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Query: UNIPROT:P05231 (
interleukin-6
)
23,907
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Interleukin-6
(
IL-6
) is a multifunctional cytokine that participates in the inflammatory and immune responses. In human skin, keratinocytes produces
IL-6
, although the in vivo role of this cytokine is unknown. In the present study we investigated the in situ localization of
IL-6
in normal epidermis (n = 10) and in a group of skin diseases characterized by epidermal atrophy. Formalin-fixed paraffin-embedded skin biopsies from patients with clinical and histopathological features consistent with localized scleroderma (n = 10),
systemic scleroderma
(n = 5), lichen sclerosus et atrophicus (n = 9) and balanitis xerotica obliterans (n = 7) were tested using polyclonal antibodies and avidin-biotin-peroxidase immunostaining. We demonstrated the presence of
IL-6
in normal epidermis and in atrophic skin diseases. In normal skin there was moderate intercellular and intracellular reactivity detected using a high antibody concentration. In specimens with epidermal atrophy we detected intense cytoplasmic and intercellular immunostaining using a lower antibody concentration. The immunoreactivity was independent of the epidermal thickness. Plasma
IL-6
, measured by radioimmunoassay, was not elevated in plasma from patients with localized or
systemic scleroderma
. Increased
IL-6
in the epidermis of selected skin diseases suggests that
IL-6
may be related to the pathophysiology of dermatologic diseases characterized by epidermal atrophy.
...
PMID:In situ localization of interleukin-6 in normal skin and atrophic cutaneous disease. 134 91
Recent investigations of immunologic events in
systemic sclerosis
focus on the identification of which immune system cells are participating in the disease process, what antigens are stimulating the T and B cells, which cytokines are involved, and which cell adhesion molecules promote cell-cell and cell-extracellular matrix interactions. Increased numbers of gamma/delta and activated CD4+ T cells are present in involved skin of line-200 chickens, an animal model of
systemic sclerosis
. CD4+ T cells from patients with
systemic sclerosis
are stimulated by human type I collagen, and immunoglobulins from some patients with
systemic sclerosis
bind retroviral proteins, the terminal galactosyl (alpha 1-3)-galactose disaccharide of laminin, or a 138 amino acid region of the PM-Scl antigen. The development of an anticentromere antibody response in patients with
systemic sclerosis
appears to require the presence of a polar amino acid at position 26 in the antigen-binding cleft of the HLA-DQB1 molecule. Interleukin-2, interleukin-4,
interleukin-6
, and transforming growth factor-beta have been implicated as cytokines that may be involved in the pathogenesis of
systemic sclerosis
. Increased expression of intercellular adhesion molecule 1 (ICAM-1) on
systemic sclerosis
fibroblasts is responsible for increased binding of T cells to those fibroblasts through ICAM-1/lymphocyte function-associated antigen 1 interactions. beta 1 and beta 2 integrins, ICAM-1, and endothelial leukocyte adhesion molecule 1 all may be involved in the homing of lymphocytes to involved skin in patients with
systemic sclerosis
.
...
PMID:Immunologic aspects of scleroderma. 145 82
Scleroderma
fibrotic lesions demonstrate vascular disease, mononuclear cell infiltrates, and increased collagen. Fibroblasts in these lesions are activated to synthesize increased extracellular matrix substances, a phenotype that continues when these cells are removed and grown in tissue culture. Levels of messenger RNA for connective-tissue substances, measured directly in biopsies of scleroderma skin, show increased message for type I collagen, but not type III collagen or fibronectin. Increased procollagen type I in scleroderma skin occurs in the papillary dermis, perivascular areas, and deep interstitium, even in skin areas that are not yet fibrotic.
Scleroderma
fibroblasts express more intercellular adhesion molecule 1 on their surfaces than do normal cells, and this molecule is increased in endothelial cells, mononuclear cells, and fibroblasts. In vitro scleroderma fibroblasts adhere more frequently to extracellular matrix substances and retract collagen lattices to a greater extent. Peripheral blood lymphocytes from scleroderma patients produce excessive amounts of interleukin-2 when incubated with type I collagen, and circulating basophils release more histamine than do normal cells. There is evidence for activated eosinophils both in the dermis and pulmonary lesions in scleroderma, which may play a role in fibrosis. Transforming growth factor-beta is overexpressed by alveolar macrophages from patients with fibrotic pulmonary disease.
Scleroderma
fibroblasts, when exposed to transforming growth factor-beta, overexpress the alpha-type receptor for platelet-derived growth factor.
Scleroderma
sera more frequently contain measurable quantities of interleukin-4,
interleukin-6
, and interleukin-2. Interleukin-4 causes adult dermal fibroblasts to proliferate and to make
interleukin-6
.
