Tumour necrosis factor-alpha (TNF), originally discovered by its antitumor
activity, is one of the most pleotropic cytokines acting as a host defence
factor in immunologic and inflammatory responses. Although the antitumour a
ctivity and mediation of inflammation by TNF could be beneficial to the hos
t, unregulated TNF is now known to be the basis for development of various
diseases including septic shock, the wasting disease, cachexia, and various
inflammatory and/or autoimmune diseases. With an attempt to find potential
therapeutic agents for TNF-mediated diseases, research during the last dec
ade has led in the identification of well over one hundred natural inhibito
rs of either TNF production/secretion or function. This review summarises t
he structures, mechanism of action and therapeutic potential of these natur
al products.