alpha - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anderson, G Mark</creatorcontrib><creatorcontrib>Nakada, Marian T</creatorcontrib><creatorcontrib>DeWitte, Mark</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Current opinion in pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anderson, G Mark</au><au>Nakada, Marian T</au><au>DeWitte, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tumor necrosis factor-α in the pathogenesis and treatment of cancer</atitle><jtitle>Current opinion in pharmacology</jtitle><addtitle>Curr Opin Pharmacol</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>4</volume><issue>4</issue><spage>314</spage><epage>320</epage><pages>314-320</pages><issn>1471-4892</issn><eissn>1471-4973</eissn><abstract>The critical pathogenic role of tumor necrosis factor (TNF)α in inflammatory disorders such as rheumatoid arthritis and inflammatory bowel disease is well established. 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subjects | Animals Humans Neoplasms - etiology Neoplasms - therapy Signal Transduction Tumor Necrosis Factor-alpha - antagonists & inhibitors Tumor Necrosis Factor-alpha - physiology Tumor Necrosis Factor-alpha - therapeutic use |
title | Tumor necrosis factor-α in the pathogenesis and treatment of cancer |
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