Tumor Necrosis Factor Alpha, Serum

Optimal result: 0 – 7.2 pg/mL

A high level of Tumor Necrosis Factor Alpha (TNF-α) in the serum typically indicates an elevated inflammatory response in the body. TNF-α is a cytokine involved in regulating inflammation and immune responses. When its levels are elevated in the bloodstream, it can be a sign of various health conditions and processes:

 → Inflammation: High TNF-α levels often signify an active inflammatory response in the body. This can be due to infections, autoimmune diseases, or other inflammatory conditions.

→ Autoimmune Diseases: Conditions like rheumatoid arthritis, Crohn's disease, and psoriasis are associated with increased TNF-α production as part of the immune system's response to attack its own tissues.

→ Infections: In response to infections, particularly bacterial and viral, the body may produce elevated levels of TNF-α as a defense mechanism.

→ Cancer: TNF-α can play a role in tumor growth and progression. Elevated levels may be observed in some cancer patients.

→ Injury or Tissue Damage: TNF-α can also be released in response to tissue injury or damage.

It's important to note that while high TNF-α levels can provide insights into inflammation and various health conditions, the interpretation of these results should be done in consultation with a healthcare professional. Additional diagnostic tests and clinical evaluation are often needed to determine the underlying cause and appropriate treatment if necessary.

Results are used to understand the pathophysiology of immune, infectious, or inflammatory disorders, or may be used for research purposes.

Tumor necrosis factor-α (cachectin) and tumor necrosis factor-β (lymphotoxin) are two closely related proteins that share sequence homology of 34% in their amino acid sequence. Both mediators act on their target cells via the same receptors and, therefore, show similar, but not identical, biological effects. Under denaturing conditions TNF-α is a 17-kilodalton, nonglycosylated protein. The biologically active form of TNF-α is a trimer. Besides this soluble form of TNF-α, a 28-kilodalton membrane-bound form occurs on cell surfaces of TNF-producing cells, which may serve as a pool for soluble TNF-α and can be proteolytically cleaved from the cell surface.

Tumor necrosis factor-α (cachectin) and tumor necrosis factor-β (lymphotoxin) are two closely related proteins that share sequence homology of 34% in their amino acid sequence. Both mediators act on their target cells via the same receptors and, therefore, show similar, but not identical, biological effects. Under denaturing conditions TNF-α is a 17-kilodalton, nonglycosylated protein. The biologically active form of TNF-α is a trimer. Besides this soluble form of TNF-α, a 28-kilodalton membrane-bound form occurs on cell surfaces of TNF-producing cells, which may serve as a pool for soluble TNF-α and can be proteolytically cleaved from the cell surface.

Different cells are shown to produce TNF-α: For example, macrophages, CD4+ T cells and NK cells after stimulation with lipopolysaccharides. Additionally, smooth muscle cells, polymorphonuclear neutrophils, astrocytes and a variety of tumor cell lines can produce TNF-α. TNF-α acts via two distinct cell surface receptors, which are called TNF receptor I, and TNF receptor II. These receptors can be identified on virtually all cell types except erythrocytes. Besides the cell-bound forms of TNF receptors, soluble forms are known to be capable of TNF-α binding. They compete, therefore, with the cell-bound forms and can inhibit the effects of TNF-α.

Due to the occurrence of TNF-α receptors on nearly all cells, TNF-α demonstrates a wide variety of biological action. It has cytolytic and cytostatic effects on tumor cells and shows chemotactic activity on neutrophils. TNF-α is a growth factor for fibroblasts and stimulates the synthesis of collagenase and prostaglandin E2 bone resorption can be induced by TNF-α because it activates osteoclasts. TNF-α enhances the proliferation of T cells after stimulation with IL-2. In the absence of IL-2, TNF-α induces the proliferation and differentiation of β cells.

References:

Buck C, Gallati H, Pohlandt F, et al. Increased levels of tumor necrosis factor alpha (TNF-alpha) in tracheal aspirates of newborns with pneumonia. Infection. 1994; 22(4):238-241. PubMed 8002082

Herbelin A, Nguyen AT, Zingraff J, et al. Influence of uremia and hemodialysis on circulating interleukin-1 and tumor necrosis factor alpha. Kidney Int. 1990; 37(1):116-125. PubMed 2299797

Jacob CO. Tumor necrosis factor alpha in autoimmunity: Pretty girl or old witch? Immunol Today. 1992; 13(4):122-125 (review). PubMed 1580993

Marano MA, Fong Y, Moldawer LL, et al. Serum cachectin/tumor necrosis factor in critically ill patients with burns correlates with infection and mortality. Surg Gynecol Obstet. 1990; 170(1):32-38. PubMed 2294627

Maury CP, Teppo AM. Raised serum levels of cachectin/tumor necrosis factor alpha in renal allograft rejection. J Exp Med. 1987; 166(4):1132-1137. PubMed 3309124

Tumor Necrosis Factor Alpha, Serum
Healthmatters dashboard showing biomarker trend graph

Every lab result you’ve ever had, charted and explained.

Healthmatters is a tracker for your lab results. Upload a report from any lab, any country — every marker charted and explained.

Start with my report →
Beyond Tumor Necrosis Factor Alpha, Serum — 10,000+ markers explained
One Tumor Necrosis Factor Alpha, Serum result tells you where you are. Your history tells you where you’re heading. Upload your past lab reports and see this marker — and every marker on them —every marker charted against your own lab’s ranges.
Start with this report →
Healthmatters timeline preview showing biomarker trends over time
Clinical Sources & References

All our content is backed by peer-reviewed studies, academic research, and trusted medical sources. We’re committed to accuracy and transparency — see our editorial policy for details.

Article Review Log
Written by Healthmatters Editorial Team
Healthmatters Lifetime Plan

Pay $250. Track your health forever

One payment. No renewals. Yours for life.

10,000+ biomarkers explained · trends over time

See other plans →
Secure checkout via Stripe · GDPR & HIPAA
We accept results from any lab
LabCorp Quest Diagnostics Genova Diagnostics DUTCH Test Doctor's Data Vibrant America ZRT Laboratory Cyrex Labs + any other lab

What members are saying

★★★★★ 10,000+ happy members
★★★★★

"Watching my numbers move over the years — instead of forgetting last time's results — completely changed how I manage my health."

Daniel
Member since 2022
★★★★★

"Living across several countries made keeping my lab results organized a real challenge. Healthmatters brought my results from the USA, Spain, and Germany together — 20 years of history, with long-term trends instead of scattered reports."

Ben
Member since 2021 · tracks across countries
★★★★★

"Standard lab ranges are too wide for how I practice — 'normal' isn't optimal. I set my own bands, so a client sees yellow before a marker goes officially out of range. That's the conversation I want to be having."

Dr. Alexandra
Functional medicine · 6 yrs on Pro