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10.1038/s12276-021-00649-0

http://scihub22266oqcxt.onion/10.1038/s12276-021-00649-0
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34253862!8273570!34253862
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suck abstract from ncbi


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pmid34253862      Exp+Mol+Med 2021 ; 53 (7): 1116-1123
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  • Interplay between interleukin-6 signaling and the vascular endothelium in cytokine storms #MMPMID34253862
  • Kang S; Kishimoto T
  • Exp Mol Med 2021[Jul]; 53 (7): 1116-1123 PMID34253862show ga
  • Interleukin-6 (IL-6) plays a crucial role in host defense against infection and tissue injuries and is a bioindicator of multiple distinct types of cytokine storms. In this review, we present the current understanding of the diverse roles of IL-6, its receptors, and its signaling during acute severe systemic inflammation. IL-6 directly affects vascular endothelial cells, which produce several types of cytokines and chemokines and activate the coagulation cascade. Endothelial cell dysregulation, characterized by abnormal coagulation and vascular leakage, is a common complication in cytokine storms. Emerging evidence indicates that a humanized anti-IL-6 receptor antibody, tocilizumab, can effectively block IL-6 signaling and has beneficial effects in rheumatoid arthritis, juvenile systemic idiopathic arthritis, and Castleman's disease. Recent work has also demonstrated the beneficial effect of tocilizumab in chimeric antigen receptor T-cell therapy-induced cytokine storms as well as coronavirus disease 2019 (COVID-19). Here, we highlight the distinct contributions of IL-6 signaling to the pathogenesis of several types of cytokine storms and discuss potential therapeutic strategies for the management of cytokine storms, including those associated with sepsis and COVID-19.
  • |Antibodies, Monoclonal, Humanized/immunology/*therapeutic use[MESH]
  • |COVID-19/genetics/immunology/pathology/*prevention & control[MESH]
  • |Cytokine Release Syndrome/genetics/immunology[MESH]
  • |Cytokines/genetics/metabolism[MESH]
  • |Endothelium, Vascular/immunology[MESH]
  • |Humans[MESH]
  • |Interleukin-6/antagonists & inhibitors/*genetics/immunology[MESH]
  • |Receptors, Interleukin-6/antagonists & inhibitors/*genetics/immunology[MESH]
  • |SARS-CoV-2/immunology/pathogenicity[MESH]


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