Interleukin-6 in SARS-CoV-2 induced disease: Interactions and therapeutic applications - 12/12/21
Abstract |
Interleukin-6 (IL-6) is a multi-tasking cytokine that represents high activity in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and cancer. High concentration of this pleiotropic cytokine accounts for hyperinflammation and cytokine storm, and is related to multi-organ failure in patients with SARS-CoV-2 induced disease. IL-6 promotes lymphopenia and increases C-reactive protein (CRP) in such cases. However, blockade of IL-6 is not a full-proof of complete response. Hypoxia, hypoxemia, aberrant angiogenesis and chronic inflammation are inter-related events occurring as a response to the SARS-CoV-2 stimulatory effect on high IL-6 activity. Taking both pro- and anti-inflammatory activities will make complex targeting IL-6 in patient with SARS-CoV-2 induced disease. The aim of this review was to discuss about interactions occurring within the body of patients with SARS-CoV-2 induced disease who are representing high IL-6 levels, and to determine whether IL-6 inhibition therapy is effective for such patients or not. We also address the interactions and targeted therapies in cancer patients who also have SARS-CoV-2 induced disease.
El texto completo de este artículo está disponible en PDF.Highlights |
• | IL-6 is a hallmark of inflammatory feature in severe/critical SARS-CoV-2 induced disease. |
• | CRP level is a predictor of response to IL-6 inhibitor therapy. |
• | The efficacy of tocilizumab is moderate in severe SARS-CoV-2 induced disease. |
• | SARS-CoV-2-induced IL-6 seemingly strengthens cancer aggression. |
• | IL-6 inhibitors can go with ICI in cancer (not in SARS-CoV-2 induced disease). |
Keywords : Interleukin-6 (IL-6), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Inflammation, Pneumonia, Cytokine storm, Cancer, C-reactive protein (CRP), Hypoxia, Tocilizumab
Esquema
Vol 145
Artículo 112419- janvier 2022 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.