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10.1016/S2213-2600(21)00103-X

http://scihub22266oqcxt.onion/10.1016/S2213-2600(21)00103-X
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33872590!8051931!33872590
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suck abstract from ncbi


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pmid33872590      Lancet+Respir+Med 2021 ; 9 (6): 643-654
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  • Interleukin-6: obstacles to targeting a complex cytokine in critical illness #MMPMID33872590
  • McElvaney OJ; Curley GF; Rose-John S; McElvaney NG
  • Lancet Respir Med 2021[Jun]; 9 (6): 643-654 PMID33872590show ga
  • Circulating concentrations of the pleiotropic cytokine interleukin-6 (IL-6) are known to be increased in pro-inflammatory critical care syndromes, such as sepsis and acute respiratory distress syndrome. Elevations in serum IL-6 concentrations in patients with severe COVID-19 have led to renewed interest in the cytokine as a therapeutic target. However, although the pro-inflammatory properties of IL-6 are widely known, the cytokine also has a series of important physiological and anti-inflammatory functions. An adequate understanding of the complex processes by which IL-6 signalling occurs is crucial for the correct interpretation of IL-6 concentrations in the blood or lung, the use of IL-6 as a critical care biomarker, or the design of effective anti-IL-6 strategies. Here, we outline the role of IL-6 in health and disease, explain the different types of IL-6 signalling and their contribution to the net biological effect of the cytokine, describe the approaches to IL-6 inhibition that are currently available, and discuss implications for the future use of treatments such as tocilizumab in the critical care setting.
  • |*Antibodies, Monoclonal, Humanized/immunology/pharmacology[MESH]
  • |*COVID-19/immunology/physiopathology/therapy[MESH]
  • |*Interleukin-6/antagonists & inhibitors/blood/immunology[MESH]
  • |Biomarkers/blood[MESH]
  • |Critical Illness[MESH]
  • |Humans[MESH]
  • |Immunologic Factors/immunology/pharmacology[MESH]


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