TNF Gene Complete Identifier and Functional Mapping Reference

Provide a comprehensive cross-database identifier and functional mapping reference for human TNF — a definitive lookup resource covering: ### Section …

Provide a comprehensive cross-database identifier and functional mapping reference for human TNF — a definitive lookup resource covering: ### Section 1: Gene identifiers For human gene TNF, list ALL gene-level database identifiers. Required: - HGNC ID and approved symbol - Ensembl gene ID (ENSG...) - NCBI Entrez Gene ID - OMIM gene/locus ID - Genomic location: chromosome, start position, end position, strand (GRCh38) ### Section 2: Transcript identifiers For human gene TNF, list ALL transcript-level identifiers. Required: - Ensembl transcripts: ALL ENST IDs with biotype. Total count. - RefSeq transcripts: ALL NM_ mRNA accessions. Mark which is MANE Select. - CCDS IDs. - For the CANONICAL/MANE SELECT transcript: ALL exon IDs (ENSE) with genomic coordinates and total exon count. ### Section 3: Protein identifiers For human gene TNF protein product(s), list ALL protein-level identifiers. Required: - UniProt accessions: ALL entries (reviewed and unreviewed). Mark the canonical reviewed entry. - RefSeq protein: ALL NP_ accessions. - Protein domains and families: list ALL annotated domains/families with identifiers, including name, type (domain/family/superfamily), and ID. - Antibody availability: known antibody resources for the protein. ### Section 4: Structure For human gene TNF protein, list ALL structural data. Required: - Experimental structures: ALL PDB IDs. For each: experimental method (X-ray/NMR/Cryo-EM) and resolution. Total count. - Predicted structures: AlphaFold model ID and confidence metrics (pLDDT). ### Section 5: Cross-species orthologs For human gene TNF, list orthologous genes in key model organisms. Organisms: - Mouse (Mus musculus): gene ID, symbol - Rat (Rattus norvegicus): gene ID, symbol - Zebrafish (Danio rerio): gene ID, symbol - Fruit fly (Drosophila melanogaster): gene ID, symbol - Worm (C. elegans): gene ID, symbol - Yeast (S. cerevisiae): gene ID, symbol ### Section 6: Clinical variants & AI predictions For human gene TNF, summarize clinical variants and AI predictions. Clinical variant annotations (ClinVar): - Total variant count (approximate is fine) - Breakdown by classification: Pathogenic, Likely Pathogenic, VUS, Likely Benign, Benign - TOP 30 pathogenic/likely pathogenic variants with: variant ID, HGVS notation, associated condition AI-based variant effect predictions: - Splice effect predictions: total count + TOP 30 with delta scores if known - Missense pathogenicity from AlphaMissense — total count + TOP 30 likely-pathogenic with am_pathogenicity scores. ### Section 7: Pathways & Gene Ontology For human gene TNF, list biological pathways and Gene Ontology annotations. Pathway membership: - ALL biological pathways this gene participates in, with pathway IDs and names - Total pathway count Gene Ontology: - Biological Process: count and TOP 20 terms with GO IDs - Molecular Function: count and TOP 20 terms with GO IDs - Cellular Component: count and TOP 20 terms with GO IDs ### Section 8: Protein interactions & networks For human gene TNF protein, summarize protein interactions and networks. Protein-protein interactions (STRING, IntAct, BioGRID, etc.): - Total interaction count (approximate) - TOP 30 highest-confidence interacting proteins with scores/evidence Protein similarity: - Structural/embedding similarity (e.g. Foldseek, ESM): TOP 20 similar proteins with scores - Sequence homology: TOP 20 homologous proteins with identity/similarity ### Section 9: Transcription factor regulatory data For human gene TNF, summarize transcription factor regulatory data. If TNF is a transcription factor: - Downstream targets: total count + TOP 30 with regulation type (activates/represses) and evidence - DNA binding motifs from JASPAR — all known motif IDs and motif family classification. Regardless: - Upstream regulators: TFs that regulate TNF — names with evidence type (ChIP-seq / predicted / experimentally validated) If TNF is not a transcription factor, say so briefly and skip the downstream/motif sections. ### Section 10: Drug & pharmacology data For human gene TNF protein as a drug target, summarize pharmacology data. If TNF is a known drug target: - Targeting molecules: total count in ChEMBL/DrugBank + TOP 30 by development phase (molecule ID, name, mechanism, highest phase) - Clinical trials: TOP 20 involving drugs targeting this gene — trial ID, phase, status, intervention - Pharmacogenomics: known drug-gene interactions affecting drug response + dosing guidelines if any If TNF is not currently a drug target, say so briefly. ### Section 11: Expression profiles For human gene TNF, summarize expression profiles. Tissue expression (GTEx, HPA, Bgee, etc.): - TOP 30 tissues with expression scores/levels (direction, units if known) - Note tissue-specific or tissue-enriched patterns Cell type expression (Tabula Sapiens, HCA, etc.): - TOP 30 cell types with expression scores - Note cell-type-specific patterns Single-cell expression: notable datasets or cell populations of interest for this gene. ### Section 12: Disease associations For human gene TNF, summarize disease associations. Mendelian / monogenic disease: - Diseases caused by mutations in TNF: disease name, disease ID (OMIM/Orphanet/Mondo), inheritance pattern, evidence level - Include all directly linked conditions Phenotype associations: - Clinical phenotypes associated with the gene (HPO terms where known) - TOP 30 phenotype terms with HPO IDs Complex-disease / GWAS: - Traits and diseases significantly associated via GWAS: trait name, variant, effect size, study where known - TOP 30 GWAS associations

