Thalidomide inhibits tumor necrosis factor α, decreases nitric oxide synthesis, and ameliorates the hyperdynamic circulatory syndrome in portal‐hypertensive rats
J C Lopez‐Talavera, G Cadelina, J Olchowski, W Merrill, R J Groszmann – 1 June 1996 – A hyperdynamic circulatory state frequently is observed in portal hypertension with liver failure or extensive portal‐systemic shunting. Tumor necrosis factor α (TNF) causes marked hypotension in mammals by inducing nitric oxide synthesis and has been shown to play a role in the development of the hemodynamic changes observed in portal hypertension. Thalidomide selectively inhibits TNF production by enhancing messenger RNA degradation.