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  4. The Role of Tumor Necrosis Factor Following Spinal Cord Injury: A Systematic Review

The Role of Tumor Necrosis Factor Following Spinal Cord Injury: A Systematic Review

Cellular and Molecular Neurobiology, 2023 · DOI: https://doi.org/10.1007/s10571-022-01229-0 · Published: May 23, 2022

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

This review examines the role of tumor necrosis factor (TNF) after spinal cord injury (SCI), focusing on its impact on inflammation and potential as a therapeutic target. SCI triggers an inflammatory response, with TNF playing a central role. The review analyzes TNF's expression, cellular sources, and the effects of TNF manipulation on SCI outcomes. The findings suggest TNF inhibition could be a promising therapeutic option for SCI, but the complexity of TNF's role requires careful consideration of timing and specificity in treatment strategies.

Study Duration
Not specified
Participants
Experimental SCI models: rodents, rabbits, and zebrafish
Evidence Level
Systematic Review

Key Findings

  • 1
    TNF expression increases rapidly after SCI in resident cells (neurons, astrocytes, oligodendrocytes, and microglia) and macrophages, underscoring its involvement in the inflammatory response.
  • 2
    The review indicates that TNF inhibition is a promising therapeutic option.
  • 3
    Studies show that TNF levels increase with the severity of the SCI, suggesting it as a possible biomarker for assessing SCI outcomes.

Research Summary

This systematic review provides an overview of the literature on the temporal and cellular expression of TNF after SCI and clarifies the potential for its therapeutic manipulation in SCI. Overall, TNF expression increased rapidly after SCI, within the first hours, in resident cells (neurons, astrocytes, oligodendrocytes, and microglia) and again in macrophages in the chronic phase after injury. This review concludes that TNF plays a significant role in the inflammatory response after SCI and suggests that targeting TNF signaling is a feasible therapeutic approach.

Practical Implications

Therapeutic Targeting

Targeting TNF signaling after SCI could be a useful therapeutic approach.

Biomarker Potential

TNF levels could serve as a biomarker for assessing the severity and prognosis of SCI.

Personalized Treatment

Age-related differences in TNF expression suggest the need for personalized therapeutic strategies.

Study Limitations

  • 1
    Heterogeneity in SCI models and species used in the included studies.
  • 2
    The small population analyzed in the human study.
  • 3
    Variations in timing and methodologies used to measure TNF expression.

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