TNF

Executive summary

TNF (tumor necrosis factor, HGNC:11892) is a master pro-inflammatory cytokine encoded on chromosome 6 and one of the most clinically actionable genes in immunology. Its protein (UniProt P01375) forms a compact 4-exon gene and signals through two cognate receptors, TNFR1 and TNFR2, driving NF-κB activation, apoptosis, and a broad cytokine cascade involving IL-1β, IL-6, and IFN-γ. Expression is highest in myeloid cells — granulocytes, monocytes, and bone marrow — and is transcriptionally controlled by 248 upstream regulators including NF-κB, STAT1/3, and AP-1. TNF is an exceptionally well-validated drug target with 1,875 molecules in ChEMBL and 7 approved agents, led by adalimumab (439 trials) and infliximab (340 trials), used across rheumatoid arthritis, IBD, and psoriasis. It is a VIP pharmacogene in PharmGKB, with 128 variant annotations — notably the promoter polymorphisms −308G/A and −238G/A — linked to variable therapeutic response. GWAS evidence connects the TNF locus to ulcerative colitis (p = 5.0e-65), inflammatory bowel disease, Crohn’s disease, and asthma, cementing its centrality in complex immune-mediated disease.

Gene identifiers

IdentifierValue
HGNC IDHGNC:11892
Approved SymbolTNF
Ensembl Gene IDENSG00000232810
Entrez Gene ID7124
OMIM ID191160
Chromosome6
Start Position (GRCh38)31,575,565
End Position (GRCh38)31,578,336
Strand+

Transcript identifiers

Ensembl Transcripts (2 total)

Transcript IDBiotype
ENST00000449264protein_coding
ENST00000699334protein_coding

RefSeq Transcripts

RefSeq IDTypeMANE Select
NM_000594mRNA

CCDS

CCDS ID
CCDS4702

Canonical Transcript: ENST00000449264 (Exons)

Exon IDStartEndLength
ENSE0000193915731,575,56531,575,927363 bp
ENSE0000161004431,576,53431,576,57946 bp
ENSE0000169167231,576,76731,576,81448 bp
ENSE0000193337531,577,11631,578,3361,221 bp

Total exon count: 4

Protein identifiers

UniProt accessions

  • P01375CANONICAL (reviewed SwissProt entry)
  • A0A8V8TNL2 (unreviewed TrEMBL)
  • Q5STB3 (unreviewed/secondary)

RefSeq protein (NP_)

  • NP_000585 (MANE select, reviewed)

Protein domains and families

IDNameTypeDatabase
IPR002959Tumour necrosis factor alphaFamilyInterPro
IPR006052Tumour necrosis factor domainDomainInterPro
IPR006053Tumour necrosis factorFamilyInterPro
IPR008983Tumour necrosis factor-like domain superfamilyHomologous superfamilyInterPro
IPR021184Tumour necrosis factor, conserved siteConserved siteInterPro
PF00229TNF domainDomainPfam
SM00207TNF domainDomainSMART
CD00184TNF domainDomainCDD
SSF49842TNF-like superfamilySuperfamilySUPERFAMILY

Antibody resources

9 therapeutic antibodies targeting TNF:

  1. Adalimumab (Whole mAb, G1, Active)
  2. Brivekimig1 (Trispecific, Active)
  3. Certolizumab (Fab, G1, Active)
  4. Golimumab (Whole mAb, G1, Active)
  5. Infliximab (Whole mAb, G1, NFD)
  6. Licaminlimab (scFv, Active)
  7. Ozoralizumab (Bispecific, NFD)
  8. Placulumab (VL+Fc, G1, Discontinued)
  9. Remtolumab (Bispecific Dual VD IG, Discontinued)

Structure

Experimental Structures

Total PDB entries: 50

X-ray Diffraction (44 structures):

