Biologics beyond TNF-α inhibitors and the effect of targeting the homologues TL1A-DR3 pathway in chronic inflammatory disorders

Peter Tougaard, Kristoffer Alexander Zervides, Søren Skov, Axel Kornerup Hansen, Anders Elm Pedersen

Publikation: Bidrag til tidsskriftReviewForskningpeer review

16 Citationer (Scopus)

Abstract

A number of anti-tumor necrosis factor alpha (TNF-α) biologics have been developed in recent years, such as adalimumab, etanercept, and infliximab for the treatment of chronic inflammatory disorders like rheumatoid arthritis (RA), inflammatory bowel disease (IBD), and psoriasis and several other novel drugs that target TNF-α signaling are still being developed. Indeed, blockade of this pathway seems so important amongst immune-targets that TNF-α targeted therapies will continue to have a significant role in the treatment of chronic inflammation. However, up to 40% of RA and IBD patients do not respond to anti-TNF-α treatment and one possible explanation may be the heterogeneity of chronic inflammatory diseases and a dominance of other significant TNF family members. Indeed, polymorphisms in the TNF family member, TL1A gene, is associated with the development of IBD and increased serum concentrations of TL1A has been demonstrated in patients with various chronic inflammatory disorders. Here, we describe the current knowledge of TL1As immunobiology and present results from human disease, animal models, and pre-clinical intervention studies that point toward development of anti-TL1A therapy as a highly promising strategy for treatment of chronic inflammatory disorders.
OriginalsprogEngelsk
TidsskriftImmunopharmacology and Immunotoxicology
Vol/bind38
Udgave nummer1
Sider (fra-til)29-38
Antal sider10
ISSN0892-3973
DOI
StatusUdgivet - feb. 2016

Citationsformater