“…The severe phenotype observed in the M-triple KO mice could therefore be in part because of a combination of direct pathogenic effects of the elevated TNF, and autocrine/paracrine effects of TNF to promote the secretion of many other pro-inflammatory cytokines, including itself ( Grivennikov et al, 2005 ; Kruglov et al, 2008 ; Moudgil & Choubey, 2011 ; Steinkamp et al, 2018 ; Yao et al, 2021 ). Similar severe phenotypes have been observed in mice with direct transgenic overexpression of TNF ( Keffer et al, 1991 ; Probert et al, 1993 ), or mice in which an AU-rich instability region of the Tnf mRNA have been removed, resulting in systemic TNF overexpression ( Kontoyiannis et al, 1999 ). It will be of great interest to see whether the M-triple KO phenotype can be modified by interfering with TNF activity, as has been done in the case of the conventional TTP KO mice ( Taylor et al, 1996 ; Carballo & Blackshear, 2001 ), and other pro-inflammatory pathways that have been shown to have an ameliorating effect on the whole-body TTP-deficiency syndrome ( Molle et al, 2013 ).…”