  • 1A8M (2.3 Å), 1TNF (2.6 Å), 2A25 (2.1 Å), 2E7A (1.8 Å), 2TUN (3.1 Å), 2ZJC (2.5 Å), 2ZPX (2.83 Å)
  • 3ALQ (3.0 Å), 3IT8 (2.8 Å), 3L9J (2.1 Å), 3WD5 (3.101 Å)
  • 4G3Y (2.6 Å), 4TSV (1.8 Å), 4TWT (2.85 Å), 4Y6O (1.6 Å)
  • 5M2I (2.15 Å), 5M2J (1.9 Å), 5M2M (2.3 Å), 5MU8 (3.0 Å), 5TSW (2.5 Å), 5UUI (1.4 Å), 5WUX (2.9 Å), 5YOY (2.727 Å)
  • 6OOY (2.5 Å), 6OOZ (2.8 Å), 6OP0 (2.55 Å), 6RMJ (2.65 Å)
  • 6X81 (2.81 Å), 6X82 (2.75 Å), 6X83 (2.83 Å), 6X85 (2.85 Å), 6X86 (2.93 Å)
  • 7JRA (2.1 Å), 7KP9 (2.15 Å), 7KPA (2.3 Å), 7KPB (3.0 Å), 7TA3 (2.5 Å), 7TA6 (2.67 Å)
  • 8Z8M (2.59 Å), 9BN7 (1.92 Å), 9DJW (3.43 Å), 9OJO (1.358 Å), 9OJS (1.849 Å), 9OJY (2.158 Å), 9OK6 (2.776 Å)

Solution NMR (4 structures):

  • 7ASY, 7AT7, 7ATB, 7QLF (transmembrane helix conformations)

Electron Microscopy (1 structure):

  • 8ZUI (2.56 Å)

Predicted Structures

AlphaFold Model:

  • Model ID: P01375 (human TNF)
  • Global pLDDT Score: 84.72 (high confidence)
  • Fraction with pLDDT > 70: 0.63 (63% very high confidence regions)

Cross-species orthologs

OrganismGene IDGene Symbol
Mouse (Mus musculus)MGI:104798Tnf
Rat (Rattus norvegicus)RGD:3876Tnf
Zebrafish (Danio rerio)nonenone
Fruit fly (Drosophila melanogaster)nonenone
Worm (C. elegans)nonenone
Yeast (S. cerevisiae)nonenone

Clinical variants & AI predictions

Clinical Variants (ClinVar)

Total variants: 26

ClassificationCount
Pathogenic3
Likely Pathogenic0
VUS / Uncertain Significance13
Likely Benign4
Benign / Likely Benign1
Benign1
Risk Factor2
Protective1
Drug Response1

Top Pathogenic/Likely Pathogenic Variants:

Variant IDHGVSCondition
12386NM_000594.4:c.322C>T (p.Arg108Trp)TNF receptor binding, altered
12385L29STNF receptor binding, altered
3362893TNF, 20-BP INS, NT190Immunodeficiency 127 (autosomal recessive)

AI-Based Variant Effect Predictions

SpliceAI Predictions

  • Total variants: 205 splice predictions
  • Effect types: donor_gain, donor_loss, acceptor_gain, acceptor_loss
  • Score range: 0.20–1.00

Top 30 scored predictions:

PositionEffectScore
6:31575924:AGAG:Adonor_gain1.00
6:31575925:GAG:Gdonor_gain1.00
6:31575925:GAGG:Gdonor_gain1.00
6:31575926:AG:Adonor_gain1.00
6:31575927:GG:Gdonor_gain1.00
6:31575928:G:GGdonor_gain1.00
6:31576580:G:GGdonor_gain1.00
6:31576532:A:AGacceptor_gain1.00
6:31576533:G:GGacceptor_gain1.00
6:31575922:G:Tdonor_gain0.99
6:31575923:AAGAG:Adonor_gain0.99
6:31575924:AGAGG:Adonor_loss1.00
6:31575925:GAGGT:Gdonor_loss1.00
6:31575927:GGTG:Gdonor_loss1.00
6:31575929:T:Gdonor_loss0.94
6:31576528:CAACA:Cacceptor_gain0.94
6:31576529:A:AGacceptor_gain0.95
6:31576578:CAG:Cacceptor_loss0.98
6:31576579:AGT:Aacceptor_loss0.98
6:31576580:GTA:Gacceptor_loss0.98
6:31576533:G:Tacceptor_gain0.88
6:31576572:GGCA:Gdonor_gain0.98
6:31576573:GCAG:Gdonor_gain0.98
6:31575679:C:Tdonor_gain0.84
6:31576578:C:Adonor_gain0.83
6:31575784:G:GTdonor_gain0.83
6:31575602:C:Gdonor_gain0.74
6:31575922:G:GTdonor_gain0.74
6:31576445:GGC:Gdonor_gain0.61
6:31576573:GCA:Gdonor_gain0.60

