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  • Blockade of Interleukin-6 R...
    Kitaba, Shun; Murota, Hiroyuki; Terao, Mika; Azukizawa, Hiroaki; Terabe, Fumitaka; Shima, Yoshihito; Fujimoto, Minoru; Tanaka, Toshio; Naka, Tetsuji; Kishimoto, Tadamitsu; Katayama, Ichiro

    The American journal of pathology, 2012, 2012-Jan, 2012-01-00, 20120101, Letnik: 180, Številka: 1
    Journal Article

    Activation of fibroblasts by interleukin-6 (IL-6) is implicated in the pathogenesis of scleroderma, suggesting that the inhibition of fibroblast activation may be a promising scleroderma treatment. In this study, we used an IL-6 blocking antibody (Ab) and Il-6 knockout (Il-6KO) mice to examine the role of IL-6 in the bleomycin (BLM)-induced mouse model of scleroderma. BLM was administered to C57BL/6 and Il-6 KO mice to induce dermal sclerosis. BLM-treated and control phosphate-buffered saline-treated mice were treated with anti-mouse IL-6 receptor monoclonal Ab (MR16-1). Disease severity was evaluated by measuring dermal thickness and skin hardness, by counting the numbers of α-smooth muscle actin-positive cells and mast cells, and by examining the cutaneous draining lymph nodes. C57BL/6 mice with BLM induced scleroderma had elevated serum IL-6 levels and more severe dermal sclerosis than Il-6 KO mice. Weekly administration of MR16-1, but not control Ab, prevented and improved dermal sclerosis, and also attenuated swelling of the draining lymph nodes. MR16-1 suppressed α-smooth muscle actin induction in IL-6–stimulated Il-6 KO fibroblasts. Our results indicate that IL-6 contributes to BLM induced dermal sclerosis and that IL-6 receptor–specific monoclonal Ab may improve the symptoms of scleroderma by suppressing fibroblast activation.