PMID- 28337644 OWN - NLM STAT- MEDLINE DCOM- 20170817 LR - 20240324 IS - 1534-6293 (Electronic) IS - 1528-4042 (Print) IS - 1528-4042 (Linking) VI - 17 IP - 4 DP - 2017 Apr TI - CNS Demyelination with TNF-alpha Blockers. PG - 36 LID - 10.1007/s11910-017-0742-1 [doi] LID - 36 AB - Tumor necrosis factor-alpha (TNF-alpha) blockers are a popular therapeutic choice in a number of inflammatory diseases. Thus far, five TNF- alpha blockers have been approved for clinical use (etanercept, infliximab, adalimumab, golimumab. and certolizumab). Despite being considered relatively safe, serious side effects associated with immune suppression have been reported, including central and peripheral nervous system (CNS) demyelinating disorders. It is still elusive whether these events are mere coincidence or a side effect of anti-TNF-alpha use. In this paper, we review the published case reports of CNS demyelination associated with anti-TNF-alpha therapy and present the follow-up of our 4 previously reported patients who developed neurologic symptoms suggestive of CNS demyelination after having received anti-TNF-alpha treatment. We also discuss the possible role of TNF-alpha blockers in demyelination. FAU - Kemanetzoglou, Elissavet AU - Kemanetzoglou E AD - Department of Neurology, Agii Anargiri General Oncological Hospital of Kifissia, Athens, Greece. AD - 1st Department of Neurology, Athens National and Kapodistrian University, Aeginition Hospital, 74, Vas. Sophia's Ave, Athens, Greece. FAU - Andreadou, Elisabeth AU - Andreadou E AD - 1st Department of Neurology, Athens National and Kapodistrian University, Aeginition Hospital, 74, Vas. Sophia's Ave, Athens, Greece. eandread@med.uoa.gr. LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Neurol Neurosci Rep JT - Current neurology and neuroscience reports JID - 100931790 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Demyelinating Diseases/*drug therapy MH - Humans MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors PMC - PMC5364240 OTO - NOTNLM OT - Anti-TNF-alpha OT - Demyelination OT - Multiple sclerosis OT - Tumor necrosis factor COIS- CONFLICT OF INTEREST: Elissavet Kemanetzoglou and Elisabeth Andreadou declare that they have no conflict of interest. HUMAN AND ANIMAL RIGHTS AND INFORMED CONSENT: This article does not contain any studies with human or animal subjects performed by any of the authors. EDAT- 2017/03/25 06:00 MHDA- 2017/08/18 06:00 PMCR- 2017/03/21 CRDT- 2017/03/25 06:00 PHST- 2017/03/25 06:00 [entrez] PHST- 2017/03/25 06:00 [pubmed] PHST- 2017/08/18 06:00 [medline] PHST- 2017/03/21 00:00 [pmc-release] AID - 10.1007/s11910-017-0742-1 [pii] AID - 742 [pii] AID - 10.1007/s11910-017-0742-1 [doi] PST - ppublish SO - Curr Neurol Neurosci Rep. 2017 Apr;17(4):36. doi: 10.1007/s11910-017-0742-1.