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Structural Biology of the TNF? Antagonists Used in the Treatment of Rheumatoid Arthritis.


ABSTRACT: The binding of the tumor necrosis factor ? (TNF?) to its cognate receptor initiates many immune and inflammatory processes. The drugs, etanercept (Enbrel®), infliximab (Remicade®), adalimumab (Humira®), certolizumab-pegol (Cimzia®), and golimumab (Simponi®), are anti-TNF? agents. These drugs block TNF? from interacting with its receptors and have enabled the development of breakthrough therapies for the treatment of several autoimmune inflammatory diseases, including rheumatoid arthritis, Crohn's disease, and psoriatic arthritis. In this review, we describe the latest works on the structural characterization of TNF?-TNF? antagonist interactions related to their therapeutic efficacy at the atomic level. A comprehensive comparison of the interactions of the TNF? blockers would provide a better understanding of the molecular mechanisms by which they neutralize TNF?. In addition, an enhanced understanding of the higher order complex structures and quinary structures of the TNF? antagonists can support the development of better biologics with the improved pharmacokinetic properties. Accumulation of these structural studies can provide a basis for the improvement of therapeutic agents against TNF? for the treatment of rheumatoid arthritis and other autoimmune inflammatory diseases in which TNF? plays an important role in pathogenesis.

SUBMITTER: Lim H 

PROVIDER: S-EPMC5877629 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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Structural Biology of the TNFα Antagonists Used in the Treatment of Rheumatoid Arthritis.

Lim Heejin H   Lee Sang Hyung SH   Lee Hyun Tae HT   Lee Jee Un JU   Son Ji Young JY   Shin Woori W   Heo Yong-Seok YS  

International journal of molecular sciences 20180307 3


The binding of the tumor necrosis factor α (TNFα) to its cognate receptor initiates many immune and inflammatory processes. The drugs, etanercept (Enbrel<sup>®</sup>), infliximab (Remicade<sup>®</sup>), adalimumab (Humira<sup>®</sup>), certolizumab-pegol (Cimzia<sup>®</sup>), and golimumab (Simponi<sup>®</sup>), are anti-TNFα agents. These drugs block TNFα from interacting with its receptors and have enabled the development of breakthrough therapies for the treatment of several autoimmune inflam  ...[more]

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