Inhibition of interleukin-6 trans-signaling improves survival and prevents cognitive impairment in a mouse model of sepsis DOI Creative Commons

Sufang Jiang,

Dandan Shi,

Long Bai

et al.

International Immunopharmacology, Journal Year: 2023, Volume and Issue: 119, P. 110169 - 110169

Published: April 12, 2023

Sepsis-associated encephalopathy (SAE) manifests clinically as acute and chronic cognitive impairments, which is associated with increased morbidity mortality. Interleukin-6 (IL-6), a pro-inflammatory cytokine, consistently up-regulated in sepsis. IL-6 initiates proinflammatory effects after binding to soluble receptor (IL-6R) through trans-signalling, requires the transducer gp130. In this study, we investigated whether inhibition of trans-signalling putative therapeutic target for sepsis SAE. Twenty-five patients (12 septic 13 non-septic patients) were recruited study. A significant increase IL-6, IL-1β, IL-10, IL-8 was observed 24 h ICU admission. animal cecal ligation puncture (CLP) used induce male C57BL/6J mice. One hour before or inducing sepsis, mice treated sgp130, selective trans-signaling inhibitor, respectively. Survival rate, cognition, levels inflammatory cytokines, integrity blood-brain barrier (BBB), oxidative stress assessed. addition, immune cells activation transmigration evaluated peripheral blood brains. Sgp130 improved survival rate functions, reduced including TNF-α, MCP-1, plasma hippocampus (hipp), mitigated BBB disruption, ameliorated sepsis-induced stress. also affected monocytes/macrophages lymphocytes Our results indicate that by sgp130 exerts protective against SAE mouse model suggesting potential strategy.

Language: Английский

Association Between Administration of IL-6 Antagonists and Mortality Among Patients Hospitalized for COVID-19 DOI Open Access
Peré Domingo, Isabel Mur,

Gràcia Mateo

et al.

JAMA, Journal Year: 2021, Volume and Issue: 326(6), P. 499 - 499

Published: July 6, 2021

Clinical trials assessing the efficacy of IL-6 antagonists in patients hospitalized for COVID-19 have variously reported benefit, no effect, and harm.

Language: Английский

Citations

607

Female reproductive life span is extended by targeted removal of fibrotic collagen from the mouse ovary DOI Creative Commons
Takashi Umehara, Yasmyn E. Winstanley, Eryk Andreas

et al.

Science Advances, Journal Year: 2022, Volume and Issue: 8(24)

Published: June 17, 2022

The female ovary contains a finite number of oocytes, and their release at ovulation becomes sporadic disordered with aging obesity, leading to loss fertility. Understanding the molecular defects underpinning this pathology is essential as age childbearing obesity rates increase globally. We identify that fibrosis within ovarian stromal compartment an underlying mechanism responsible for impaired oocyte release, which initiated by mitochondrial dysfunction diminished bioenergetics, oxidative damage, inflammation, collagen deposition. Furthermore, antifibrosis drugs (pirfenidone BGP-15) eliminate fibrotic restore in reproductively old obese mice, association dampened M2 macrophage polarization up-regulated MMP13 protease. This first evidence reversible indicates targeting metabolism may be viable therapeutic strategy women metabolic disorders or advancing maintain function extend

Language: Английский

Citations

132

Effect of Induction Therapy With Olamkicept vs Placebo on Clinical Response in Patients With Active Ulcerative Colitis DOI
Shenghong Zhang, Baili Chen, Bangmao Wang

et al.

JAMA, Journal Year: 2023, Volume and Issue: 329(9), P. 725 - 725

Published: March 7, 2023

Importance Olamkicept, a soluble gp130-Fc-fusion-protein, selectively inhibits interleukin 6 (IL-6) trans-signaling by binding the IL-6 receptor/IL-6 complex. It has anti-inflammatory activities in inflammatory murine models without immune suppression. Objective To assess effect of olamkicept as induction therapy patients with active ulcerative colitis. Design, Setting, and Participants Randomized, double-blind, placebo-controlled phase 2 trial 91 adults colitis (full Mayo score ≥5, rectal bleeding ≥1, endoscopy ≥2) an inadequate response to conventional therapy. The study was conducted at 22 clinical sites East Asia. Patients were recruited beginning February 2018. Final follow-up occurred December 2020. Interventions Eligible randomized 1:1:1 receive biweekly intravenous infusion 600 mg (n = 30) or 300 31) placebo for 12 weeks. Main Outcomes Measures primary end point week (defined ≥3 ≥30% decrease from baseline total score; range, 0-12 [worst] ≥1 ≤1 [range, 0-3 {worst}]). There 25 secondary efficacy outcomes, including remission mucosal healing 12. Results Ninety-one (mean age, 41 years; women [27.5%]) randomized; 79 (86.8%) completed trial. At 12, more receiving (17/29 [58.6%]) (13/30 [43.3%]) achieved than (10/29 [34.5%]), adjusted difference vs 26.6% (90% CI, 6.2% 47.1%; P .03) 8.3% −12.6% 29.1%; .52) mg. Among olamkicept, 16 outcomes statistically significant compared placebo. mg, Treatment-related adverse events 53.3% (16/30) 58.1% (18/31) 50% (15/30) most common drug-related bilirubin presence urine, hyperuricemia, increased aspartate aminotransferase levels, all groups Conclusions Relevance colitis, but not resulted greater likelihood weeks Further research is needed replication longer-term safety. Trial Registration ClinicalTrials.gov Identifier: NCT03235752