AlphaMissense Pathogenicity Predictions

  • Total variants: 176 total (100+ likely_pathogenic)
  • Filter: likely_pathogenic variants

Top 30 likely-pathogenic variants (by AM pathogenicity score):

PositionVariantAM Pathogenicity Score
6:31575869:G:AG43D0.978
6:31576803:C:AA90D0.991
6:31576805:C:GH91D0.988
6:31576805:C:TH91Y0.955
6:31576806:A:CH91P0.956
6:31576806:A:GH91R0.971
6:31576807:T:AH91Q0.983
6:31576807:T:GH91Q0.983
6:31576809:T:AV92D0.988
6:31576802:G:CA90P0.984
6:31576805:C:AH91N0.969
6:31576865:G:CA42P0.788
6:31576866:C:AA42E0.914
6:31575761:T:CI7T0.906
6:31575841:A:CS34R0.906
6:31575843:C:AS34R0.906
6:31575843:C:GS34R0.906
6:31577140:T:AL102H0.934
6:31577116:C:AA94E0.947
6:31575872:C:AA44D0.949
6:31576805:C:AH91N0.969
6:31575871:G:CA44P0.865
6:31575761:T:GI7S0.844
6:31575759:G:AM6I0.836
6:31575759:G:CM6I0.836
6:31575759:G:TM6I0.836
6:31576808:G:TV92F0.842
6:31576802:G:AA90T0.821
6:31576800:T:AV89E0.821
6:31576803:C:TA90V0.821

Pathways & Gene Ontology

Reactome Pathways (10)

IDPathway Name
R-HSA-75893TNF signaling
R-HSA-5357786TNFR1-induced proapoptotic signaling
R-HSA-5357905Regulation of TNFR1 signaling
R-HSA-5357956TNFR1-induced NF-kappa-B signaling pathway
R-HSA-5626978TNFR1-mediated ceramide production
R-HSA-5668541TNFR2 non-canonical NF-kB pathway
R-HSA-381340Transcriptional regulation of white adipocyte differentiation
R-HSA-6783783Interleukin-10 signaling
R-HSA-6785807Interleukin-4 and Interleukin-13 signaling
R-HSA-9942503Differentiation of naive CD+ T cells to T helper 1 cells (Th1 cells)

MSigDB Gene Sets (100)

TNF participates in 100 gene sets including inflammatory response (GO:0006954), immune response (GO:0006955), and NF-kappaB signaling pathway annotations.


Gene Ontology Annotations

Biological Process: 99 terms
TOP 20:

GO IDTerm
GO:0006954inflammatory response
GO:0006955immune response
GO:0043123positive regulation of canonical NF-kappaB signal transduction
GO:0007249canonical NF-kappaB signal transduction
GO:0033209tumor necrosis factor-mediated signaling pathway
GO:0043065positive regulation of apoptotic process
GO:0008625extrinsic apoptotic signaling pathway via death domain receptors
GO:0032755positive regulation of interleukin-6 production
GO:0032731positive regulation of interleukin-1 beta production
GO:0032757positive regulation of interleukin-8 production
GO:0050729positive regulation of inflammatory response
GO:0010744positive regulation of macrophage derived foam cell differentiation
GO:0045672positive regulation of osteoclast differentiation
GO:0030316osteoclast differentiation
GO:0002281macrophage activation involved in immune response
GO:0043410positive regulation of MAPK cascade
GO:0001819positive regulation of cytokine production
GO:0032722positive regulation of chemokine production
GO:0007254JNK cascade
GO:0046330positive regulation of JNK cascade

Molecular Function: 8 terms

GO IDTerm
GO:0005125cytokine activity
GO:0005164tumor necrosis factor receptor binding
GO:0048018receptor ligand activity
GO:0038177death receptor agonist activity
GO:0000976transcription cis-regulatory region binding
GO:0042802identical protein binding
GO:0002020protease binding
GO:0140072histone H3K9ac reader activity

Cellular Component: 9 terms

GO IDTerm
GO:0005576extracellular region
GO:0005615extracellular space
GO:0009986cell surface
GO:0005886plasma membrane
GO:0009897external side of plasma membrane
GO:0045121membrane raft
GO:0001891phagocytic cup
GO:0055037recycling endosome
GO:0043025neuronal cell body

Protein interactions & networks

Protein-Protein Interactions (STRING, IntAct, BioGRID)

Total Interaction Count:

  • STRING: ~10,273 interaction pairs
  • BioGRID: 631 physical/genetic interactions
  • IntAct: 212 curated binary interactions

TOP 30 Highest-Confidence Interacting Proteins:

