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Blutwerte · Marker

TNF-alpha

Tumor Necrosis Factor Alpha · TNF-alpha · TNFa

EntzündungsmarkerZeitabhängig
Einheit:
pg/mL
Abbreviation
TNF-a

TNF-alpha quantifies the concentration of the pro-inflammatory cytokine tumor necrosis factor-alpha in the blood.

Reference Ranges

Reference
0.5–5pg/mL
0.5
5
LowNormalHigh
Reference
Unit · pg/mL

Reference ranges may vary based on laboratory standards and assay methods.

Overview

Übersicht

Tumor Necrosis Factor Alpha (TNF-alpha) is a pro-inflammatory cytokine primarily produced by macrophages, monocytes, and other immune cells. It plays a critical role in the body's immune response by mediating inflammation and apoptosis. Clinically, TNF-alpha is significant in the pathogenesis of several autoimmune and inflammatory diseases, including rheumatoid arthritis, psoriasis, and inflammatory bowel diseases. Elevated levels are often associated with chronic inflammatory conditions and certain cancers. In the context of athletic performance and biohacking, TNF-alpha levels can reflect the body's inflammatory status, potentially impacting recovery and performance. However, its modulation must be approached cautiously, as both excessive and insufficient TNF-alpha activity can have adverse effects. Researchers have observed that factors such as time of day, fasting status, and acute infections can influence TNF-alpha levels, which should be considered when interpreting results.

Klinische Bedeutung

Elevated TNF-alpha levels indicate increased inflammatory activity, often seen in autoimmune diseases, chronic infections, and certain cancers. Reduced levels may suggest impaired immune function.

Dynamics

Trend Interpretation

Rising Values

Progressively rising TNF-alpha levels suggest worsening inflammation or disease activity; consider re-testing in 4-6 weeks.

Falling Values

Falling levels may indicate effective treatment or resolution of inflammation.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Chronic inflammatory diseases
  • Autoimmune disorders
  • Infections
  • Obesity
  • Cancer
  • Stress
Cause

Low Levels

  • Immunosuppressive therapy
  • Malnutrition
  • Chronic stress
  • Certain genetic conditions
Protocol

How to Optimize

Lever

Lifestyle

  • Regular physical activity
  • Stress management techniques
  • Adequate sleep
Lever

Nutrition

  • Anti-inflammatory diet
  • Omega-3 fatty acids
  • Rich in fruits and vegetables
Lever

Supplementation

  • Curcumin
  • Resveratrol
  • Omega-3 supplements

Note:

Consult a healthcare provider before starting new supplements, especially if on medication.

Testing Guidelines

✓Fasting Not Required
🕐Time-Sensitive

TNF-alpha levels may vary throughout the day; morning samples are preferred for consistency.

Testing Frequency

Annually for individuals with chronic inflammatory conditions or as advised by a healthcare provider.

Interfering Factors

  • Recent infections
  • Acute stress
  • Medication use

Related Peptides & Hormones

Interleukin 6

Correlated with

hormone or peptide

Open Research Questions

Current research suggests that the optimal reference ranges and targets for TNF-alpha in various diseases remain debated, particularly in autoimmune disorders and cancer. Researchers have not yet established the specific confounders affecting TNF-alpha levels, such as comorbidities or treatment history. Additionally, clinical questions remain unanswered regarding the predictive value of TNF-alpha as a biomarker for treatment responsiveness in diverse patient populations.

48 Research Publications

1,076

Total Citations

13

Human/RCT

2.2

Avg. Influence

2025

Latest

Sort
Filter
#01

Salivary IL-8, IL-6 and TNF-α as Potential Diagnostic Biomarkers for Oral Cancer.

UnknownInfluence5.0
169
Researchers reviewed the potential of salivary cytokines, including TNF-α, as diagnostic biomarkers for oral cancer. They noted that elevated levels of these cytokines are associated with cancer progression. The study suggests that saliva could be a cost-effective medium for early detection of oral squamous cell carcinoma.
View on PubMed
#02

Past, Present and (Foreseeable) Future of Biological Anti-TNF Alpha Therapy.

ReviewInfluence4.0
158
This study reviewed the development and applications of anti-TNF-alpha therapies, which have significantly improved treatment for autoimmune diseases like rheumatoid arthritis and Crohn's disease. Researchers found that biomarkers predicting responsiveness to these therapies are under investigation, with potential future applications in other conditions such as viral infections and cancer.
View on PubMed
#03

Prospective Roles of Tumor Necrosis Factor-Alpha (TNF-α) in COVID-19: Prognosis, Therapeutic and Management.

ReviewInfluence1.0
85
This study reviewed the role of TNF-alpha in COVID-19, noting its association with severe disease outcomes. Researchers found that high levels of TNF-alpha contribute to lung injury and respiratory failure, proposing it as a potential biomarker for prognosis in severe COVID-19 cases.
View on PubMed
#04

Myeloperoxidase and Neurological Disorder: A Crosstalk.

