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10.1073/pnas.2010229117

http://scihub22266oqcxt.onion/10.1073/pnas.2010229117
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32826331!7486751!32826331
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suck abstract from ncbi


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pmid32826331      Proc+Natl+Acad+Sci+U+S+A 2020 ; 117 (36): 22351-22356
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  • IL-6 trans-signaling induces plasminogen activator inhibitor-1 from vascular endothelial cells in cytokine release syndrome #MMPMID32826331
  • Kang S; Tanaka T; Inoue H; Ono C; Hashimoto S; Kioi Y; Matsumoto H; Matsuura H; Matsubara T; Shimizu K; Ogura H; Matsuura Y; Kishimoto T
  • Proc Natl Acad Sci U S A 2020[Sep]; 117 (36): 22351-22356 PMID32826331show ga
  • Cytokine release syndrome (CRS) is a life-threatening complication induced by systemic inflammatory responses to infections, including bacteria and chimeric antigen receptor T cell therapy. There are currently no immunotherapies with proven clinical efficacy and understanding of the molecular mechanisms of CRS pathogenesis is limited. Here, we found that patients diagnosed with CRS from sepsis, acute respiratory distress syndrome (ARDS), or burns showed common manifestations: strikingly elevated levels of the four proinflammatory cytokines interleukin (IL)-6, IL-8, monocyte chemotactic protein-1 (MCP-1), and IL-10 and the coagulation cascade activator plasminogen activator inhibitor-1 (PAI-1). Our in vitro data indicate that endothelial IL-6 trans-signaling formed an inflammation circuit for robust IL-6, IL-8, and MCP-1 production and promoted PAI-1 production; additionally, an IL-6 signaling blockade by the human monoclonal antibody tocilizumab blunted endothelial cell activation. Plasma from severe COVID-19 patients similarly exhibited increased IL-6, IL-10, and MCP-1 levels, but these levels were not as high as those in patients with CRS from other causes. In contrast, the PAI-1 levels in COVID-19 patients were as highly elevated as those in patients with bacterial sepsis or ARDS. Tocilizumab treatment decreased the PAI-1 levels and alleviated critical illness in severe COVID-19 patients. Our findings suggest that distinct levels of cytokine production are associated with CRS induced by bacterial infection and COVID-19, but both CRS types are accompanied by endotheliopathy through IL-6 trans-signaling. Thus, the present study highlights the crucial role of IL-6 signaling in endothelial dysfunction during bacterial infection and COVID-19.
  • |*Signal Transduction[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Antibodies, Monoclonal, Humanized/therapeutic use[MESH]
  • |Betacoronavirus[MESH]
  • |Burns/metabolism/pathology[MESH]
  • |COVID-19[MESH]
  • |Cells, Cultured[MESH]
  • |Coronavirus Infections/drug therapy/metabolism/pathology[MESH]
  • |Cytokine Release Syndrome/drug therapy/*metabolism/pathology[MESH]
  • |Cytokines/blood/metabolism[MESH]
  • |Endothelial Cells/drug effects/*metabolism[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation[MESH]
  • |Interleukin-6/blood/*metabolism[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Plasminogen Activator Inhibitor 1/blood/*metabolism[MESH]
  • |Pneumonia, Viral/drug therapy/metabolism/pathology[MESH]
  • |Receptors, Interleukin-6/antagonists & inhibitors/metabolism[MESH]
  • |Respiratory Distress Syndrome/metabolism/pathology[MESH]
  • |SARS-CoV-2[MESH]


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