IL-6 deficient (IL-6KO) mice display significantly delayed cutaneous wound closure. Myofibroblasts are the primary mediators of wound closure, and alpha-smooth muscle actin (alpha-SMA) is a marker of fibroblast differentiation to the myofibroblast phenotype. Wounds from IL-6KO, and wild-type mice were collected up to 6 days following wounding. Expression of alpha-SMA mRNA was found to be increased in wounds of IL-6KO mice up to 48 hours post wounding, but decreased below wild-type levels by 72 hours. Recombinant IL-6 treatment of IL-6KO dermal fibroblasts showed an induction of alpha-SMA mRNA and protein peaking at 1 ng/ml cytokine, but declining at higher concentrations. Actinomycin-D treatment of fibroblast cultures indicated that recombinant mouse IL-6 (rmIL-6) induction of alpha-SMA mRNA appeared to be primarily transcriptionally regulated, and extracellular signal-regulated kinase 1/2 kinase, but not signal transducers and activators of transcription 3 was readily phosphorylated in rmIL-6 treated IL-6KO fibroblasts. A dose-response increase in the mRNA expression of the IL-6R signaling inhibitor protein suppressors of cytokine signaling (SOCS) 3 was also noted in rmIL-6-treated IL-6KO fibroblasts. These data indicate that alpha-SMA expression is dysregulated in IL-6KO mice. The expression of alpha-SMA induced by rmIL-6 in fibroblasts from IL-6KO mice appears to be transcriptionally modulated, dependent on JAK1 kinase, and possibly downregulated as a result of increased SOCS3 expression.

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Diabetes currently affects over twenty-five million Americans. Annual health care cost of diabetes exceeds $254 billion and is associated with a distinct set of diabetic complications that include delayed wound healing and diabetic ulcers. Interleukin 6 (IL-6) plays an important role in wound healing and is known to be elevated in the serum of both type I and type II diabetes patients. This study assesses the expression and function of IL-6 in the hyperglycemic epidermis and keratinocyte culture. Streptozotocin-treated mice were wounded six weeks after induction of hyperglycemia. Wound closure, protein, and mRNA expression were assessed up to 13 days of postwounding. Wound closure was delayed 4-5 days in hyperglycemic animals. Hyperglycemic wounds displayed greater IL-6 and IL-6Rα protein expression at 1, 7, and 10 days of postwounding compared to euglycemic control. However, IL-6Rα mRNA expression was reduced at all time points beyond day 1, while IL-6 mRNA expression did not significantly differ at any time point. SOCS3 mRNA expression was higher in the hyperglycemic skin at every time point. Imaging of fluorescent immunohistology also revealed significantly lower expression of SOCS3, but higher nuclear pSTAT3 in the epidermis of the hyperglycemic skin. Primary mouse keratinocytes cultured in high glucose for 7 days displayed 2-fold higher IL-6Rα mRNA and higher rmIL-6-induced nuclear pSTAT3, but lower SOCS3 basal levels compared to normal glucose-cultured cells. Thus, it appears that delayed diabetic skin wound healing is associated with increased induction and expression of IL-6 and its receptor, but its function in epidermal keratinocytes may be impaired.

Acute exposure to ethanol induces a stress response in mice that is manifested by increased plasma corticosterone (PC) concentration. However, during chronic intake of 7.5% w/v ethanol, diurnal fluctuation of PC is dampened. Whether chronic consumption of 20% w/v ethanol alters normal diurnal fluctuation of plasma glucocorticoids is not known. Investigating the PC response in 20% w/v ethanol-consuming mice is of interest because glucocorticoids are known suppressants of natural killer (NK) cell activity and increased concentration or altered diurnal fluctuation of PC may have a modulatory role on NK cells in these mice. Mice given 20% w/v ethanol for at least 7 days and for as long as 10 weeks have suppressed splenic NK cell cytolytic activity. Thus, the purpose of this study was to examine whether mice given 20% w/v ethanol exhibited normal concentrations and diurnal variation of PC. To further define the glucocorticoid response in chronic ethanol-consuming mice, PC concentration was evaluated in response to a secondary stress of physical exercise. After 1 week, ethanol-consuming mice exhibited abnormal diurnal PC periodicity that was progressively dampened during the remaining 9 weeks. Acute physical exercise during Week 1 induced a 2-fold increase in PC concentration compared with pre-exercise values, a response that was independent of ethanol intake. After 6 and 10 weeks, the postexercise PC concentration was attenuated in ethanol-consuming compared with water-drinking mice. It was concluded that suppressed NK cell activity typically observed with this model of chronic ethanol intake is not directly associated with dampened diurnal fluctuation in PC.

Estrogen exposure enhances alcohol-induced liver inflammation, and the anti-inflammatory effects of testosterone in the liver might be related to induction of IκB. Elevated inflammation in response to estrogen may overwhelm the regenerative influence of IL-6 in liver, leading to increased steatosis and greater liver damage.