TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental Models

A considerable body of experimental evidence suggests that tumor necrosis factor (TNF)-α plays a major role in several aspects of inflammation and shock. In particular, it is pivotal in many detrimental effects of acute pancreatitis, and it represents a major determinant of the systemic progression...

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Main Authors: Giuseppe Malleo, Emanuela Mazzon, Ajith K. Siriwardena, Salvatore Cuzzocrea
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2007.98
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author Giuseppe Malleo
Emanuela Mazzon
Ajith K. Siriwardena
Salvatore Cuzzocrea
author_facet Giuseppe Malleo
Emanuela Mazzon
Ajith K. Siriwardena
Salvatore Cuzzocrea
author_sort Giuseppe Malleo
collection DOAJ
description A considerable body of experimental evidence suggests that tumor necrosis factor (TNF)-α plays a major role in several aspects of inflammation and shock. In particular, it is pivotal in many detrimental effects of acute pancreatitis, and it represents a major determinant of the systemic progression and end-organ damage (such as acute lung injury and liver failure) of this pathologic condition. Given the importance of TNF-α in the pathogenesis of acute pancreatitis, investigators have regarded blocking the action of this mediator as an attractive treatment option. Different specific and nonspecific inhibitors have been developed with promising results in animal models, but, on the other hand, no clinical trials have been designed so far. Difficulties in clinical applications may be multifactorial; experimental models are not fully reliable and reproduce at least some aspects of human disease, timing of intervention should be related to changes in TNF-α serum levels, and inclusion criteria should be accurately selected to better define the population most likely to benefit.
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issn 1537-744X
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record_format Article
series The Scientific World Journal
spelling doaj-art-a96eb6d95386455cbcb1ad86fe42a4282025-02-03T01:32:53ZengWileyThe Scientific World Journal1537-744X2007-01-01743144810.1100/tsw.2007.98TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental ModelsGiuseppe Malleo0Emanuela Mazzon1Ajith K. Siriwardena2Salvatore Cuzzocrea3Department of Clinical, Experimental Medicine and Pharmacology, School of Medicine, University of Messina, ItalyDepartment of Clinical, Experimental Medicine and Pharmacology, School of Medicine, University of Messina, ItalyDepartment of Surgery, Hepatobiliary Unit, Manchester Royal Infirmary, Manchester, UKDepartment of Clinical, Experimental Medicine and Pharmacology, School of Medicine, University of Messina, ItalyA considerable body of experimental evidence suggests that tumor necrosis factor (TNF)-α plays a major role in several aspects of inflammation and shock. In particular, it is pivotal in many detrimental effects of acute pancreatitis, and it represents a major determinant of the systemic progression and end-organ damage (such as acute lung injury and liver failure) of this pathologic condition. Given the importance of TNF-α in the pathogenesis of acute pancreatitis, investigators have regarded blocking the action of this mediator as an attractive treatment option. Different specific and nonspecific inhibitors have been developed with promising results in animal models, but, on the other hand, no clinical trials have been designed so far. Difficulties in clinical applications may be multifactorial; experimental models are not fully reliable and reproduce at least some aspects of human disease, timing of intervention should be related to changes in TNF-α serum levels, and inclusion criteria should be accurately selected to better define the population most likely to benefit.http://dx.doi.org/10.1100/tsw.2007.98
spellingShingle Giuseppe Malleo
Emanuela Mazzon
Ajith K. Siriwardena
Salvatore Cuzzocrea
TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental Models
The Scientific World Journal
title TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental Models
title_full TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental Models
title_fullStr TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental Models
title_full_unstemmed TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental Models
title_short TNF-α as a Therapeutic Target in Acute Pancreatitis — Lessons from Experimental Models
title_sort tnf α as a therapeutic target in acute pancreatitis lessons from experimental models
url http://dx.doi.org/10.1100/tsw.2007.98
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