2020
DOI: 10.3390/jcm9103267
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Complexity of TNF-α Signaling in Heart Disease

Abstract: Heart disease is a leading cause of death with unmet clinical needs for targeted treatment options. Tumor necrosis factor alpha (TNF-α) represents a master pro-inflammatory cytokine that plays an important role in many immunopathogenic processes. Anti-TNF-α therapy is widely used in treating autoimmune inflammatory disorders, but in case of patients with heart disease, this treatment was unsuccessful or even harmful. The underlying reasons remain elusive until today. This review summarizes the effects of anti-… Show more

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Cited by 94 publications
(81 citation statements)
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References 158 publications
(188 reference statements)
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“…Similarly, in our analyses, TNF-α signaling via NF-kB was found to be shared between COVID-19 and its comorbid conditions—cancers, CVDs, and CKDs. TNF-α signaling via NF-kB is a target as it is associated with the inflammation-triggered CVDs [ 59 , 60 ], cancer cell migration and invasion [ 61 , 62 , 63 ], the pathogenesis of CKDs [ 64 , 65 , 66 ], and severity of COVID-19 [ 67 , 68 , 69 ]. In the case of a shared pathway between hypertension and COVID-19, we found that the renin-angiotensin system is the key pathway that links these two diseases.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, in our analyses, TNF-α signaling via NF-kB was found to be shared between COVID-19 and its comorbid conditions—cancers, CVDs, and CKDs. TNF-α signaling via NF-kB is a target as it is associated with the inflammation-triggered CVDs [ 59 , 60 ], cancer cell migration and invasion [ 61 , 62 , 63 ], the pathogenesis of CKDs [ 64 , 65 , 66 ], and severity of COVID-19 [ 67 , 68 , 69 ]. In the case of a shared pathway between hypertension and COVID-19, we found that the renin-angiotensin system is the key pathway that links these two diseases.…”
Section: Discussionmentioning
confidence: 99%
“… 36 These results suggest that TNF-α-induced COX-2/PGE 2 elevation in cardiac fibroblasts is initiated via TNFR1 activity and its downstream signaling cascades and possibly involved in the development of cardiovascular disorders. 37 …”
Section: Discussionmentioning
confidence: 99%
“…Previous studies have shown that p38 MAPK and JNK1/2 signaling cascades mediate TNFR1 responses elicited by TNF-α in heart diseases. 37 TNF-α has been demonstrated to induce COX-2 expression mediated through p38 MAPK activity in various types of cells. 24 , 25 Consistently, we revealed that TNF-α-induced COX-2 and PGE 2 upregulation were mediated by p38 MAPK signaling pathway, which was attenuated by pretreatment with p38i VIII or transfection with p38 siRNA.…”
Section: Discussionmentioning
confidence: 99%
“…TNF- α increasing ROS levels and decreasing nitric oxide production in blood vessels leads to endothelial dysfunction. It contributes also to the development of atherosclerotic plaques [ 56 ]. Dysregulation of these Ca 2+ fluxes will lead to different heart and vascular pathologies [ 57 ].…”
Section: Discussionmentioning
confidence: 99%