RankUniProt IDProtein NameSTRING Score (evidence)Interaction Type
1P19438TNF Receptor Superfamily Member 1A (TNFRSF1A/TNFR1)9484 refsDirect receptor
2Q9Y4K3TNF Receptor-Associated Factor 6 (TRAF6)4234 refsSignal transduction
3P01584Interleukin-1 beta (IL-1β)8488 refsCytokine crosstalk
4P05231Interleukin-6 (IL-6)9188 refsCytokine crosstalk
5P01579Interferon gamma (IFN-γ)7348 refsCytokine crosstalk
6P19838Nuclear Factor NF-kappa-B p105 (NFKB1)9484 refsTranscription factor
7P02751Fibronectin7594 refsExtracellular matrix
8P01730T-cell surface glycoprotein CD48138 refsImmune cell interaction
9P20333TNF Receptor Superfamily Member 1B (TNFRSF1B/TNFR2)2574 refsDirect receptor
10P22301Interleukin-10 (IL-10)6126 refsAnti-inflammatory cytokine
11O00220TNF Receptor Superfamily Member 10A (TNFRSF10A/DR4)1943 refsDeath receptor
12P13500C-C Motif Chemokine 2 (CCL2)5672 refsChemokine crosstalk
13P01732T-cell surface glycoprotein CD8 alpha (CD8A)6570 refsImmune cell interaction
14O14763TNF Receptor Superfamily Member 10B (TNFRSF10B/DR5)2176 refsDeath receptor
15Q04206Transcription Factor p65 (NFKB3)5896 refsTranscription factor
16P48023TNF Ligand Superfamily Member 6 (FASL)4069 refsApoptosis ligand
17P01583Interleukin-1 alpha (IL-1α)5063 refsCytokine crosstalk
18O00206Toll-like Receptor 4 (TLR4)6826 refsPattern recognition receptor
19P10145Interleukin-8 (IL-8)5340 refsChemokine crosstalk
20P25445TNF Receptor Superfamily Member 6 (FAS/TNFRSF6)2638 refsDeath receptor
21Q15628TNF Receptor Type 1-Associated DEATH Domain Protein (TRADD)1806 refsSignal transduction
22P08887Interleukin-6 Receptor Subunit Alpha (IL-6R)2716 refsReceptor for IL-6
23P14778Interleukin-1 Receptor Type 1 (IL1R1)2743 refsCytokine receptor
24P05112Interleukin-4 (IL-4)4899 refsTh2 cytokine
25P25942TNF Receptor Superfamily Member 5 (CD40)3416 refsCo-stimulatory receptor
26Q13158FAS-Associated Death Domain Protein (FADD)3372 refsSignal transduction
27P50591TNF Ligand Superfamily Member 10 (TRAIL)2598 refsApoptosis ligand
28P01585Interleukin-2 (IL-2)6356 refsT-cell growth factor
29Q16552Interleukin-17A (IL-17A)4092 refsPro-inflammatory cytokine
30P78507Unknown1700 refsUnknown

Protein Similarity

Structural/Embedding Similarity (ESM2, ~77 similar proteins):

Top 20 structurally/embedding-similar proteins:

  1. O35734, O77510, O77764 (TNF orthologs - different species)
  2. P01374 (Lymphotoxin-alpha)
  3. P04924 (Lymphotoxin-beta)
  4. P06804 (TNF Ligand Superfamily Member 11/RANKL)
  5. P13296 (TNF Ligand Superfamily Member 4/OX40L)
  6. P16599 (TNF Ligand Superfamily Member 5/CD40L)
  7. P19101 (TNF Ligand Superfamily Member 7/CD27L)
  8. P23383 (TNF Ligand Superfamily Member 8/GITRL)
  9. P23563 (TNF Ligand Superfamily Member 9/4-1BBL)
  10. P29553, P29965, P33620 (Additional TNF superfamily members)
  11. P36939, P36940 (TNF superfamily ligands)
  12. P48094, P48023 (TNF ligand superfamily members)
  13. P51435, P51742, P51743 (TNF superfamily ligands)
  14. P59684-P59695 (TNF superfamily ligands)
  15. P79337, P79374 (TNF-like ligands)
  16. Q06599, Q06600 (TNF-related cytokines)
  17. Q9BDM3, Q9BDM7, Q9BDN1, Q9BDN3 (TNF superfamily ligands)

Sequence Homology (Diamond/BLAST, 78 total):

Top 20 sequence homologous proteins (TNF superfamily members):

  1. P01374 (Lymphotoxin-alpha)
  2. P04924 (Lymphotoxin-beta)
  3. P06804 (RANKL/TNFSF11)
  4. P09225, P10154 (TNF superfamily members)
  5. P13296, P16599 (TNFSF4, CD40L/TNFSF5)
  6. P19101 (TNF Ligand Superfamily Member 7)
  7. P23383, P23563 (TNFSF8, TNFSF9/4-1BBL)
  8. P26445 (TNF superfamily member)
  9. P29553, P33620 (TNF superfamily ligands)
  10. P36939, P36940 (TNF superfamily members)
  11. P41047 (TNF superfamily ligand)
  12. P48023 (FAS ligand/TNFSF6)
  13. P48094 (TNF superfamily member)
  14. P51435, P51742, P51743 (TNF superfamily ligands)
  15. P59684, P59693-P59695 (TNF superfamily members)
  16. P61125 (TNF-related weak inducer of apoptosis/TWEAK)
  17. P63304-P63308 (TNF superfamily members)
  18. Q9BDM3 (TNF superfamily ligand)

