PMID- 12825458 OWN - NLM STAT- MEDLINE DCOM- 20030721 LR - 20041117 IS - 1367-6733 (Print) IS - 1367-6733 (Linking) VI - 4 IP - 5 DP - 2001 Sep TI - Mechanisms for modulating TNF alpha in immune and inflammatory disease. PG - 635-50 AB - The development of tumor necrosis factor-alpha (TNF alpha) inhibitors has been one of the most active areas of drug development over the last ten years for the treatment of inflammatory diseases. Following the definition of TNF alpha as a key mediator of inflammatory disease and the success demonstrated by various anti-TNF alpha strategies in the treatment of rheumatoid arthritis and inflammatory bowel disease, many investigators have sought to refine mechanisms by which to modulate TNF alpha in vivo. Many advances are presently being made in the understanding of how TNF alpha production is regulated, and with this knowledge comes the identification of new targets and pathways for therapeutic intervention. Here, we review the development of the currently available therapeutics and the progressive steps that are being made to improve clinical efficacy of anti-TNF alpha strategies. FAU - Baugh, J A AU - Baugh JA AD - Picower Institute for Medical Research, 350 Community Drive, Manhasset, NY 11030, USA. FAU - Bucala, R AU - Bucala R LA - eng PT - Journal Article PT - Review PL - England TA - Curr Opin Drug Discov Devel JT - Current opinion in drug discovery & development JID - 100887519 RN - 0 (Adjuvants, Immunologic) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adjuvants, Immunologic/*pharmacology MH - Animals MH - Anti-Inflammatory Agents/*pharmacology MH - Humans MH - Immune System Diseases/*drug therapy MH - Inflammation/*drug therapy MH - Receptors, Tumor Necrosis Factor/antagonists & inhibitors MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/biosynthesis/genetics RF - 145 EDAT- 2003/06/27 05:00 MHDA- 2003/07/23 05:00 CRDT- 2003/06/27 05:00 PHST- 2003/06/27 05:00 [pubmed] PHST- 2003/07/23 05:00 [medline] PHST- 2003/06/27 05:00 [entrez] PST - ppublish SO - Curr Opin Drug Discov Devel. 2001 Sep;4(5):635-50.