What is TNF Alpha and what secretes it?
Pro inflam cytokine:
- activates macrophages & neut
- responds to gram -ve bacteria
- T-cell activation
- anti tumour effects
Secreted by macrophages
What does TNF alpha bind to?
p55 and p75 causing apoptosis
List some TNF alpha inhibitors
Infliximab
Etanercept
Adalimumab
Golimumab
Adverse effects of TNF alpha inhibitors?
Reactivation of latent TB
Demyelination