Abstract
Tumor necrosis factor alpha (TNF-α), a multifunctional cytokine of ~17 kDa composed of 157 amino acids, was initially identified as a macrophage-derived serum protein mediating necrosis of solid tumors in mice and lysis of several types of transformed cells in vitro. Indeed, recombinant tumor necrosis factor alpha (rTNF-α) has potent antitumor activity in experimental studies on human tumor xenografts. However, in humans, the administration of rTNF-α is hampered by severe systemic side effects, with the maximum tolerated dose being at least tenfold less than the effective dose in animals [14]. Thus, systemic treatment with TNF has not become a viable treatment modality for common human cancers. Isolated perfusion of the limbs allows the delivery of high-dose rTNF-α in a closed system with acceptable side effects, and several studies have shown that TNF-α, in combination with other agents such as melphalan, does possess activity against certain human tumors in vivo [12, 20].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Agarwal P, Oldenburg MC, Czarneski JE, Morse RM, Hameed MR, Cohen S, Fernandes H (2000) Comparison study for identifying promoter allelic polymorphism in interleukin 10 and tumor necrosis factor alpha genes. Diagn Mol Pathol 9: 158–164
Baumgartner SW (2000) Tumor necrosis factor inactivation in the management of rheumatoid arthritis. South Med J 93: 753–759
Braun J, Marz W, Winkelmann BR, Donner H, Henning Usadel K, Badenhoop K (1998) Tumour necrosis factor ß alleles an hyperinsulinaemia in coronary artery disease. Eur J Clin Invest 28: 538–542
Cabrera M, Shaw MA, Sharpies C, Williams H, Castes M, Convit J, Blackwell JM (1995) Polymorphism in tumor necrosis factor genes associated with mucocutaneous leishmaniasis. J Exp Med 182: 1259–1264
Castro J, Telleria JJ, Linares P, Blanco-Quiros A (2000) Increased TNFA*2, but not TNFB*1, allele frequency in Spanish atopic patients. J Investig Allergol Clin Immunol 10: 149–154
Conway DJ, Holland MJ, Bailey RL, Campbell AE, Mandi OS, Jennings R, Mbena E, Mabey DC (1997) Scarring trachoma is associated with polymorphism in the tumor necrosis factor alpha (TNF-alpha) gene promoter and with elevated TNF-alpha levels in tear fluid. Infect Immun 65: 1003–1006
Flach R, Majetschak M, Heukamp T, Jennissen V, Flohe S, Borgermann J, Obertacke U, Schade FU (1999) Relation of ex vivo stimulated blood cytokine synthesis to post-traumatic sepsis. Cytokine 11: 173–178
Helmy N, Bestmann L, Garofalo F, Maly FE (2000) Tumor necrosis factor alpha polymorphism G-238A is associated with sepsis after trauma (abstract). Shock 13 [Suppl]: 486
Hohler T, Kruger A, Gerken G, Schneider PM, Meyer zum Buschenefelde KH, Rittner C (1998) A tumor necrosis factor-alpha (TNF-alpha) promoter polymorphism is associated with chronic hepatitis B infection. Clin Exp Immunol 111: 579–582
Hohler T, Kruger A, Gerken G, Schneider PM, Meyer zum Buschenfelde KH, Rittner C (1998) Tumor necrosis factor alpha promoter polymorphism at position -238 is associated with chronic active hepatitis C infection. J Med Virol 54: 173–177
Kaluza W, Reuss E, Grossmann S, Hug R, Schopf RE, Galle PR, Maerker-Hermann E, Hoehler T (2000) Different transcriptional activity and in vitro TNF-alpha production in psoriasis patients carrying the TNF-alpha 238A promoter polymorphism. J Invest Dermatol 114: 1180–1183
Lejeune F, Lienard D, Eggermont A, Schraffordt Koops H, Rosenkaimer F, Gerain J, Klaase J, Kroon B, Vanderveken J, Schmitz P (1995) Administration of high-dose tumor necrosis factor alpha by isolation perfusion of the limbs. Rationale and results. J Infus Chemother 5: 73–81
Li Kam Wa TC, Mansur AH, Britton J, Williams G, Pavord I, Richards K, Campbell DA, Morton N, Holgate ST, Morrison JF (1999) Association between -308 tumour necrosis factor promoter polymorphism and bronchial hyperreactivity in asthma. Clin Exp Allergy 29: 1204–1208
