Anti-TNF therapeutics for the treatment of sarcoidosis

Heleen A. Crommelin*, Adriane D.M. Vorselaars, Coline H.M. Van Moorsel, Ingrid H.E. Korenromp, Vera H.M. Deneer, Jan C. Grutters

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Sarcoidosis is a systemic disease with an incidence of 1 to 40 per 100 000 persons per year. It predominantly affects people in the age of 20 to 40 years old. Disease course varies from mild self-limiting to chronic debilitating and life-threatening disease. Since the cause of sarcoidosis is unknown, curative therapy is not available. Immunosuppressive drugs may, however, control the symptoms of the disease. The hallmark of sarcoidosis is the formation of granulomas that are most commonly found in lungs and lymph nodes. As TNF plays an important role in both formation and maintenance of these granulomas, as well as in the immune response, anti-TNF biologicals such as infliximab and adalimumab are considered a last resort therapeutic option. Clinical effectiveness, however, varies considerably and data showing which patients would benefit most from this expensive therapy are scarce. This review summarizes current knowledge on anti-TNF therapeutics in sarcoidosis, and describes insights on prediction of response, outcome measures and antibody development.

Original languageEnglish
Pages (from-to)1127-1143
Number of pages17
JournalImmunotherapy
Volume6
Issue number10
DOIs
Publication statusPublished - 1 Jan 2014

Keywords

  • adalimumab
  • apremilast
  • etanercept
  • immune-mediated inflammatory disease
  • infliximab
  • pentoxifylline
  • sarcoidosis
  • thalidomide
  • TNF

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