ReviewInfluence2.0
83
Researchers explored the role of myeloperoxidase (MPO) in neuroinflammation and its connection to TNF-alpha. They found that MPO can increase TNF-alpha levels, contributing to inflammation and oxidative stress in neurological disorders, suggesting MPO as a potential biomarker for diagnosis.
View on PubMed
#05

Oxidative stress and biomarker of TNF-α, MDA and FRAP in hypertension.

HumanInfluence4.0
62
This study explored the relationship between TNF-α levels and hypertension. Researchers found significantly elevated TNF-α levels in hypertensive patients compared to healthy controls, indicating its role in hypertension-related oxidative stress. The findings suggest that TNF-α could be a relevant biomarker in hypertension management.
View on PubMed
#06

Chemerin in inflammatory diseases.

ReviewInfluence1.0
57
Researchers summarized the role of chemerin and TNF-alpha in obesity-related inflammatory diseases. They found that elevated levels of TNF-alpha are associated with various inflammatory conditions, suggesting its potential as a biomarker for both benign and malignant tumors.
View on PubMed
#07

Hypothyroidism and Risk of Cardiovascular Disease.

ReviewInfluence3.0
43
This review focused on the relationship between hypothyroidism and cardiovascular disease, noting that TNF-alpha levels are elevated in patients with hypothyroidism. Researchers found that this inflammation contributes to atherosclerosis and plaque instability, highlighting the importance of managing thyroid hormone levels.
View on PubMed
#08

Association between Serum TNF-α Levels and Recurrent Spontaneous Miscarriage: A Meta-analysis.

Meta-AnalysisInfluence2.0
41
Researchers conducted a meta-analysis to assess the link between serum TNF-α levels and recurrent spontaneous miscarriage (RSM). They found that TNF-α levels were significantly higher in RSM patients compared to controls, suggesting a potential role of TNF-α in miscarriage risk. The study highlights the need for standardized testing methods.
View on PubMed
#09

TNFα and Immune Checkpoint Inhibition: Friend or Foe for Lung Cancer?

UnknownInfluence2.0
39
Researchers explored the dual roles of TNF-α in lung cancer, noting its potential to promote both tumor survival and immune response. They highlighted the importance of the balance between TNF-α forms and receptors in cancer progression. The study calls for further research into TNF-α as a biomarker for lung cancer treatment.
View on PubMed
#10

Tumor necrosis factor-α and diabetic retinopathy: Review and meta-analysis.

Meta-Analysis
34
Researchers conducted a meta-analysis to assess the relationship between TNF-alpha levels and diabetic retinopathy (DR). They found no significant difference in TNF-alpha levels between DR patients and healthy controls, but noted significant associations in specific subgroups. The study suggests that TNF-alpha could be a candidate biomarker for DR.
View on PubMed

Clinical Trials (4)

4

Total Trials

329

Total Enrolled

INVESTIGATION OF THE EFFECT OF DIFFERENT ACTIVATION TECHNIQUES ON TLR9, IL6, IL10, TNF-ALFA LEVELS IN HEALTHY AND TYPE 2 DIABETIC PATIENTS WITH APICAL PERIODONTITIS REQUIRING RETREATMENT

NCT07389772ENROLLING_BY_INVITATION
Sponsor

bengisu yüksel

Enrollment

90

Started

2026

Primary outcome

TLR9 expression levels in periapical exudate and gingival crevicular fluid samples

Type 2 Diabetes

Safety and Efficacy Study of Etanercept for Aneurysmal Subarachnoid Hemorrhage

NCT01865630Phase 1WITHDRAWN
Sponsor

Unity Health Toronto

Enrollment

0

Started

2021

Primary outcome

Safety, blood brain barrier (BBB) permeability and potential efficacy of the TNFa antagonist, etanercept, in humans with subarachnoid hemorrhage (SAH).

Subarachnoid Hemorrhage, Aneurysmal

Study of Docosahexaenoic Acid (DHA) in Triple Negative Breast Cancer Survivors

NCT01849250Phase 2COMPLETED
Sponsor

National Cancer Institute (NCI)

Enrollment

65

Started

2013

Primary outcome

Normal Breast Tissue Expression of Tumor Necrosis Factor Alpha (TNF-alpha) Levels

Benign Breast NeoplasmDuctal Breast Carcinoma In SituInvasive Breast CarcinomaLobular Breast Carcinoma In SituPaget Disease of the BreastStage IA Breast CancerStage IB Breast CancerStage IIA Breast CancerStage IIB Breast CancerStage IIIA Breast CancerStage IIIB Breast CancerStage IIIC Breast Cancer

The Relationship Between Aortic Pulse Wave, Aortic Calcification and Peripheral Artery Occlusion Disease in Peritoneal Dialysis Patients

NCT01945203COMPLETED
Sponsor

National Taiwan University Hospital

Enrollment

174

Started

2011

Primary outcome

Evaluate the associations between aortic pulse wave, ankle-brachial index, aortic calcification and blood/serum biochemical markers, such as MPO, MMP-9, IL-6, adiponectin, TNF-alpha, of the patients in prevalent peritoneal dialysis patients.

End-stage Renal DiseasePeritoneal DialysisAortic CalcificationPeripheral Artery OcclusionCardiovascular Disease

Publication Trend

Research publications about TNF-alpha over time

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3
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2
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