Interleukin-6 as a Potential Therapeutic Target for Pulmonary Arterial Hypertension

Autor: Yoshiaki Furuya, Toru Satoh, Masataka Kuwana
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: International Journal of Rheumatology, Vol 2010 (2010)
Druh dokumentu: article
ISSN: 1687-9260
1687-9279
DOI: 10.1155/2010/720305
Popis: Interleukin-6 (IL-6) is a pleiotropic cytokine with a wide range of biologic activities in immune regulation, hematopoiesis, inflammation, and oncogenesis. Recent accumulating evidence indicates a pathologic role for IL-6 in promoting proliferation of both smooth muscle and endothelial cells in the pulmonary arterioles, resulting in development of pulmonary arterial hypertension (PAH). Here, we describe a patient with mixed connective tissue disease and severe, refractory PAH. Her functional activity and hemodynamic parameters dramatically responded to tocilizumab, a humanized monoclonal antibody to human IL-6 receptor, which was aimed at treating multicentric Castleman's disease. It appears that IL-6 blockade may hold promise as an adjunct drug in treatment of PAH in idiopathic form as well as in association with connective tissue disease.
Databáze: Directory of Open Access Journals