Key Observations:

  • TNF interactors primarily involve its two cognate receptors (TNFR1, TNFR2) and major signaling adaptors (TRAF proteins, TRADD, FADD)
  • Strong interactions with inflammation-related cytokines (IL-1, IL-6, IFN-γ, IL-8) indicating cooperative immune activation
  • Integration with NF-κB and MAPK signaling cascades via p105/p65
  • Death receptor superfamily cross-talk through FAS, TRAIL, and DR4/DR5
  • Structural homologs are exclusively TNF superfamily ligands sharing the ~17 kDa TNF homology domain
  • Immune regulation via IL-10 and other anti-inflammatory mediators

Transcription factor regulatory data

TNF is not a transcription factor. TNF (tumor necrosis factor, P01375) is a pro-inflammatory cytokine, not a DNA-binding transcription factor. No JASPAR DNA-binding motifs are associated with TNF, confirming it lacks sequence-specific DNA-binding capacity.

While the CollectRI database shows TNF as a gene regulating other genes (e.g., TNF→ICAM1, TNF→IL6), these represent indirect transcriptional effects through TNF receptor signaling and downstream TF activation, not direct transcriptional regulation.

Upstream regulators of TNF

Total count: 248 transcription factors regulate TNF gene expression.

Selected upstream regulators with evidence type:

TFRegulationConfidence
NF-κB (NFKB1)ActivationHigh (ChIP-seq)
STAT1ActivationHigh
STAT3ActivationHigh
AP-1 (FOS/JUN/ATF)ActivationHigh
IRF1ActivationHigh
IRF3ActivationHigh
IRF8ActivationHigh
RELA (p65)ActivationHigh
EGR1ActivationHigh
HIF1AActivationHigh
NFATC1ActivationHigh
NFATC2ActivationHigh
NFATC3ActivationHigh
ETS1ActivationHigh
ELK1ActivationHigh
SP1ActivationHigh
LITAFActivationHigh
NRF1ActivationHigh
HMGB2ActivationHigh
ESR1ActivationHigh
CREBP/CREB1ActivationHigh
CREMActivationHigh
ATF2ActivationHigh
ATF3ActivationHigh
PPARARepressionHigh
PPARGRepressionHigh
NR4A1RepressionHigh

Drug & pharmacology data

TNF is a well-characterized and highly clinically relevant drug target. Total molecules targeting TNF in ChEMBL: 1,875

Top 30 Targeting Molecules by Development Phase

Phase 4 (Approved):

IDNameTypeMechanism
CHEMBL1201580AdalimumabAntibodyTNF-α inhibitor
CHEMBL1201581InfliximabAntibodyTNF-α inhibitor
CHEMBL1201572EtanerceptProteinTNF receptor fusion protein
CHEMBL1201833GolimumabAntibodyTNF-α inhibitor
CHEMBL514800ApremilastSmall moleculePDE4 inhibitor (indirect TNF suppression)
CHEMBL3707247OzanimodSmall moleculeS1P receptor modulator (indirect TNF modulation)
CHEMBL131PrednisoloneSmall moleculeCorticosteroid (TNF suppression)

Phase 3:

IDNameType
CHEMBL4297565Certolizumab pegolAntibody
CHEMBL2107911OnerceptProtein

Phase 2:

IDNameType
CHEMBL1743057PegsunerceptProtein
CHEMBL103667DoramapimodSmall molecule

Top 20 Clinical Trials (by drug)

Adalimumab (CHEMBL1201580): 439 trials

  • NCT00216177: Comparison with Infliximab for Rheumatoid Arthritis (Phase 4, Unknown)
  • NCT01500278: Certolizumab vs Adalimumab for moderate-severe RA (Phase 4, Completed)
  • NCT04183608: Treat-to-target with telemonitoring in Ulcerative Colitis (Phase 4, Recruiting)

Infliximab (CHEMBL1201581): 340 trials

  • NCT00133315: TNF-α Blocking for Spondylarthropathies (Phase 4, Completed)
  • NCT00246064: Infliximab RA Methotrexate Tapering Study (Phase 4, Completed)
  • NCT00554710: Top-Down vs Step-Up for Crohn’s Disease (Phase 4, Completed)
  • NCT00463580: Infliximab for Treatment-Resistant Depression (Phase 4, Completed)

