TWEAK is a multifunctional cytokine that controls many cellular activities including proliferation, migration, differentiation, apoptosis, angiogenesis and inflammation. TWEAK acts by binding to Fn14, a highly inducible cell-surface receptor that is linked to several intracellular signalling pathways, including the nuclear factor-κB (NF-κB) pathway. The TWEAK-Fn14 axis normally regulates various physiological processes, in particular it seems to play an important, beneficial role in tissue repair following acute injury. Furthermore, recent studies have indicated that TWEAK-Fn14 axis signalling may contribute to cancer, chronic autoimmune diseases and acute ischaemic stroke. This Review provides an overview of TWEAK-Fn14 axis biology and summarizes the available data supporting the proposal that both TWEAK and Fn14 should be considered as potential targets for the development of novel therapeutics.Cytokines are a large and diverse group of plasma-membrane-associated or secreted proteins that bind cell-surface receptors and thereby regulate many important biological processes. These processes include development, haematopoesis, inflammation, immune responses and tissue repair1. The tumour necrosis factor (TNF) ligand superfamily, and the receptors that mediate their effects, is a cytokine-receptor subgroup that has attracted considerable interest as a potential source of therapeutic targets for the management of complex human diseases. TNF superfamily ligands are primarily expressed as type II transmembrane proteins, but in some cases they are processed into smaller, secreted proteins that retain biological activity2 , 3. Both the anchored and soluble cytokines contain a C-terminal TNF homology domain that mediates self-trimerization and receptor binding. TNF superfamily members bind to one or more members of the TNF receptor (TNFR) superfamily, most of which are type I or type III transmembrane proteins2 , 3. These receptors are characterized by the presence of an extracellular, ligand-binding region containing one to four cysteine-rich domains and a cytoplasmic tail containing one or more adaptor-protein binding sites. TWEAK (also known as TNFSF12, APO3L, CD255) and its cognate receptor Fn14 (also known as TNFRSF12A, TWEAKR, CD266) are members of the TNF and TNFR superfamilies, respectively, and the discovery of this cytokine-receptor axis was in itself an interesting scientific journey. In 1997, Chicheportiche et al. 4 reported the identification of a novel TNF-like protein that had pro-apoptotic activity on interferon-α (IFN-γ)-treated human HT-29 colon carcinoma cells. Consequently, they named this cytokine TNF-like weak inducer of apoptosis (abbreviated to TWEAK). These investigators were recipients of unexpected good fortune, as they were not originally aiming to identify new TNF superfamily members; indeed, the TWEAK cDNA was cloned during a screen for erythropoietin-related mRNAs in mouse macrophages. In 1998, Marsters et al. 5 reported the identification of the same protein by searching an expre...