TY - EJOU AU - Desroches, Marine AU - Louis, Gauthier AU - Gleizes, Aude AU - Krzysiek, Roman AU - Emilie, Dominique TI - Treatment failure with antagonists of TNF-α: mechanisms and implications for the care of patients T2 - European Cytokine Network PY - 2010 VL - 21 IS - 4 SN - 1952-4005 AB - The use of TNF-α antagonists has substantially improved the care of many patients with inflam-matory and autoimmune diseases. However, approximately one third of such patients fail to respond well totreatment, regardless of the antagonist used or of the underlying disease. The mechanisms underlying these fail-ures are analyzed in this review, and proposals made concerning how best to adapt therapeutic decisions inthese instances. KW - TNF-α KW - monoclonal antibodies KW - biotherapies KW - rheumatoid arthritis KW - Crohn’s disease KW - ankylosing spondylitis DO - 10.1684/ecn.2010.0212