The relationship between body weight and inflammation: Lesson from anti-TNF-α antibody therapy

Hum Immunol. 2016 Jan;77(1):47-53. doi: 10.1016/j.humimm.2015.10.008. Epub 2015 Oct 22.

Abstract

Obesity is associated with many pathological conditions. Tumor Necrosis Factor-α (TNF-α) is one of the key mediators of inflammation involved in the obesity-related insulin resistance development. We aim to review the human evidence useful to clarify the relationship between inflammation and body weight, with particular reference to TNF-α. Genetic polymorphisms and epigenetic factors, such as diet, could affect TNF-α activity. TNF-α is associated with obesity, but also with anorexia and cachexia. Despite the role of TNF-α in obesity-related diseases, anti-TNF-α antibody therapy is associated with an increase in adiposity. In conclusion the reviewed results suggest that inflammation is more likely a consequence rather than a cause of obesity.

Keywords: Anti-TNF-α antibody therapy; Body weight; Cachexia; Obesity.

Publication types

  • Review

MeSH terms

  • Adiposity / drug effects
  • Adiposity / genetics
  • Animals
  • Antibodies / therapeutic use*
  • Body Weight*
  • Epigenesis, Genetic / genetics
  • Genetic Predisposition to Disease
  • Humans
  • Immunotherapy*
  • Inflammation / immunology*
  • Inflammation / therapy
  • Obesity / immunology*
  • Obesity / therapy
  • Polymorphism, Genetic
  • Tumor Necrosis Factor-alpha / genetics
  • Tumor Necrosis Factor-alpha / immunology
  • Tumor Necrosis Factor-alpha / metabolism*

Substances

  • Antibodies
  • Tumor Necrosis Factor-alpha