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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0006560,
umls-concept:C0008972,
umls-concept:C0020846,
umls-concept:C0021467,
umls-concept:C0021469,
umls-concept:C0021760,
umls-concept:C0022687,
umls-concept:C0030705,
umls-concept:C0086418,
umls-concept:C0205263,
umls-concept:C0205390,
umls-concept:C0441655,
umls-concept:C1268930,
umls-concept:C2709199
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pubmed:issue |
2
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pubmed:dateCreated |
1994-3-15
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pubmed:abstractText |
Interleukin-6 (IL-6) is a cytokine that acts on a variety of cell types, including myeloid progenitor cells and B and T lymphocytes. It has been found to activate cytotoxic T cells and natural killer (NK) cells and to induce T-cell-mediated antitumour effects in animal models. In a phase I clinical trial of recombinant human IL-6, 20 patients with advanced cancer were entered to receive daily subcutaneous injections of IL-6 over 7 days followed by a 2-week observation period and another 4 weeks of daily IL-6 injections. Doses varied between 0.5 microgram/kg and 20 micrograms/kg body weight and immune functions were monitored throughout. At all dose levels IL-6 administration led to a marked increase in serum levels of C-reactive protein and a moderate rise in complement factor C3. The proportions of CD4, CD8 or HLA-DR lymphocytes in peripheral blood did not alter with IL-6 treatment nor did the in vitro proliferation of peripheral blood mononuclear cells induced by either phytohaemagglutinin, pokeweed mitogen or fixed Staphylococcus aureus. By contrast, NK cell activity, lymphokine-activated killer (LAK) cell activity and proliferation induced by in vitro culture with interleukin-2 (IL-2) were suppressed at doses exceeding 2.5 micrograms/kg. Serum IgE levels were consistently elevated over the IL-6 dose range but IgM, IgG and IgA levels were unaffected. In summary there is a dose-dependent induction of acute-phase proteins by in vivo IL-6 treatment. At higher IL-6 doses there is a suppressive effect on NK and LAK activity measured in vitro. IL-6 may thus be useful in combination cytokine therapies that seek to suppress LAK and favour cytotoxic T lymphocyte responses. The rise in IgE levels in response to IL-6 was unexpected and suggests a more pivotal role than previously known for the control of IgE production; this could include IgE-related diseases.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Antinuclear,
http://linkedlifedata.com/resource/pubmed/chemical/C-Reactive Protein,
http://linkedlifedata.com/resource/pubmed/chemical/Immunoglobulin E,
http://linkedlifedata.com/resource/pubmed/chemical/Interleukin-6,
http://linkedlifedata.com/resource/pubmed/chemical/Recombinant Proteins
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0340-7004
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
119-26
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8306367-Antibodies, Antinuclear,
pubmed-meshheading:8306367-C-Reactive Protein,
pubmed-meshheading:8306367-Colonic Neoplasms,
pubmed-meshheading:8306367-Humans,
pubmed-meshheading:8306367-Immunoglobulin E,
pubmed-meshheading:8306367-Interleukin-6,
pubmed-meshheading:8306367-Killer Cells, Lymphokine-Activated,
pubmed-meshheading:8306367-Killer Cells, Natural,
pubmed-meshheading:8306367-Leukocyte Count,
pubmed-meshheading:8306367-Lymphocyte Activation,
pubmed-meshheading:8306367-Pancreatic Neoplasms,
pubmed-meshheading:8306367-Recombinant Proteins
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pubmed:year |
1994
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pubmed:articleTitle |
Immune function of patients receiving recombinant human interleukin-6 (IL-6) in a phase I clinical study: induction of C-reactive protein and IgE and inhibition of natural killer and lymphokine-activated killer cell activity.
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pubmed:affiliation |
CRC Department of Immunology, Paterson Institute for Cancer Research, Christie Hospital NHS Trust, Manchester, UK.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Clinical Trial, Phase I
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