PMID- 24115841 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211021 IS - 1178-6264 (Print) IS - 1178-6264 (Electronic) IS - 1178-6264 (Linking) VI - 2008 DP - 2008 Jul 22 TI - Targeted Cancer Therapy with Tumor Necrosis Factor-Alpha. PG - 15-21 AB - Tumor necrosis factor-alpha (TNF-alpha), a member of the TNF superfamily, was the first cytokine to be evaluated for cancer biotherapy. However, the clinical use of TNF-alpha is severely limited by its toxicity. Currently, TNF-alpha is administered only through locoregional drug delivery systems such as isolated limb perfusion and isolated hepatic perfusion. To reduce the systemic toxicity of TNF-alpha, various strategies have been explored over the last several decades. This review summarizes current state-of-the-art targeted cancer therapy using TNF-alpha. Passive targeting, cell-based therapy, gene therapy with inducible or tissue-specific promoters, targeted polymer-DNA complexes, tumor pre-targeting, antibody-TNF-alpha conjugate, scFv/TNF-alpha fusion proteins, and peptide/TNF-alpha fusion proteins have all been investigated to combat cancer. Many of these agents are already in advanced clinical trials. Molecular imaging, which can significantly speed up the drug development process, and nanomedicine, which can integrate both imaging and therapeutic components, has the potential to revolutionize future cancer patient management. Cooperative efforts from scientists within multiple disciplines, as well as close partnerships among many organizations/entities, are needed to quickly translate novel TNF-alpha-based therapeutics into clinical investigation. FAU - Cai, Weibo AU - Cai W AD - Departments of Radiology and Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, U.S.A. ; University of Wisconsin Paul P. Carbone Comprehensive Cancer Center, Madison, Wisconsin, U.S.A. FAU - Kerner, Zachary J AU - Kerner ZJ FAU - Hong, Hao AU - Hong H FAU - Sun, Jiangtao AU - Sun J LA - eng GR - P30 CA014520/CA/NCI NIH HHS/United States PT - Journal Article PL - England TA - Biochem Insights JT - Biochemistry insights JID - 101549953 PMC - PMC3792586 MID - NIHMS518109 OTO - NOTNLM OT - TNF superfamily OT - cancer therapy OT - fusion protein OT - gene therapy OT - targeted delivery OT - tumor necrosis factor-alpha (TNF-alpha) EDAT- 2008/07/22 00:00 MHDA- 2008/07/22 00:01 PMCR- 2013/10/08 CRDT- 2013/10/12 06:00 PHST- 2013/10/12 06:00 [entrez] PHST- 2008/07/22 00:00 [pubmed] PHST- 2008/07/22 00:01 [medline] PHST- 2013/10/08 00:00 [pmc-release] PST - ppublish SO - Biochem Insights. 2008 Jul 22;2008:15-21.