Lienard D, Eggermont AM, Koops HS, Kroon B, Towse G, Hiemstra S, Schmitz P, Clarke J, Steinmann G, Rosenkaimer F, Lejeune FJ (1999) Isolated limb perfusion with tumour necrosis factor-alpha and melphalan with or without interferon-gamma for the treatment of in-transit melanoma metastases: a multicentre randomized phase II study. Melanoma Res 9: 491–502
Louis E, Franchimont D, Piron A, Gevaert Y, Schaaf-Lafontaine N, Roland S, Mahieu P, Malaise M, De Groote D, Louis R, Belaiche J (1998) Tumour necrosis factor (TNF) gene polymorphism influences TNF-a production in lipopolysaccharide (LPS)-stimulated whole blood cell culture in healthy humans. Clin Exp Immunol 113: 401–406
Mabbott NA, Williams A, Farquhar CF, Pasparakis M, Kollias G, Bruce ME (2000) Tumor necrosis factor alpha-deficient, but not interleukin-6-deficient, mice resist peripheral infection with scrapie. J Virol 74: 3338–3344
McGarry F, Walker R, Sturrock R, Field M (1999) The -308.1 polymorphism in the promoter region of the tumor necrosis factor gene is associated with ankylosing spondylitis independent of HLA-B27. J Rheumatol 26: 1110–1116
Mira JP, Cariou A, Grall F, Delclaux C, Losser MR, Heshmati F, Cheval C, Monchi M, Teboul JL, Riche F, Leleu G, Arbibe L, Mignon A, Delpech M, Dhainaut JF (1999) Association of TNF2, a TNF-alpha promoter polymorphism, with septic shock susceptibility and mortality: a multicenter study. JAMA 282: 561–568
Nedwin GE, Naylor SL, Sakaguchi AY, Smith D, Jarrett-Nedwin J, Pennica D, Goeddel DV, Gray PW (1985) Human lymphotoxin and tumor necrosis factor genes: structure, homology and chromosomal localization. Nucleic Acids Res 13: 6361–6373
Olieman AF, Lienard D, Eggermont AM, Kroon BB, Lejeune FJ, Hoekstra HJ, Koops HS (1999) Hyperthermic isolated limb perfusion with tumor necrosis factor alpha, interferon gamma, and melphalan for locally advanced nonmelanoma skin tumors of the extremities: a multicenter study. Arch Surg 134: 303–307
Rood MJ, van Krugten MV, Zanelli E, van der Linden MW, Keijsers V, Schreuder GM, Verduyn W, Westendorp RG, de Vries RR, Breedveld FC, Verweij CL, Huizinga TW (2000) TNF-308A and HLA-DR3 alleles contribute independently to susceptibility to systemic lupus erythematosus. Arthritis Rheum 43: 129–134
Rosen HR, Lentz JJ, Rose SL, Rabkin J, Corless CL, Taylor K, Chou S (1999) Donor polymorphism of tumor necrosis factor gene: relationship with variable severity of hepatitis C recurrence after liver transplantation. Transplantation 68: 1898–1902
Ruddle NH (1999) Lymphoid neo-organogenesis: lymphotoxin’s role in inflammation and development. Immunol Res 19: 119–125
Skeie GO, Pandey JP, Aarli JA, Gilhus NE (1999) TNFA and TNFB polymorphisms in myasthenia gravis. Arch Neurol 56: 457–461
Sriskandan S, Moyes D, Lemm G, Cohen J (1996) Lymphotoxin-alpha (TNF-beta) during sepsis. Cytokine. 8: 933–937
Stuber F, Udalova IA, Book M, Drutskaya LN, Kuprash DV, Turetskaya RL, Schade FU, Nedospasov SA (1996) -308 tumor necrosis factor (TNF) polymorphism is not associated with survival in severe sepsis and is unrelated to lipopolysaccharide inducibility of the human TNF promoter. J Inflamm 46: 42–50
Stuebner F, Petersen M, Bokelmann F, Schade U (1996) A genomic polymorphism within the tumor necrosis factor locus influences plasma tumor necrosis factor-a concentrations and outcome of patients with severe sepsis. Crit Care Med 24: 381–384
Trabetti E, Patuzzo C, Malerba G, Galavotti R, Martinati LC, Boner AL, Pignatti PF (1999) Association of a lymphotoxin alpha gene polymorphism and atopy in Italian families. J Med Genet 36: 323–325
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Bestmann, L., Helmy, N., Garofalo, F., Demirtas, A., Vonderschmitt, D., Maly, F.E. (2002). LightCycler PCR for the Polymorphisms -308 and -238 in the TNF Alpha Gene and for the TNFB1/B2 Polymorphism in the LT Alpha Gene. In: Dietmaier, W., Wittwer, C., Sivasubramanian, N. (eds) Rapid Cycle Real-Time PCR — Methods and Applications. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59397-0_11
Download citation
DOI: https://doi.org/10.1007/978-3-642-59397-0_11
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63965-4
Online ISBN: 978-3-642-59397-0
eBook Packages: Springer Book Archive