{
    "assessed_biomarker_entity": "Tumor necrosis factor alpha (TNF)",
    "assessed_entity_type": "protein",
    "components": {
        "protein": [
            {
                "accession": "P01375-1",
                "name": "Tumor necrosis factor",
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        "glycan": []
    },
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        {
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            "notes": "",
            "literature_evidence": "When comparing biochemical indexes of COVID-19 between patients with and without cancer, we found that pro-inflammatory cytokines including TNF-alpha, IL-6, and IL-2R were higher in patients with cancer than in those without cancer. [PMID:32479790] Elevated levels of TNF-alpha were found in patients with head and neck squamous cell carcinoma (HNSCC). An upregulated TNF-alpha, in combination with CRP, was significantly related to shorter patient survival, independent of clinical stage. Findings indicate that TNF-alpha might be suitable as biomarkers in combination with tumor TNM staging for predicting survival and individualized treatment. [PMID:24481866]",
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            "tissue": {
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                "url": "http://purl.obolibrary.org/obo/UBERON_0000178"
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                    "resource": "Disease Ontology",
                    "url": "http://disease-ontology.org/term/DOID:11934",
                    "name": "head and neck cancer",
                    "description": "An organ system cancer that arises in the head or neck region. This region includes the nasal cavity, sinuses, lips, mouth, salivary glands, throat, or larynx."
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                        "resource": "Disease Ontology",
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                        "resource": "Disease Ontology",
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                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:11934",
                        "name": "head/neck neoplasm",
                        "description": ""
                    },
                    {
                        "id": "DOID:11934",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:11934",
                        "name": "tumor of head and neck",
                        "description": ""
                    }
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                    "url": "https://glygen.org/publication/PubMed/32479790"
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                    "url": "https://glygen.org/publication/PubMed/24481866"
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        {
            "best_biomarker_type": "prognostic",
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            "notes": "Measured in serum (UN:0001977) as well.",
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                    },
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                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
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                    },
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                        "id": "DOID:0080600",
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                        "id": "DOID:0080600",
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                        "id": "DOID:0080600",
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                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
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                    "id": "32511562",
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                    "url": "https://glygen.org/publication/PubMed/31986264"
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        {
            "best_biomarker_type": "prognostic",
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            "literature_evidence": "When comparing biochemical indexes of COVID-19 between patients with and without cancer, we found that pro-inflammatory cytokines including TNF-alpha, IL-6, and IL-2R were higher in patients with cancer than in those without cancer. [PMID:32479790] Elevated levels of TNF-alpha were found in patients with head and neck squamous cell carcinoma (HNSCC). An upregulated TNF-alpha, in combination with CRP, was significantly related to shorter patient survival, independent of clinical stage. Findings indicate that TNF-alpha might be suitable as biomarkers in combination with tumor TNM staging for predicting survival and individualized treatment. [PMID:24481866]",
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                    {
                        "id": "MONDO:0012159",
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                        "description": ""
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                    {
                        "id": "MONDO:0012159",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012159",
                        "name": "lung cancer susceptibility 1",
                        "description": ""
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                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
                        "name": "lung cancer susceptibility 3",
                        "description": ""
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                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
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                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
                        "name": "lung cancer susceptibility 3",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
                        "name": "adenocarcinoma of lung, susceptibility to",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0012955",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012955",
                        "name": "lung cancer susceptibility 4",
                        "description": ""
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                    {
                        "id": "MONDO:0012955",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012955",
                        "name": "LNCR4",
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                    {
                        "id": "MONDO:0012955",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012955",
                        "name": "lung cancer susceptibility 4",
                        "description": ""
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                    {
                        "id": "MONDO:0013631",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0013631",
                        "name": "lung cancer susceptibility 5",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0013631",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0013631",
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                    {
                        "id": "MONDO:0013631",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0013631",
                        "name": "lung cancer susceptibility 5",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer",
                        "description": "A malignant neoplasm involving the lung."