Language: Английский

Citations

62

Effect of elexacaftor/tezacaftor/ivacaftor on airway and systemic inflammation in cystic fibrosis DOI Open Access
Michelle Casey, Claudie Gabillard-Lefort,

Oisín F. McElvaney

et al.

Thorax, Journal Year: 2023, Volume and Issue: 78(8), P. 835 - 839

Published: May 19, 2023

Treatment with elexacaftor/tezacaftor/ivacaftor (ETI) has been shown to improve lung function in people cystic fibrosis (PWCF). However, its biological effects remain incompletely understood. Here we describe alterations pulmonary and systemic inflammation PWCF following initiation of ETI. To address this, collected spontaneously expectorated sputum matching plasma from (n=30) immediately prior ETI therapy, then again at 3 12 months. Within months, demonstrated reduced activity neutrophil elastase, proteinase three cathepsin G, decreased concentrations interleukin (IL)−1β IL-8 sputum, accompanied by Pseudomonas burden restoration secretory leukoprotease inhibitor levels. Once treated ETI, all airway inflammatory markers studied had levels found matched non-CF bronchiectasis controls. In advanced disease, resulted IL-6, C-reactive protein soluble TNF receptor one as well normalisation the acute phase protein, alpha-1 antitrypsin. These data clarify immunomodulatory underscore role a disease modifier.

Language: Английский

Citations

55

Interleukin-6 electrochemical sensor using poly(o-phenylenediamine)-based molecularly imprinted polymer DOI Creative Commons
Wei‐Ting Ting, Meng‐Jiy Wang, Matiar M. R. Howlader

et al.

Sensors and Actuators B Chemical, Journal Year: 2024, Volume and Issue: 404, P. 135282 - 135282

Published: Jan. 5, 2024

Interleukin-6 (IL-6) is an important cytokine involved in immune responses and maintaining body homeostasis. Elevated IL-6 levels, exceeding ~40 pg/mL bodily fluids, are associated with inflammation diseases such as COVID-19, cardiovascular disorders, Alzheimer's, necessitating real-time health monitoring for personalized healthcare. In this study, we developed a highly sensitive selective sensing platform by depositing poly(o-phenylenediamine) (P(o-PD))-based molecularly imprinted polymer (MIP) onto oxygen-functionalized screen-printed carbon electrode gold nanoparticles, 3-aminopropyltriethoxysilane (APTES), glutaraldehyde (GA). While APTES enhanced the peak current due to redox probe adsorption, GA reduced it non-conductive aldehyde groups. This functionalized surface improved hydrophilicity presence of amino carbonyl We identified that 120-minute NaCl treatment effectively removed templates, ensuring successful embedding P(o-PD) matrix. calculated imprinting factor 11.2, indicating effective specific binding sites within MIP, resulting robust response IL-6. After optimizing MIP deposition through five cycles, detected concentrations ranging from 2 400 pg/mL, sensitivity 3.48 μA/log(pg/mL) limit detection 1.74 pg/mL. When tested real human serum, sensor encountered challenges matrix adsorbing other active molecules. Despite challenge, our demonstrates high selectivity long-term stability detection. These qualities position well-suited point-of-care diagnostics, emphasizing its potential reliable tool real-world applications.

Language: Английский

Citations

21

Interleukin-6 receptor blockade in patients with COVID-19: placing clinical trials into context DOI Creative Commons
Federico Angriman, Bruno L. Ferreyro, Lisa Burry

et al.

The Lancet Respiratory Medicine, Journal Year: 2021, Volume and Issue: 9(6), P. 655 - 664

Published: April 27, 2021

Language: Английский

Citations

105

Validated international definition of the thrombocytopenia, anasarca, fever, reticulin fibrosis, renal insufficiency, and organomegaly clinical subtype (TAFRO) of idiopathic multicentric Castleman disease DOI Open Access
Yoshito Nishimura, David C. Fajgenbaum, Sheila K. Pierson

et al.

