Evidence map›Paper›PMID 31515941›Full record

ArticleEMBO molecular medicine2019

The IL-6 signaling complex is a critical driver, negative prognostic factor, and therapeutic target in diffuse large B-cell lymphoma.

Hind Hashwah, Katrin Bertram, Kristin Stirm, Anna Stelling, Cheuk-Ting Wu, Sabrina Kasser, Markus G Manz, Alexandre P Theocharides, Alexandar Tzankov, Anne Müller

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

48 citing papers in PubMed, 70 citations in OpenAlex.

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  4. Dynamic changes in serum IL-6, TNF-Frontiers in medicine · 2026
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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

10 authors at 2 institutions in 1 country.

Hind HashwahInstitute of Molecular Cancer Research, University of Zurich, Zürich, Switzerland.
Katrin BertramInstitute of Molecular Cancer Research, University of Zurich, Zürich, Switzerland.
Kristin StirmInstitute of Molecular Cancer Research, University of Zurich, Zürich, Switzerland.
Anna StellingInstitute of Molecular Cancer Research, University of Zurich, Zürich, Switzerland.
Cheuk-Ting WuInstitute of Molecular Cancer Research, University of Zurich, Zürich, Switzerland.
Sabrina KasserInstitute of Molecular Cancer Research, University of Zurich, Zürich, Switzerland.
Markus G ManzDepartment of Medical Oncology and Hematology, University Hospital Zurich and University of Zurich, Zürich, Switzerland.
Alexandre P TheocharidesDepartment of Medical Oncology and Hematology, University Hospital Zurich and University of Zurich, Zürich, Switzerland.
Alexandar TzankovInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
Anne MüllerInstitute of Molecular Cancer Research, University of Zurich, Zürich, Switzerland.ORCID 0000-0002-1368-8276
University of Zurich · CHUniversity Hospital of Basel · CH

Funding

Swiss Cancer Leagues KFS-4120-02-2017Swiss Cancer Leagues KLS-3612-02-2015
6 · The paper itself

Abstract

Interleukin-6 (IL-6) is a growth factor for normal B cells and plasma cell-derived malignancies. Here, we show that the IL-6 signaling pathway is also active in a subset of diffuse large B-cell lymphoma (DLBCL) patients with particularly poor prognosis. Primary DLBCL cells and DLBCL cell lines expressing IL-6R engraft and form orthotopic lymphomas in humanized mice that ectopically produce human IL-6, and in mice reconstituted with a human immune system. We show that a subset of DLBCL cases have evolved mechanisms that ensure constitutive activation of the IL-6 signaling pathway, i.e., the expression of both chains of the IL-6R, the expression of the cytokine itself, and the mutational inactivation of a negative regulator of IL-6 signaling, SOCS1. IL-6 signaling promotes MYC-driven lymphomagenesis in a genetically engineered model, and treatment with the IL-6R-specific antibody tocilizumab reduces growth of primary DLBCL cells and of DLBCL cell lines in various therapeutic settings. The combined results uncover the IL-6 signaling pathway as a driver and negative prognosticator in aggressive DLBCL that can be targeted with a safe and well-tolerated biologic.

Indexed as

Signal TransductionAnimalsAntibodies, Monoclonal, HumanizedAntineoplastic AgentsDisease Models, AnimalHumansLymphoma, Large B-Cell, DiffuseMice, SCIDReceptors, Interleukin-6Suppressor of Cytokine Signaling 1 ProteinTumor Cells, CulturedAntibodies, Monoclonal, HumanizedAntineoplastic AgentsIL6R protein, humanReceptors, Interleukin-6SOCS1 protein, humanSuppressor of Cytokine Signaling 1 Proteintocilizumabcancer immunotherapyDLBCL mouse modelslymphoma microenvironmentoncogenic STAT3 signalingpersonalized treatment

Identifiers

PMID31515941
PMCPMC6783642
OpenAlexW2972610453

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.