tumour necrosis factor shed form   

GtoPdb Ligand ID: 5074

Abbreviated name: TNF shed form
Synonyms: cachectin | necrosin | TNF alpha soluble form | tumor necrosis factor soluble form
Comment: TNFα is a pro-inflammatory, acute phase cytokine involved in systemic inflammation.
The TNF precursor is expressed as a membrane-bound ligand, which is cleaved by TACE/ADAM17 to form this shed (or 'soluble') bioactive cytokine containing just the extracellular domain, and that circulates predominantly as a homotrimer. Recombinant TNF is used as an immunostimulant under the INN tasonermin.
Circulating active TNF-α is the principal molecular target of the anti-TNF therapeutics infliximab and adalimumab. A smaller and longer acting anti-TNF biologic called V565 is in early stage clinical development [2]. V565 is a heavy chain only variable domain anti-TNF construct generated in Ilama and modified to further enhance resistance to protease-mediated degradation. It binds shed TNF-α with similar affinity to infliximab and adalimumab, and also inhibits biological responses mediated by membrane-bound TNF-α [2]. If this design strategy proves successful, V565 will be the first orally active anti-TNF therapy. V565 is being evaluated for potential to treat Crohn's disease (see Phase 2 study NCT02976129).
Species: Human
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Immunopharmacology Comments
TNFα is predominantly produced by activated macrophages, and to a lesser extent by CD4+ lymphocytes, NK cells, neutrophils, mast cells, eosinophils, and neurons [4].

As a result of its role in a variety of human diseases anti-TNFα strategies have been developed by the pharmaceutical industry- see Tracey et al. (2009) for a review of the mechanisms of action of anti-TNFα therapies (antagonists and antibodies) in immune-mediated inflammatory diseases [12].
Immunopaedia Case Studies Links
A case of cough, wasting and lymphadenopathy
A case of lymphadenopathy and night sweats