4.8 Review

Interleukin-6 and pulmonary hypertension: from physiopathology to therapy

Journal

FRONTIERS IN IMMUNOLOGY
Volume 14, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2023.1181987

Keywords

pulmonary hypertension; interleukin-6; signaling pathway; inflammation; nuclear factor kappa-B

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Pulmonary hypertension is a complex pulmonary vascular disease with high morbidity and mortality. Inflammatory factors, particularly interleukin-6 (IL-6), play a crucial role in its pathogenesis. This review discusses the potential role of IL-6 in accelerating the progression of pulmonary hypertension, as well as the specific mechanisms and signaling pathways involved. Current drugs targeting inflammatory pathways are also summarized, providing a theoretical basis for future targeted treatment in patients with pulmonary hypertension.
Pulmonary hypertension (PH) is a progressive, pulmonary vascular disease with high morbidity and mortality. Unfortunately, the pathogenesis of PH is complex and remains unclear. Existing studies have suggested that inflammatory factors are key factors in PH. Interleukin-6 (IL-6) is a multifunctional cytokine that plays a crucial role in the regulation of the immune system. Current studies reveal that IL-6 is elevated in the serum of patients with PH and it is negatively correlated with lung function in those patients. Since IL-6 is one of the most important mediators in the pathogenesis of inflammation in PH, signaling mechanisms targeting IL-6 may become therapeutic targets for this disease. In this review, we detailed the potential role of IL-6 in accelerating PH process and the specific mechanisms and signaling pathways. We also summarized the current drugs targeting these inflammatory pathways to treat PH. We hope that this study will provide a more theoretical basis for targeted treatment in patients with PH in the future.

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