Therapy: Paradoxical effects of targeting TNF signalling in the treatment of autoimmunity.

Chen, Xin; Oppenheim, Joost J · Nat Rev Rheumatol · 2016

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Abstract

Adalimumab, an anti-TNF monoclonal antibody used to treat rheumatoid arthritis and other autoimmune disorders, paradoxically enhances the capacity of TNF to expand TNF receptor type II-expressing regulatory T cells. This provocative finding opens a new avenue for exploring the mechanisms that underlie efficacy, non-responsiveness and adverse effects associated with therapeutic targeting of TNF signalling.

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