Interleukin-6
has been shown to stimulate fibroblast synthesis of collagen and glycosaminoglycans.(ABSTRACT TRUNCATED AT 250 WORDS)
...
PMID:Connective tissue metabolism including cytokines in scleroderma. 145 83
Cytokines and cellular adhesion molecules (CAMs) may play a role in the inflammatory and fibrotic processes underlying
systemic sclerosis
(SSc). We compared the immunohistological distribution of cytokines and CAMs in skin biopsies from 12 SSc patients and 14 normal (NL) individuals. Among CAMs, vascular cell adhesion molecule-1 (VCAM-1), which mediates leukocyte-endothelial adhesion, showed increased expression on SSc versus NL endothelium and stratum granulosum. P-selectin was up-regulated in SSc versus NL stratum granulosum. The CD44 lymphocyte homing receptor showed the most striking differences between SSc and NL: its expression was increased in SSc stratum granulosum, stratum spinosum, on lymphocytes, and macrophages. Regarding cytokines,
interleukin-6
(
IL-6
) expression was increased on SSc versus NL endothelium and fibroblasts. Tumor necrosis factor-alpha (TNF-alpha) reactivity was more prevalent in SSc than NL stratum granulosum, whereas IL-8 expression was higher on SSc compared to NL endothelium. Some CAMs, such as VCAM-1 and P-selectin, and cytokines, namely TNF-alpha and IL-8, were more commonly found in skin biopsies taken from early (< or = 1 year's duration) SSc, while others, such as
IL-6
, showed up-regulation in the late stage of the disease. The results suggest that certain CAMs and cytokines may play a differential role in both the early, inflammatory, and the late, fibrotic stage of SSc.
...
PMID:In situ expression of cytokines and cellular adhesion molecules in the skin of patients with systemic sclerosis. Their role in early and late disease. 750 81
Localized scleroderma has been reported to be accompanied by immunological abnormalities related to B cells, but little is known about T-cell activation in this disease. In this study, serum levels of interleukin-2 (IL-2), interleukin-4 (IL-4) and
interleukin-6
(
IL-6
), which are known to be released by activated T cells, were determined using a sensitive enzyme-linked immunosorbent assay in 48 patients with localized scleroderma and 20 with
systemic sclerosis
, and in 20 healthy control subjects. IL-2, IL-4 and
IL-6
were detected in serum from patients with localized scleroderma but not in that from healthy controls. The presence of antihistone antibodies correlated significantly with elevated IL-4 and
IL-6
levels. Decreased serum levels of IL-2, IL-4 and
IL-6
paralleled improvement in cutaneous sclerosis. Frequent detection of these lymphokines in serum from patients with localized scleroderma reflects T-cell activation in this disorder.
...
PMID:Demonstration of interleukin-2, interleukin-4 and interleukin-6 in sera from patients with localized scleroderma. 776 91
Systemic sclerosis
(SSc) is an autoimmune connective tissue disease of unknown etiology in which aberrant fibroblast function results in fibrosis of the skin and internal organs. A distinguishing feature of dermal fibroblasts cultured from SSc lesions is that they produce constitutively, i.e., without exogenous stimulation, as much as 30-fold more
interleukin-6
(
IL-6
) than do normal fibroblasts. The present study indicates that the mechanism of constitutive
IL-6
secretion involves the accumulation of
IL-6
mRNA in affected SSc fibroblasts, mediated by the constitutive binding of nuclear factors to the
IL-6
promoter. DNA-protein complexes formed using nuclear extracts of constitutively expressing cells are distinct from those using extracts of normal cells, with or without exogenous stimulation of
IL-6
; thus, the mechanisms which regulate constitutive and inducible
IL-6
gene expression are apparently distinct. The data also demonstrate that dermal fibroblasts respond very rapidly to
IL-6
by increasing expression of the
IL-6
gene, thus suggesting a mechanism for the establishment and/or persistence of constitutive expression. The constitutive secretion of
IL-6
may play an important role in the perpetuation of the local immune dysregulation and fibroblast activation in the SSc lesion.
...
PMID:Control of IL-6 expression and response in fibroblasts from patients with systemic sclerosis. 794 13
Interleukin-6
(
IL-6
) has been involved in the pathogenesis of inflammatory and/or autoimmune diseases. We characterized the production of
IL-6
by blood monocytes and alveolar macrophages (AM) in 11 patients with definite
systemic sclerosis
(SSc) with lung involvement and in eight normal control subjects.
