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Cited by 746

The DOI matches its Crossref record; 238 of the 238 references it cites were found in a registry or an index.

Tumor necrosis factor in the heart

Meldrum, Daniel R.·1998·American Journal of Physiology-Regulatory, Integrative and Comparative Physiology

Abstract

The heart is a tumor necrosis factor (TNF)-producing organ. Both myocardial macrophages and cardiac myocytes themselves synthesize TNF. Accumulating evidence indicates that myocardial TNF is an autocrine contributor to myocardial dysfunction and cardiomyocyte death in ischemia-reperfusion injury, sepsis, chronic heart failure, viral myocarditis, and cardiac allograft rejection. Indeed, locally (vs. systemically) produced TNF contributes to postischemic myocardial dysfunction via direct depression of contractility and induction of myocyte apoptosis. Lipopolysaccharide or ischemia-reperfusion activates myocardial P38 mitogen-activated protein (MAP) kinase and nuclear factor kappa B, which lead to TNF production. TNF depresses myocardial function by nitric oxide (NO)-dependent and NO-independent (sphingosine dependent) mechanisms. TNF activation of TNF receptor 1 or Fas may induce cardiac myocyte apoptosis. MAP kinases and TNF transcription factors are feasible targets for anti-TNF (i.e., cardioprotective) strategies. Endogenous anti-inflammatory ligands, which trigger the gp130 signaling cascade, heat shock proteins, and TNF-binding proteins, also control TNF production and activity. Thus modulation of TNF in cardiovascular disease represents a realistic goal for clinical medicine.

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Crossref · 10.1152/ajpregu.1998.274.3.r577

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Metadata

Authors
Meldrum, D. R.
Venue
American Journal of Physiology-Regulatory, Integrative and Comparative Physiology
Published
1998-03-01
Volume
274
Issue
3
Pages
R577-R595
ISSN
  • 0363-6119 (ISSN-L)
  • 1522-1490
OpenAlex
W2182141197
Cited by
746
References
238
FWCI
24.24
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Tumor necrosis factor in the heart. https://app.cochat.ai/papers/10.1152/ajpregu.1998.274.3.r577
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Meldrum, D. R. (1998). Tumor necrosis factor in the heart. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology. https://doi.org/10.1152/ajpregu.1998.274.3.r577

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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