Evidence map›Paper›PMID 29748708›Full record

ArticleInternational journal of colorectal disease2018

Evaluation of interleukin-6 and its soluble receptor components sIL-6R and sgp130 as markers of inflammation in inflammatory bowel diseases.

Susanna Nikolaus, Georg H Waetzig, Sven Butzin, Monika Ziolkiewicz, Natalie Al-Massad, Florian Thieme, Ulf Lövgren, Birgitte B Rasmussen, Torsten M Reinheimer, Dirk Seegert and 3 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 59 citations in OpenAlex.

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  13. [Old and New Biologics and Small Molecules in Inflammatory Bowel Disease: Anti-interleukins].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Susanna NikolausDepartment of Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105, Kiel, Germany.
Georg H WaetzigCONARIS Research Institute AG, Kiel, Germany.
Sven ButzinDepartment of Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105, Kiel, Germany.
Monika ZiolkiewiczDepartment of Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105, Kiel, Germany.
Natalie Al-MassadDepartment of Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105, Kiel, Germany.
Florian ThiemeInstitute of Clinical Chemistry, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Ulf LövgrenFerring Pharmaceuticals A/S, Copenhagen, Denmark.
Birgitte B RasmussenFerring Pharmaceuticals A/S, Copenhagen, Denmark.
Torsten M ReinheimerFerring Pharmaceuticals A/S, Copenhagen, Denmark.
Dirk SeegertCONARIS Research Institute AG, Kiel, Germany.
Philip RosenstielInstitute of Clinical Molecular Biology, Kiel University, Kiel, Germany.
Silke SzymczakInstitute of Medical Informatics and Statistics, Kiel University, Kiel, Germany.
Stefan SchreiberDepartment of Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105, Kiel, Germany. s.schreiber@mucosa.de.ORCID http://orcid.org/0000-0003-2254-7771
University Hospital Schleswig-Holstein · DEChristian-Albrechts-Universität zu Kiel · DEFerring Pharmaceuticals (Denmark) · DKConaris · DE

Funding

Collaborative research center CRC1182 of the German Research Foundation C2German Excellence Cluster "Inflammation at Interfaces" ExC306SYSCID consortium of the EU Horizon 2020 program 733100SysINFLAME consortium of the German Ministry of Education and Research 01ZX1306
6 · The paper itself

Abstract

purposeInterleukin-6 (IL-6) production and signalling are increased in the inflamed mucosa in inflammatory bowel diseases (IBD). As published serum levels of IL-6 and its soluble receptors sIL-6R and sgp130 in IBD are from small cohorts and partly contradictory, we systematically evaluated IL-6, sIL-6R and sgp130 levels as markers of disease activity in Crohn's disease (CD) and ulcerative colitis (UC).

methodsConsecutive adult outpatients with confirmed CD or UC were included, and their disease activity and medication were monitored. Serum from 212 CD patients (815 measurements) and 166 UC patients (514 measurements) was analysed, and 100 age-matched healthy blood donors were used as controls.

resultsIL-6 serum levels were significantly elevated in active versus inactive CD and UC, also compared with healthy controls. However, only a fraction of IBD patients showed increased serum IL-6. IL-6 levels ranged up to 32.7 ng/mL in active CD (> 5000-fold higher than in controls), but also up to 6.9 ng/mL in inactive CD. Increases in active UC (up to 195 pg/mL) and inactive UC (up to 27 pg/mL) were less pronounced. Associations between IL-6 serum levels and C-reactive protein concentrations as well as leukocyte and thrombocyte counts were observed. Median sIL-6R and sgp130 levels were only increased by up to 15%, which was considered of no diagnostic significance.

conclusionsOnly a minority of IBD patients shows elevated IL-6 serum levels. However, in these patients, IL-6 is strongly associated with disease activity. Its soluble receptors sIL-6R and sgp130 do not appear useful as biomarkers in IBD.

Indexed as

AdultBiological Specimen BanksCytokine Receptor gp130FemaleGermanyHumansInflammationInflammatory Bowel DiseasesInterleukin-6MaleCytokine Receptor gp130Interleukin-6BiomarkersCrohn’s diseaseInflammatory bowel diseasesInterleukin-6Ulcerative colitis

Identifiers

PMID29748708
PMCPMC6002455
OpenAlexW2801115333

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.