Evidence map›Paper›PMID 25898198›Full record

ReviewNature immunology2015

IL-6 as a keystone cytokine in health and disease.

Christopher A Hunter, Simon A Jones

Erratum issued Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04332913 (Efficacy and Safety of Tocilizumab in the Treatment of Patients With Respiratory Distress Syndrome and Cytokine Release Syndrome Secondary to COVID-19), which is not on this map. Cited by 1,321 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,321citing papers in PubMed, 1 pooled it
77.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04332913 unknown statusnot on this mapstarted 2020, after this paper: background citation

Efficacy and Safety of Tocilizumab in the Treatment of Patients With Respiratory Distress Syndrome and Cytokine Release Syndrome Secondary to COVID-19: a Proof of Concept Study

TypeobservationalSponsorUniversity of L'AquilaRan2020 to 2021Enrolled30ConditionsCOVID-19 Pneumonia
3 · Its place in the literature

Who cites it

1,321 citing papers in PubMed, 1 synthesis or guideline pooled it, 2,422 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Oral delivery of recombinantDrug delivery · 2026
    Article
  6. Article
  7. Review
  8. Tocilizumab for severe and refractory mucous membrane pemphigoid.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  9. Article
  10. Glial cells in neuropathic pain.Physiological reviews · 2026
    Review
  11. Beyond Probiotics: Postbiotics for Healthy Aquaculture.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  12. Review
  13. Article
  14. Article
  15. Article
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  17. Article
  18. Review
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1,261 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Christopher A HunterDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Simon A JonesCardiff Institute of Infection and Immunity, The School of Medicine, Cardiff University, Heath Campus, Cardiff, UK.
Cardiff University · GBUniversity of Pennsylvania · US

Funding

Arthritis Research UK 19796Versus Arthritis 20770
6 · The paper itself

Abstract

Interleukin 6 (IL-6) has a broad effect on cells of the immune system and those not of the immune system and often displays hormone-like characteristics that affect homeostatic processes. IL-6 has context-dependent pro- and anti-inflammatory properties and is now regarded as a prominent target for clinical intervention. However, the signaling cassette that controls the activity of IL-6 is complicated, and distinct intervention strategies can inhibit this pathway. Clinical experience with antagonists of IL-6 has raised new questions about how and when to block this cytokine to improve disease outcome and patient wellbeing. Here we discuss the effect of IL-6 on innate and adaptive immunity and the possible advantages of various antagonists of IL-6 and consider how the immunobiology of IL-6 may inform clinical decisions.

Indexed as

Adaptive ImmunityAnimalsAntibodies, BlockingB-LymphocytesDrug Evaluation, PreclinicalHomeostasisHumansImmunity, InnateImmunotherapyInflammatory Bowel DiseasesInterleukin-6Interleukin-6 InhibitorsPsoriasisReceptors, Interleukin-6Signal TransductionSpondylitis, AnkylosingAntibodies, BlockingIL6R protein, humanInterleukin-6Interleukin-6 InhibitorsReceptors, Interleukin-6

Identifiers

PMID25898198
OpenAlexW2097147259

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.