Cited by 72Rheumatoid Arthritis Research and TherapiesCytokine Signaling Pathways and InteractionsNF-κB Signaling Pathways

Selective inhibition of Tumor necrosis factor receptor-1 (TNFR1) for the treatment of autoimmune diseases

Zhang, Nan, Wang, Ziyi, Zhao, Yongxing·2020·Cytokine & Growth Factor Reviews

Abstract

Anti-TNF biologics have achieved great success in the treatment of autoimmune diseases and have been the most selling biologics on market. However, the anti-TNF biologics have shown some disadvantages such as poor efficacy to some patients and high risk of infection and malignancies during clinical application. Current anti-TNF biologics are antibodies or antibody fragments that bind to TNF-α and subsequently block both TNF-TNFR1 and TNF-TNFR2 signaling. Transgenic animal studies indicate that TNFR1 signaling is responsible for chronic inflammation and cell apoptosis whereas TNFR2 signaling regulates tissue regeneration and inflammation. Recent studies propose to selectively inhibit TNFR1 to enhance efficacy and avoid side effects. In this review, we introduce the biology of TNF-TNFR1 and TNF-TNFR2 signaling, the advantages of selective inhibition of TNF-TNFR1 signaling and research updates on the development of selective inhibitors for TNF-TNFR1 signaling. Antibodies, small molecules and aptamers that selectively inhibit TNFR1 have showed therapeutic potential and less side effects in preclinical studies. Development of selective inhibitors for TNFR1 is a good strategy to enhance the efficacy and reduce the side effects of anti-TNF inhibitors and will be a trend for next-generation of anti-TNF inhibitors.

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Crossref · 10.1016/j.cytogfr.2020.03.002

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Authors
Zhang, N., Wang, Z., & Zhao, Y.
Affiliations
Zhengzhou University (CN)
Corresponding author
Zhao, Yongxing
Venue
Cytokine & Growth Factor Reviews
Publisher
Elsevier BV
Published
2020-10
Volume
55
Pages
80-85
ISSN
1359-6101 (ISSN-L)
OpenAlex
W3015830230
Cited by
72
References
94
Citations by year
2026: 14 · 2025: 16 · 2024: 12 · 2023: 12 · 2022: 15 · 2021: 2 · 2020: 1
FWCI
1.17
Type
journal article
Language
en
Open access
closed
Locations
  • Cytokine & Growth Factor Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Natural Science Foundation of China
Topics
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
  • Health Sciences › Medicine › Oncology › Cytokine Signaling Pathways and Interactions
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
Keywords
tumor necrosis factor receptor 1, TNFR1 signaling, anti-TNF biologics, autoimmune disease, chronic inflammation, apoptosis, tissue regeneration, antibody fragments, small molecule inhibitors, aptamers
MeSH terms
Tumor Necrosis Factor Inhibitors, Animals, Autoimmune Diseases, Humans, Inflammation, Tumor Necrosis Factor-alpha, Receptors, Tumor Necrosis Factor, Type I, Receptors, Tumor Necrosis Factor, Type II

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