2017
DOI: 10.1002/cpt.782
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The Soluble Interleukin 6 Receptor: Advanced Therapeutic Options in Inflammation

Abstract: Interleukin (IL)-6 binds to IL-6R and the complex of IL-6 and IL-6R associates with the receptor subunit gp130, which initiates signaling. gp130 is expressed on all cells. IL-6R is cleaved by the ADAM17, generating a soluble IL-6R (sIL-6R). The sIL-6R binds IL-6 and the complex of IL-6 and sIL-6R binds to gp130 even on cells that do not express IL-6R. This process, which has been called IL-6 trans-signaling, increases the spectrum of target cells for IL-6. We generated a protein, sgp130Fc, which inhibits IL-6 … Show more

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Cited by 135 publications
(111 citation statements)
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“…Although IL-6 is largely considered to be a proinflammatory cytokine, it also behaves as an anti-inflammatory agent in specific settings (20,21). Two modalities of IL-6 signaling have been recognized: classic signaling and transsignaling (22). In the present study, we found that a single dose of rCT-1 enhances IL-6 secretion ( Fig.…”
Section: Interplay Between Ct-1 and Il-6 In The Modulation Of Inflammsupporting
confidence: 56%
“…Although IL-6 is largely considered to be a proinflammatory cytokine, it also behaves as an anti-inflammatory agent in specific settings (20,21). Two modalities of IL-6 signaling have been recognized: classic signaling and transsignaling (22). In the present study, we found that a single dose of rCT-1 enhances IL-6 secretion ( Fig.…”
Section: Interplay Between Ct-1 and Il-6 In The Modulation Of Inflammsupporting
confidence: 56%
“…Besides small‐molecule drugs and antibodies, shed substrate ectodomains may be employed as decoy receptors. For example, recombinant soluble gp130, corresponding to the shed gp130 ectodomain, is used to block excessive IL‐6 signaling in inflammatory conditions and is currently being tested in a phase II clinical trial (reviewed in Rose‐John, ). Another important example of a shedding‐related condition is Alzheimer's disease, where pathogenic amyloid‐β peptide results from shedding of APP by BACE1 followed by γ‐secretase‐mediated intramembrane proteolysis.…”
Section: Disease Association and Shedding‐based Drugsmentioning
confidence: 99%
“…IL-6R is mainly found on hepatocytes and immune cells, thereby restricting the number of cells targeted by IL-6 classic signaling. IL-6 classic signaling induces the acute-phase response and is considered to have homeostatic and anti-inflammatory effects (7). Because gp130 is ubiquitously expressed, trans-signaling via the sIL-6R can activate virtually all cells of the body.…”
mentioning
confidence: 99%
“…Because gp130 is ubiquitously expressed, trans-signaling via the sIL-6R can activate virtually all cells of the body. IL-6 trans-signaling mainly regulates pro-inflammatory reactions (7). A soluble form of gp130 (sgp130) has been shown to specifically inhibit IL-6 trans-signaling, whereas IL-6 classic signaling is largely unaffected (3,8).…”
mentioning
confidence: 99%