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May 1, 2004Lupus307 citationsOpen Access

Rationale for interleukin-6 blockade in systemic lupus erythematosus

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ETEdward TackeyPLPeter E. LipskyGIGabor G. Illei

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Abstract

Interleukin-6 (IL-6) is a pleiotropic cytokine with a wide range of biological activities that plays an important role in immune regulation and inflammation. Among other actions, it induces terminal differentiation of B lymphocytes into antibody-forming cells and the differentiation of T cells into effector cells. IL-6 also has multiple potent proinflammatory effects. An association between IL-6 and lupus was demonstrated in murine models of SLE and blocking IL-6 improved lupus in all models tested. Data from several studies suggest that IL-6 plays a critical role in the B cell hyperactivity and immunopathology of human SLE, and may have a direct role in mediating tissue damage. Based on these data, we propose that blocking the effect of IL-6 in humans may improve lupus by interacting with the autoinflammatory process both systemically and locally.

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Tackey et al. (2004) studied this question.

synapsesocial.com/papers/6a1fa4f5900b646e2b2603d7https://doi.org/10.1191/0961203304lu1023oa
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Constitutive expression of IL-6 receptors and their role in the excessive B cell function in patients with systemic lupus erythematosus.1993 · 113 citations
  2. 2Increased release of von Willebrand factor antigen from endothelial cells by anti-DNA autoantibodies.1996 · 31 citations
  3. 3Cytokine production, serum levels and disease activity in systemic lupus erythematosus.2001 · 288 citations
  4. 4Age-associated increase in interleukin 6 in MRL/lpr mice1991 · 164 citations
  5. 5Upregulation of Adhesion Molecule Expression on Endothelial Cells by Anti-DNA Autoantibodies in Systemic Lupus Erythematosus1996 · 39 citations