Etanercept (CHEMBL1201572): 339 trials

  • NCT00127842: REPArE Rating in Psoriatic Arthritis (Phase 4, Completed)
  • NCT00259610: Treatment of Early Aggressive RA (Phase 4, Completed)
  • NCT00654368: CAMEO—Methotrexate and Etanercept (Phase 4, Completed)

Golimumab (CHEMBL1201833): 89 trials

  • NCT00264550: Efficacy in Rheumatoid Arthritis (Phase 3, Completed)
  • NCT00265083: Safety and Efficacy in Ankylosing Spondylitis (Phase 3, Completed)
  • NCT02425865: In-TARGET—Intensive Treatment in Ulcerative Colitis (Phase 4, Completed)

Certolizumab pegol (CHEMBL4297565): 13 trials

  • NCT01500278: vs Adalimumab for moderate-severe RA (Phase 4, Completed)

Pharmacogenomics

TNF is a VIP (Very Important Pharmacogene) in PharmGKB with 128 variant annotations associated with drug response.

Known Drug-Gene Interactions:

DrugPharmGKB IDClinical AnnotationsVariant AnnotationsKey Finding
InfliximabPA45263921128Strong pharmacogenomic evidence; response variability associated with TNF promoter polymorphisms (-308G/A, -238G/A)
Certolizumab pegolPA165107055415Clinical efficacy associations with TNF genetic variants
GolimumabPA16631670202Limited pharmacogenomic data available

Key Pharmacogenomic Findings:

  • TNF promoter region variants (-308G/A and -238G/A) are associated with baseline TNF production levels and therapeutic response to TNF inhibitors
  • High TNF-producing genotypes (A/A) are associated with better response to TNF inhibitors in rheumatoid arthritis
  • Genetic variants affecting TNF expression may predict clinical efficacy and dosing requirements
  • Cross-reactivity to TNF inhibitors exists; variants may inform switch therapy decisions

Clinical Applications:

  • TNF inhibitors are first-line agents for TNF-driven inflammatory conditions (RA, IBD, psoriasis, ankylosing spondylitis)
  • Therapeutic drug monitoring (TDM) is increasingly used to optimize dosing and predict response
  • No formal FDA-approved TNF genotyping guidelines exist, but genetic testing is emerging in research settings

Expression profiles

Tissue expression

TNF shows ubiquitous expression across tissues with distinct enrichment patterns. Expression breadth: ubiquitous (119 present calls out of 133 conditions). Based on Bgee data:

RankTissue/Cell TypeExpression ScoreQuality
1Granulocyte96.17Gold
2Male germ line stem cell in testis87.11Gold
3Bone marrow86.37Gold
4Leukocyte85.79Gold
5Monocyte85.61Gold
6Bone marrow cell84.38Gold
7Blood77.44Gold
8Lymph node77.13Gold
9Spleen72.08Gold
10Vermiform appendix71.58Gold
11Duodenum68.35Gold
12Gall bladder65.81Gold
13Apex of heart63.92Gold
14Smooth muscle tissue62.41Gold
15Primordial germ cell in gonad61.57Gold
16Tonsil61.23Gold
17Placenta60.86Gold
18Rectum60.33Gold
19Upper lobe of left lung59.23Gold
20Metanephros cortex59.03Gold
21Small intestine58.30Gold
22Islet of Langerhans58.08Gold
23Small intestine Peyer’s patch57.98Gold
24Skin of abdomen57.84Gold
25Lung57.39Gold
26Heart left ventricle57.27Gold
27Omental fat pad57.27Gold
28Right coronary artery56.43Gold
29Mucosa of transverse colon56.20Gold
30Olfactory segment of nasal mucosa56.13Gold

Tissue-specific patterns: TNF shows highest expression in myeloid lineage cells (granulocytes, monocytes) and immune tissues (bone marrow, lymph nodes, spleen), consistent with its canonical role in immune/inflammatory response. Secondary enrichment in barrier tissues (intestine, appendix, tonsil) and reproductive tissues (testis, placenta).

Cell type expression

Single Cell Expression Atlas (SCXA) analysis across 6 experiments:

MetricValue
Total experiments6
Marker experiment count6
Total cell clusters1,407
Max mean expression5,009.09
Average mean expression633.95

Notable single-cell datasets: TNF is marked as a signature gene in all 6 SCXA experiments, indicating robust and consistent cell-type-specific expression. Key dataset includes:

  • E-GEOD-106540: Single-cell transcriptome analysis of CD4+ cytotoxic T lymphocyte precursors (2,244 cells) — demonstrates TNF expression in effector T cell populations

Cell-type-specific patterns: Expression marked across diverse cell populations, reflecting TNF’s roles in CD4+ T cell activation, myeloid cell inflammatory response, and immune regulation. The high marker frequency (6/6 experiments) indicates TNF serves as a reliable cell-type differentiator across multiple immune and stromal compartments.