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "adenocarcinoma of lung, response to tyrosine kinase inhibitor in, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "adenocarcinoma of lung, somatic",
                        "description": ""
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "cancer of lung",
                        "description": ""
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer",
                        "description": ""
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, protection against, autosomal dominant, somatic mutation",
                        "description": ""
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, resistance to, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, somatic",
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                    {
                        "id": "MONDO:0008903",
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                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant lung neoplasm",
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                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant lung tumor",
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant neoplasm of lung",
                        "description": ""
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant tumor of lung",
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant tumor of the lung",
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "nonsmall cell lung cancer, response to tyrosine kinase inhibitor in, autosomal dominant, somatic mutation",
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
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                    {
                        "id": "MONDO:0008903",
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                    {
                        "id": "MONDO:0008903",
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "alveolar cell carcinoma",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, protection against",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung neoplasm",
                        "description": ""
                    },
                    {
                        "id": "MIM:211980",
                        "resource": "MIM",
                        "url": "https://www.omim.org/entry/211980",
                        "name": "Lung cancer",
                        "description": "Lung cancer"
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                ]
            },
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
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                {
                    "id": "32479790",
                    "database": "PubMed",
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                {
                    "id": "24481866",
                    "database": "PubMed",
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    ],
    "publication": [
        {
            "title": "Plasma tumor necrosis factor-alpha and C-reactive protein as biomarker for survival in head and neck squamous cell carcinoma.",
            "journal": "Journal of cancer research and clinical oncology",
            "authors": "Andersson BA, Lewin F, Lundgren J, Nilsson M, Rutqvist LE, Lofgren S, Laytragoon-Lewin N",
            "date": "2014",
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                {
                    "type": "PubMed",
                    "id": "24481866",
                    "url": "https://glygen.org/publication/PubMed/24481866"
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            ],
            "evidence": [
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                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
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            ]
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        {
            "title": "Clinical characteristics and risk factors associated with COVID-19 disease severity in patients with cancer in Wuhan, China: a multicentre, retrospective, cohort study.",
            "journal": "The Lancet. Oncology",
            "authors": "Tian J, Yuan X, Xiao J, Zhong Q, Yang C, Liu B, Cai Y, Lu Z, Wang J, Wang Y, Liu S, Cheng B, Wang J, Zhang M, Wang L, Niu S, Yao Z, Deng X, Zhou F, Wei W, Li Q, Chen X, Chen W, Yang Q, Wu S, Fan J, Shu B, Hu Z, Wang S, Yang XP, Liu W, Miao X, Wang Z",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "32479790",
                    "url": "https://glygen.org/publication/PubMed/32479790"
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            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                }
            ]
        },
        {
            "title": "The use of anti-inflammatory drugs in the treatment of people with severe coronavirus disease 2019 (COVID-19): The Perspectives of clinical immunologists from China.",
            "journal": "Clinical immunology (Orlando, Fla.)",
            "authors": "Zhang W, Zhao Y, Zhang F, Wang Q, Li T, Liu Z, Wang J, Qin Y, Zhang X, Yan X, Zeng X, Zhang S",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "32222466",
                    "url": "https://glygen.org/publication/PubMed/32222466"
                }
            ],
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
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            ]
        },
        {
            "title": "Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.",
            "journal": "Lancet (London, England)",
            "authors": "Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "31986264",
                    "url": "https://glygen.org/publication/PubMed/31986264"
                }
            ],
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                }
            ]
        },
        {
            "title": "An inflammatory cytokine signature helps predict COVID-19 severity and death.",
            "journal": "medRxiv : the preprint server for health sciences",
            "authors": "Del Valle DM, Kim-Schulze S, Hsin-Hui H, Beckmann ND, Nirenberg S, Wang B, Lavin Y, Swartz T, Madduri D, Stock A, Marron T, Xie H, Patel MK, van Oekelen O, Rahman A, Kovatch P, Aberg J, Schadt E, Jagannath S, Mazumdar M, Charney A, Firpo-Betancourt A, Mendu DR, Jhang J, Reich D, Sigel K, Cordon-Cardo C, Feldmann M, Parekh S, Merad M, Gnjatic S",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "32511562",
                    "url": "https://glygen.org/publication/PubMed/32511562"
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            ],
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
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            ]
        },
        {
            "title": "Anti-TNF-alpha Agents in Inflammatory Bowel Disease and Course of COVID-19.",
            "journal": "Inflammatory bowel diseases",
            "authors": "Tursi A, Vetrone LM, Papa A",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "32382744",
                    "url": "https://glygen.org/publication/PubMed/32382744"
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            "evidence": [
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    "evidence": [
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            "id": "GLY_000625",
            "database": "GlyGen",
            "url": "https://data.glygen.org/GLY_000625"
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        {
            "id": "32479790",
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        {
            "id": "24481866",
            "database": "PubMed",
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        {
            "id": "32382744",
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        {
            "id": "32511562",
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        {
            "id": "31986264",
            "database": "PubMed",
            "url": "https://glygen.org/publication/PubMed/31986264"
        },
        {
            "id": "32222466",
            "database": "PubMed",
            "url": "https://glygen.org/publication/PubMed/32222466"
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