Bb. Aggarwal, Tumour necrosis factors receptor associated signalling molecules and theirrole in activation of apoptosis, JNK and NF-kappa B, ANN RHEUM D, 59, 2000, pp. 6-16
Tumour necrosis factor (TNF) is a pleiotropic cytokine that mediates apopto
sis, cell proliferation, immunomodulation, inflammation, viral replication,
allergy, arthritis, septic shock, insulin resistance, autoimmune diseases,
and other pathological conditions. TNF transduces these cellular responses
through two distinct receptors: type I, which are expressed on all cell ty
pes, and type II, which are expressed only on cells of the immune system an
d endothelial cells. At the cellular level, these receptors activate the pa
thways leading to the activation of transcription factors NF-kappaB and AP-
1, apoptosis and proliferation, and mitogen activated protein kinases. None
of these receptors exhibit am enzymatic activity but the signals are trans
mitted through the recruitment of more than a dozen different signalling pr
oteins, which together form signalling cascades. Inhibitors of TNF signalli
ng have therapeutic value as indicated by the approval of the soluble TNF r
eceptors and anti-TNF antibodies for rheumatoid arthritis and for inflammat
ory bowl disease.