IL-6
levels were determined in serum, bronchoalveolar lavage (BAL) supernatants, monocytes, and AM cell culture supernatants using an ELISA kit. BAL cell analysis evidenced an alveolitis with hypercellularity and increased neutrophils and mast cells absolute counts. Serum and BAL
IL-6
levels were low and similar in SSc and control groups. The monocytes of the group with SSc secreted more
IL-6
than did the control group, both spontaneously (p = 0.01) and after LPS stimulation (p = 0.0007). Spontaneous secretion of
IL-6
by AM tended to be higher in the SSc group than in the control group (p = 0.22). LPS-induced
IL-6
secretion by AM was similar in both groups. Our study demonstrates that during SSc lung disease, spontaneous and stimulated
IL-6
secretion by blood monocytes is increased, compared with secretion by healthy control subjects. By contrast,
IL-6
secretion by AM is normal despite evidence of mild alveolitis.
...
PMID:Interleukin 6 secretion by monocytes and alveolar macrophages in systemic sclerosis with lung involvement. 817 68
A number of investigators has reported that there is increased production of
interleukin-6
(
IL-6
) by fibroblasts and monocytes from the patients with
systemic sclerosis
(SS). However, the precise role of
IL-6
in the pathogenesis of SS remains unclear. On the basis of our previous study showing that the complex of
IL-6
and soluble
IL-6
receptor (sIL-6R) could induce synovial fibroblast proliferation, we examined whether the
IL-6
-sL-6R complex could induce the proliferation of normal dermal fibroblastic cells (DF).
IL-6
suppressed DF proliferation, and, in the presence of sIL-6R, dose-dependently showed much stronger suppressive effects on DF proliferation. This suppression was completely blocked by either anti-
IL-6
or anti-sIL-6R antibody. Furthermore, the
IL-6
-sIL-6R complex significantly suppressed IL-1 beta-, TNF alpha- and PDGF-AA-induced DF proliferation. These lines of evidence suggest that the
IL-6
-sIL-6R complex may have potential as a useful agent for the treatment of SS.
...
PMID:IL-6-soluble IL-6 receptor complex inhibits the proliferation of dermal fibroblasts. 873 37
The activation of cells that do not express the membrane bound
interleukin-6
6 receptor (IL-6R) by IL-6 and the soluble IL-6 receptor (sIL-6R) is termed transsignalling. Transsignalling may be an pathogenetic factor in human diseases as diverse as multiple myeloma (MM), Castleman's disease, prostate carcinoma, Crohn's disease,
systemic sclerosis
, Still's disease, osteoporosis and cardiovascular diseases. IL-6 and sIL-6R may directly or indirectly enhance their own production on endothelial or bone marrow stromal cells. Positive feedback autocrine loops thus created in affected organs may either cause or maintain disease progression. In autoimmune or vasculitic disease, the ability of the IL-6/sIL-6R complex to inhibit apoptosis of autoreactive T-cells may be central to the development of tissue specific autoimmunity. The anti-apoptotic effect of the IL-6/sIL-6R complex may be involved in tumour genesis and resistance to chemotherapy. Only in rare cases, where counterregulation has failed, there is a notable systemic effect of IL-6/sIL-6R. Appropriate animal models are necessary to establish the pathogenetic role of the IL-6/sIL-6R complex. A specific treatment option for diseases influenced by the sIL-6R could be based on gp130-Fc, a soluble gp130 (sgp130) linked to the Fc-fragment of IgG1. gp130-Fc has shown efficacy in vivo in animal models of Crohn's disease.
...
PMID:The role of transsignalling via the agonistic soluble IL-6 receptor in human diseases. 1242 76
The homeostasis of peripheral immune system function is maintained by the activity of regulatory lymphocytes. Among these cells, a subset of CD8+CD28- T suppressor lymphocytes has recently been characterized for the capacity to mediate their effects without antigen restriction. These non-antigen-specific CD8+ T suppressor lymphocytes originate from circulating CD8+CD28- T lymphocytes after stimulation with interleukin-2 and interleukin-10. CD8+ suppressor cells inhibit both antigen-specific CD4+ T cell proliferation and cellular cytoxicity through secretion of cytokines such as interferon-gamma,
interleukin-6
, and interleukin-10. The function of CD8+ suppressor cells is impaired in patients with systemic lupus erythematosus in relapse as well as in patients with
systemic sclerosis
with disease progression, suggesting the involvement of CD8+ suppressor cells in the pathogenesis of autoimmune diseases. Interestingly, CD8+ suppressor cells have been found among tumor-infiltrating lymphocytes, which could be related to tumor-induced-immunosuppression. Failure to generate CD8+ suppressor cells from the peripheral blood is frequently observed in HIV-infected patients. It remains to be clarified whether this phenomenon is due to depletion and/or functional impairment of this cell subset or to their compartmentalization in peripheral tissues and immunocompetent organs where they could contribute to the induction of immunodeficiency.
...
PMID:Non-antigen specific CD8+ T suppressor lymphocytes. 1567 45
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