Tumor necrosis factor (TNF, tumor necrosis factor alpha, TNFa, cachexin, or cachectin) is a cell signaling protein (cytokine) involved in systemic inflammation and is one of the cytokines that make up the acute phase reaction. It is produced chiefly by activated macrophages, although it can be produced by many other cell types such as  CD4+ lymphocytes, NK cells, neutrophils, mast cells, eosinophils, and neurons.