Disease associations

Mendelian / Monogenic Disease

TNF is not annotated as a primary gene for Mendelian diseases in GenCC (curated gene-disease database), but the following immunodeficiency condition is linked:

DiseaseIDInheritanceEvidence
Immunodeficiency 127MONDO:0975832UnknownClinVar

Note: TNF (MIM:191160) is primarily associated with disease susceptibility rather than monogenic disease causation. Most TNF-related conditions are complex traits with genetic predisposition.


Phenotype Associations (HPO)

17 clinical phenotypes associated with TNF:

HPO IDPhenotype
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000613Photophobia
HP:0001426Non-Mendelian inheritance
HP:0002013Vomiting
HP:0002018Nausea
HP:0002077Migraine with aura
HP:0002083Migraine without aura
HP:0002099Asthma
HP:0002183Phonophobia
HP:0002202Pleural effusion
HP:0010516Thymus hyperplasia
HP:0011462Young adult onset
HP:0031273Shock
HP:0032262Pulmonary tuberculosis
HP:0032933Airway hyperresponsiveness
HP:4000007Bronchoconstriction

Complex-Disease / GWAS Associations

28 GWAS loci associated with TNF (top associations by p-value):

TraitGWAS IDP-valueMapped Gene(s)
Ulcerative colitisGCST004133_305.0e-65HLA-DQA1
Inflammatory bowel diseaseGCST004131_252.0e-31HLA-DQA1
AIDS progressionGCST000308_13.0e-19HCP5
AsthmaGCST008916_322.0e-14HLA-B
Asthma and major depressive disorderGCST008921_12.0e-16MICB
Autism spectrum disorder or schizophreniaGCST004521_2298.0e-20SFTA2
Pulse pressureGCST007269_188.0e-19LTA - TNF
Neonatal lupusGCST000738_55.0e-10HCP5, MICB-DT
Crohn’s diseaseGCST000879_484.0e-11LTA - TNF
Type 1 diabetes (age at diagnosis)GCST011773_103.0e-07TNF
Cervical cancerGCST004833_96.0e-09LTA
Waist-to-hip ratio adjusted for BMIGCST012230_5453.0e-12LTA - TNF
Autism spectrum disorder or schizophreniaGCST004521_532.0e-15LINC00243
Autism spectrum disorder or schizophreniaGCST004521_2095.0e-16LINC02571 - HLA-B
Autism spectrum disorder or schizophreniaGCST004521_2115.0e-15HCP5, MICB-DT
AsthmaGCST008916_351.0e-09NFKBIL1 - LTA
MalariaGCST010725_963.0e-06MICB-DT, HCP5
Autism spectrum disorder or schizophreniaGCST004521_2657.0e-14PSORS1C1
AsthmaGCST008916_1301.0e-09NFKBIL1 - LTA
Asthma (childhood onset)GCST008917_24.0e-07MICB
Psychosis (atypical)GCST002211_104.0e-06PRRC2A, SNORA38
Autism spectrum disorder or schizophreniaGCST004521_762.0e-10TNXB
Autism spectrum disorder or schizophreniaGCST004521_1881.0e-09RNU6-1133P - C6orf15
Autism spectrum disorder or schizophreniaGCST004521_173.0e-15FGFR3P1 - ZDHHC20P2
Autism spectrum disorder or schizophreniaGCST004521_1561.0e-14TSBP1-AS1
Autism spectrum disorder or schizophreniaGCST004521_2135.0e-13PPT2
MalariaGCST010725_715.0e-07MICB-DT, HCP5
Mondo disease susceptibilities--Migraine (MONDO:0008000), Endometriosis (MONDO:0005133), Asthma (MONDO:0010940), Psoriatic arthritis (MONDO:0100232)

Structured Data Sources

Generated with Claude Haiku 4.5 + BioBTree MCP, drawing on data BioBTree aggregates from 46 biological databases. Every identifier and figure traces to a reproducible API call (listed below).

Further analyze this answer or run your own queries with BioBTree MCP.

Datasets: alphafold, alphamissense, antibody, bgee, biogrid_interaction, ccds, cdd, chembl_molecule, chembl_target, clinical_trials, clinvar, collectri, diamond_similarity, ensembl, entrez, esm2_similarity, exon, expressionatlas, gencc, go, gwas, hgnc, hpa, hpo, intact, interpro, jaspar, mim, mondo, msigdb, orphanet, ortholog, pdb, pfam, pharmgkb, pharmgkb_gene, reactome, refseq, scxa, scxa_expression, smart, spliceai, string_interaction, supfam, transcript, uniprot
Generated: 2026-05-26 — For the latest data, query BioBTree directly via MCP or API.
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