Tumor necrosis factor (TNF) is widely accepted to be the mediator of the ca
scade of metabolic abnormalities associated with both critical and chronic
illness. TNF binding to cell surface receptors mediates its physiologic act
ions, although the exact mechanism of TNF action is unknown. Therefore, thi
s study was designed to investigate the in vivo metabolism of TNF using a m
athematical model to examine tissue uptake and loss of TNF over time. Two d
istinct patterns of TNF uptake were observed. Muscle tissues were found to
accumulate TNF over the entire experimental period, whereas the visceral or
gans were found to have a rapid initial accumulation of TNF followed by a r
apid loss of TNF back to the plasma or out into the bile or the urine. Thes
e patterns of TNF binding and retention may reflect the number of TNF recep
tors or their affinity for TNF, as well as the balance between cell surface
and soluble TNF receptors. Furthermore, TNF binding patterns provide insig
ht into the biologic action of TNF at these sites. Copyright (C) 2000 by W.
B. Saunders Company.