Anti-IL-6

Anti-interleukin-6 agents are a recent class of therapeutics. Interleukin 6 is a cytokine relevant to many inflammatory diseases and many cancers. Hence, anti-IL6 agents have been sought.[1][2][3][4][5]

The first approved antibody directed against IL6-receptor is the tocilizumab (Actemra).

In clinical trials : Sarilumab and Olokizumab for Rheumatoid arthritis,[6] Elsilimomab for some cancers, Anti-IL6 chimeric monoclonal antibody (CNTO 328), ALD518/BMS-945429, CNTO 136, CPSI-2364,[7] CDP6038.[8]

Pre-clinical : VX30 for rheumatoid arthritis.[9] Also ARGX-109,[10] FE301,[11] FM101[12]

Exercise induced IL-6

New research has found IL-6 to be an anti-inflammatory cytokine with multiple beneficial effects when released by contracting muscle as a myokine. IL-6 had previously been classified as a proinflammatory cytokine. Therefore, it was first thought that the exercise-induced IL-6 response was related to muscle damage.[13] However, it has become evident that eccentric exercise is not associated with a larger increase in plasma IL-6 than exercise involving concentric “nondamaging” muscle contractions. This finding clearly demonstrates that muscle damage is not required to provoke an increase in plasma IL-6 during exercise. As a matter of fact, eccentric exercise may result in a delayed peak and a much slower decrease of plasma IL-6 during recovery.[14]

Anti-IL-6 therapies should therefore take into consideration the (beneficial) anti-inflammatory effects of myokines generally, including the now-established multiple benefits of muscle-derived Interleukin 6. [15]

Food and diet

It has been reported that lunasin, a soy peptide, reduces inflammation by reducing interleukin 6 and may help in leukemia.[16]

Luteolin reduces IL-6 production in some neurons.[17]

References

  1. Barton BE (August 2005). "Interleukin-6 and new strategies for the treatment of cancer, hyperproliferative diseases and paraneoplastic syndromes". Expert Opin. Ther. Targets 9 (4): 737–52. doi:10.1517/14728222.9.4.737. PMID 16083340.
  2. Smolen JS, Maini RN (2006). "Interleukin-6: a new therapeutic target". Arthritis Res. Ther. 8 Suppl 2: S5. doi:10.1186/ar1969. PMC 3226077. PMID 16899109.
  3. Stein and Sutherland (1998). "IL-6 as a drug discovery target". Drug Discovery Today 3 (5): 202–213. doi:10.1016/S1359-6446(97)01164-1.
  4. "Interleukin-6 - new target in the battle against Ras-induced cancers". 2007.
  5. "Interleukin 6 as a therapeutic target in systemic-onset juvenile idiopathic arthritis". 2003.
  6. http://www.clinicaltrials.gov/ct2/results?term=sarilumab
  7. "CPSI-2364".
  8. "UCB Announces Start Of Phase I Study For Antibody Drug Candidate CDP6038". 2 Dec 2008.
  9. http://www.vaccinex.com/pipeline-antibody-vx30-autoimmune-disease.htm Good summary of IL-6
  10. "ArGEN-X Wins €1.5M IWT Grant to Progress Camelid-Derived Human Antibody Pipeline". 27 Sep 2010.
  11. "Ferring and Conaris complete license agreement for new recombinant molecule in gastroenterology" (PDF). 10 Dec 2008.
  12. "Formatech to Donate Services to Formulate and Fill Femta Pharmaceuticals’ FM101 Monoclonal Antibody under Its "Fillanthrop". 30 July 2010.
  13. Bruunsgaard H, Galbo H, Halkjaer-Kristensen J, Johansen TL, MacLean DA, Pedersen BK. Exercise-induced increase in interleukin-6 is related to muscle damage. J Physiol Lond 499: 833-841, 1997.
  14. Muscle as a secretory organ. Pedersen BK. American Physiological Society. Compr Physiol 3:1337-1362, 2013. http://www.inflammation-metabolism.dk/index.php?pageid=21&pmid=23897689
  15. Muscle as a secretory organ. Pedersen BK Compr Physiol 2013; 3(3): 1337-62 http://www.inflammation-metabolism.dk/index.php?pageid=21&pmid=23897689
  16. http://www.foodconsumer.org/newsite/Nutrition/Supplements/soy_protein_helps_fight_cancer_and_inflammation_021220090906.html
  17. Johnson; Kelley, KW; Johnson, RW et al. (May 2008). "Luteolin reduces IL-6 production in microglia by inhibiting JNK phosphorylation and activation of AP-1 — PNAS". Proceedings of the National Academy of Sciences of the United States of America 105 (21): 7534–9. doi:10.1073/pnas.0802865105. PMC 2396685. PMID 18490655.