PMID- 17202130 OWN - NLM STAT- MEDLINE DCOM- 20070614 LR - 20220331 IS - 0022-2275 (Print) IS - 0022-2275 (Linking) VI - 48 IP - 4 DP - 2007 Apr TI - The role of TNF-alpha in chronic inflammatory conditions, intermediary metabolism, and cardiovascular risk. PG - 751-62 AB - The recent insight that inflammation contributes to the development of atherosclerosis and type 2 diabetes mellitus constitutes a major breakthrough in understanding the mechanisms underlying these conditions. In addition, it opens the way for new therapeutic approaches that might eventually decrease the prevalence of these public health problems. Tumor necrosis factor-alpha (TNF-alpha) has been shown to play a key role in these processes and thus might be a potential therapeutic target. Increased concentrations of TNF-alpha are found in acute and chronic inflammatory conditions (e.g., trauma, sepsis, infection, rheumatoid arthritis), in which a shift toward a proatherogenic lipid profile and impaired glucose tolerance occurs. Although therapeutic blockade of TNF-alpha worsens the prognosis in patients with abscesses and granulomatous infections, this strategy is highly beneficial in the case of chronic inflammatory conditions, including rheumatoid arthritis. Current investigations assessing the impact of anti-TNF agents on intermediary metabolism suggest that TNF-alpha blockade may improve insulin resistance and lipid profiles in patients with chronic inflammatory diseases. FAU - Popa, Calin AU - Popa C AD - Department of General Internal Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. FAU - Netea, Mihai G AU - Netea MG FAU - van Riel, Piet L C M AU - van Riel PL FAU - van der Meer, Jos W M AU - van der Meer JW FAU - Stalenhoef, Anton F H AU - Stalenhoef AF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20070102 PL - United States TA - J Lipid Res JT - Journal of lipid research JID - 0376606 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Cardiovascular Diseases/*etiology MH - Chronic Disease MH - Humans MH - Inflammation/*etiology MH - *Lipid Metabolism MH - Risk MH - Tumor Necrosis Factor-alpha/*physiology RF - 114 EDAT- 2007/01/05 09:00 MHDA- 2007/06/15 09:00 CRDT- 2007/01/05 09:00 PHST- 2007/01/05 09:00 [pubmed] PHST- 2007/06/15 09:00 [medline] PHST- 2007/01/05 09:00 [entrez] AID - S0022-2275(20)43428-5 [pii] AID - 10.1194/jlr.R600021-JLR200 [doi] PST - ppublish SO - J Lipid Res. 2007 Apr;48(4):751-62. doi: 10.1194/jlr.R600021-JLR200. Epub 2007 Jan 2.