March 21, 2026 · Journal of hepatology · DOI: 10.1016/j.jhep.2026.02.026

Integrative omics and phase IIa clinical trial identify TNF as key node in autoimmune hepatitis

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The authors aimed to investigate the cellular and molecular mechanisms underlying autoimmune hepatitis (AIH) and to validate a potential therapeutic target through a clinical trial. Their findings identified TNF as a central node in the immune network driving T cell-mediated cytotoxicity in AIH, and the phase IIa trial demonstrated the efficacy of infliximab, a TNF-targeting antibody, as a steroid-free treatment option. This research highlights the potential for targeted therapies in AIH, paving the way for safer and more specific treatment strategies.

Yang Xu, Jan Philipp Weltzsch, Christoph Kilian, Babett Steglich, Christina Weiler-Normann, Michael Dudek, Jonas Fackler, Malte H Wehmeyer, Joseph Tintelnot, Laura A Liebig, Silja Steinmann, Alena Laschtowitz, Ludwig J Horst, Ida Schregel, Marcial Sebode, Johannes Hartl, Christian Casar, Jing Lu, Gerhard Schön, Antonia Zapf, Maria Rosa Bono, Mariana V Rosemblatt, Sarah Nuñez, Justine Castañeda, Sören Alexander Weidemann, Nico Kaiser, Maria Schwerk, Manuela Kolster, Guido Rattay, Hanna Ulrich, Varshi Sivayoganathan, Ning Song, Jenny Krause, Marius Böttcher, Adrian Sagebiel, Jonas Wagner, Christian F Krebs, Victor G Puelles, Norbert Hübner, Eva Tolosa, Stefan Bonn, Samuel Huber, Percy A Knolle, Johannes Herkel, Lorenz Adlung, Christoph Schramm, Nicola Gagliani, Ansgar Wilhelm Lohse

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