Detection and localization of tumor necrosis factor in human atheroma

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Abstract

Tumor necrosis factor (TNF) is a secretory product of normal macrophages that can cause cell necrosis, new blood vessel formation and thrombosis. These are also 3 characteristic features of the progression of stable atheroma to endothelial disruption. Accordingly, an immunohistochemical method was developed to detect TNF in human tissue. Using this method TNF positivity was demonstrated in 57 of 65 (88%) of tissue sections classified as atherosclerotic and in 5 of 11 (45%) sections classified as minimally atherosclerotic. TNF was absent in 6 sections classified as normal. TNF positivity was found not only in the cytoplasm of macrophages, but also in the cytoplasm and attached to the cell membrane of smooth muscle cells and endothelial cells of the human atheroma. Because TNF is known to cause new vessel formation, hemorrhagic necrosis and increased thrombogenecity, it may play a role in the evolution of uncomplicated to complex atheroma.

References (26)

  • MP Bevilacqua et al.

    Recombinant tumor necrosis factor induces procoagulant activity in cultured human vascular endothelium: characterization and comparison with the actions of interleukin 1

  • MI Cybulsky et al.

    Biology of disease. Acute inflammation and microthrombosis induced by endotoxin, interleukin-1, and tumor necrosis factor and their implication in gram-negative infection

    Lab Invest

    (1988)
  • AC Barger et al.

    Hypothesis: vasa vasorum and neovascularization of human coronary arteries. A possible role in pathophysiology of atherosclerosis

    N Engl J Med

    (1984)
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