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May 1, 2004Lupus302 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. 1Heterogeneity of B cell responsiveness to interleukin 4, interleukin 6 and low molecular weight B cell growth factor in discrete stages of B cell activation in patients with systemic lupus erythematosus.1989 · 37 citations
  2. 2Association of IL-6 gene alleles with systemic lupus erythematosus (SLE) and with elevated IL-6 expression1999 · 95 citations
  3. 3Possible Role of IL-6 in Pathogenesis of Immune Complex-Mediated Glomerulonephritis in NZB/W F1 Mice: Induction of IgG Class Anti-DNA Autoantibody Production2009 · 25 citations
  4. 4Abnormal distribution of IL-6 receptor in aged MRL/lpr mice: elevated expression on B cells and absence on CD4+ cells1992 · 34 citations
  5. 5Distribution of interleukin-6 in normal and diseased human kidney.1991 · 111 citations