PMID- 25473153 OWN - NLM STAT- MEDLINE DCOM- 20150903 LR - 20181113 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 20 IP - 43 DP - 2014 Nov 21 TI - Risk of infections associated with biological treatment in inflammatory bowel disease. PG - 16014-9 LID - 10.3748/wjg.v20.i43.16014 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha) inhibitors are biological agents introduced in the late 1990s for the treatment of different immune-mediated diseases as inflammatory bowel disease, rheumatoid arthritis and psoriasis. The most commonly used TNF-alpha antagonists are infliximab, adalimumab, and certolizumab pegol, and though highly effective in lowering inflammation, the efficacy must be weighed against the potential for adverse events. The treatment-induced immunosuppression is suspected to increase the risk of infections, including the risk of reactivation of latent tuberculosis, as the TNF-alpha cytokine plays an important role in the immune function. In this topic highlight a short overview of the infection risk associated with TNF-alpha inhibiter therapy is outlined with a focus on the overall risk of serious infections, mycobacterial infection and latent viral infections. FAU - Andersen, Nynne Nyboe AU - Andersen NN AD - Nynne Nyboe Andersen, Tine Jess, Department of Epidemiology Research, Statens Serum Institut, DK-2300 Copenhagen, Denmark. FAU - Jess, Tine AU - Jess T AD - Nynne Nyboe Andersen, Tine Jess, Department of Epidemiology Research, Statens Serum Institut, DK-2300 Copenhagen, Denmark. LA - eng PT - Journal Article PT - Review PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Biological Products) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Anti-Inflammatory Agents/*adverse effects MH - Biological Products/*adverse effects MH - Humans MH - *Immunocompromised Host MH - Inflammatory Bowel Diseases/diagnosis/*drug therapy/immunology MH - Latent Tuberculosis/chemically induced/immunology/microbiology MH - Opportunistic Infections/*chemically induced/diagnosis/immunology/microbiology/virology MH - Prognosis MH - Risk Assessment MH - Risk Factors MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors MH - Virus Diseases/chemically induced/immunology/virology PMC - PMC4239487 OTO - NOTNLM OT - Biological treatment OT - Crohn's disease OT - Infections OT - Inflammatory bowel disease OT - Risk OT - Tumor necrosis factor-alpha inhibitors OT - Ulcerative colitis EDAT- 2014/12/05 06:00 MHDA- 2015/09/04 06:00 PMCR- 2014/11/21 CRDT- 2014/12/05 06:00 PHST- 2014/06/19 00:00 [received] PHST- 2014/07/28 00:00 [revised] PHST- 2014/09/05 00:00 [accepted] PHST- 2014/12/05 06:00 [entrez] PHST- 2014/12/05 06:00 [pubmed] PHST- 2015/09/04 06:00 [medline] PHST- 2014/11/21 00:00 [pmc-release] AID - 10.3748/wjg.v20.i43.16014 [doi] PST - ppublish SO - World J Gastroenterol. 2014 Nov 21;20(43):16014-9. doi: 10.3748/wjg.v20.i43.16014.