American Journal of Hematology, Journal Year: 2021, Volume and Issue: 96(10), P. 1241 - 1252

Published: July 15, 2021

Thrombocytopenia, anasarca, fever, reticulin fibrosis, renal insufficiency, and organomegaly (TAFRO) syndrome is a heterogeneous entity manifesting with constellation of symptoms described above that can occur in the context idiopathic multicentric Castleman disease (iMCD) as well infectious diseases, malignancies, rheumatologic disorders. So, iMCD-TAFRO an aggressive subtype iMCD TAFRO often hyper-vascularized lymph nodes. Since we proposed diagnostic criteria 2016, have accumulated new insights on disorder additional cases been reported worldwide. In this systematic review cohort analysis, established validated definition for iMCD-TAFRO. First, searched PubMed Japan Medical Abstracts Society databases using keyword "TAFRO" to extract cases. Patients possible systemic autoimmune diseases hematologic malignancies were excluded. Our search identified 54 from 50 articles. We classified into three categories: (1) (TAFRO node histopathology consistent iMCD), (2) no biopsy performed other co-morbidities), (3) without or co-morbidities not comorbidities). Based findings, propose international requiring four clinical (thrombocytopenia, fever/hyperinflammatory status, organomegaly), dysfunction characteristic bone marrow features iMCD. The was external (the ACCELERATE Natural History Registry). present will facilitate more precise comprehensive approach diagnosis

Language: Английский

Citations

86

COVID-19-Associated Cardiovascular Complications DOI Creative Commons

Clement C. E. Lee,

Kashan Ali, David Connell

et al.

Diseases, Journal Year: 2021, Volume and Issue: 9(3), P. 47 - 47

Published: June 29, 2021

Coronavirus disease 2019 (COVID-19) has been reported to cause cardiovascular complications such as myocardial injury, thromboembolic events, arrhythmia, and heart failure. Multiple mechanisms—some overlapping, notably the role of inflammation IL-6—potentially underlie these complications. The cardiac injury may be a result direct viral invasion cardiomyocytes with consequent unopposed effects angiotensin II, increased metabolic demand, immune activation, or microvascular dysfunction. Thromboembolic events have widely in both venous arterial systems that attracted intense interest underlying mechanisms. These could potentially due endothelial dysfunction secondary inflammation. Additionally, also consequence an attempt by system contain infection through immunothrombosis neutrophil extracellular traps. Cardiac arrhythmias wide range implicated contributory factors, ranging from well other including at-risk individuals inherited arrhythmia syndromes. Heart failure occur progression precipitation initiation withdrawal certain drugs, accumulation des-Arg9-bradykinin (DABK) excessive induction pro-inflammatory G protein coupled receptor B1 (BK1). presenting symptoms include chest pain, dyspnoea, palpitations. There is currently vaccine-induced thrombosis treatment Long COVID since many patients who survived COVID-19 describe persisting health problems. This review will summarise proposed physiological mechanisms COVID-19-associated

Language: Английский

Citations

69

A Mendelian randomization study investigating the causal role of inflammation on Parkinson’s disease DOI Creative Commons
Daniele Bottigliengo, Luisa Foco, Philip Seibler

et al.

Brain, Journal Year: 2022, Volume and Issue: 145(10), P. 3444 - 3453

Published: June 3, 2022

Abstract There is increasing evidence for inflammation as a determinant in the pathogenesis of Parkinson’s disease, but its role parkinsonian neurodegeneration remains elusive. It not clear whether inflammatory cascades are causes or consequences dopamine neuron death. In present study, we aim to perform an in-depth statistical investigation causal relationship between and disease using two-sample Mendelian randomization design. Genetic instruments were selected summary-level data from largest genome-wide association studies date (sample size ranging 13 955 204 402 individuals) conducted on European population following biomarkers: C-reactive protein, interleukin-6, interleukin 1 receptor antagonist tumour necrosis factor α. (56 306 cases 417 791 controls) age at onset (28 568 cases) obtained International Disease Genomics Consortium. On primary analysis, associations estimated sets strong (P-value < 5 × 10−8; F-statistic > 10) independent (linkage disequilibrium r2 0.001) genetic inverse-variance weighted method. sensitivity effects robust methods after removing pleiotropic variants. Reverse causation was also explored. We repeated analysis different sources biomarkers check consistency findings. all three found earlier associated with increased interleukin-6 concentration [years difference per log-unit increase = −2.364, 95% confidence interval (CI) −4.789–0.060; years −2.011, CI −3.706 −0.317; −1.569, −2.891 −0.247]. did observe any α both onset. Results excluding possible variants consistent findings analyses. When investigating reverse causation, find effect inflammation. interleukin-6. The this study suggest that pro-inflammatory activity cytokine could be prodromal disease.

Language: Английский

Citations

63

Radix Puerariae thomsonii polysaccharide (RPP) improves inflammation and lipid peroxidation in alcohol and high-fat diet mice by regulating gut microbiota DOI
Qiong Li, Wenjun Liu, Yulin Feng

et al.

International Journal of Biological Macromolecules, Journal Year: 2022, Volume and Issue: 209, P. 858 - 870

Published: April 18, 2022

Language: Английский

Citations

47