Evidence map›Paper›PMID 31679013›Full record

ArticleJournal of Crohn's & colitis2020

Deletion of IL-6 Exacerbates Colitis and Induces Systemic Inflammation in IL-10-Deficient Mice.

Mei Ye, Maria E Joosse, Ling Liu, Yu Sun, Ying Dong, Changchun Cai, Zhenmei Song, Jennifer Zhang, Steven R Brant, Mark Lazarev and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

39 citing papers in PubMed, 51 citations in OpenAlex.

  1. Nutrients · 2026
    Article
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  5. Article
  6. From AI-AssistedPharmaceuticals (Basel, Switzerland) · 2025
    Review
  7. Review
  8. Article
  9. Pre-Administration ofFoods (Basel, Switzerland) · 2025
    Article
  10. Nutrients · 2025
    Article
  11. Frontiers in immunology · 2025
    Article
  12. Article
  13. [Old and New Biologics and Small Molecules in Inflammatory Bowel Disease: Anti-interleukins].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
    Review
  14. Review
  15. Article
  16. Review
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  19. Review
  20. Molecules (Basel, Switzerland) · 2023
    Article
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

11 authors at 3 institutions in 2 countries.

Mei YeDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Maria E JoosseDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Ling LiuDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Yu SunDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Ying DongDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Changchun CaiDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Zhenmei SongDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Jennifer ZhangDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Steven R BrantDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Mark LazarevDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Xuhang LiDivision of Gastroenterology, Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.
Johns Hopkins Medicine · USJohns Hopkins University · USZhongnan Hospital of Wuhan University · CN

Funding

Translational Research Enhancement CoreP30DK089502 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ZACHOS, NICHOLAS CONSTANTINE · 2011 to 2020
$12.0M
NIDDK NIH HHS P30 DK089502
6 · The paper itself

Abstract

BACKGROUND AND

aimsInterleukin 6 [IL-6] or its receptor is currently a candidate for targeted biological therapy of inflammatory bowel disease [IBD]. Thus, a comprehensive understanding of the consequences of blocking IL-6 is imperative. We investigated this by evaluating the effects of IL-6 deletion on the spontaneous colitis of IL-10-deficient mice [IL-10-/-].

methodsIL-6/IL-10 double-deficient mice [IL-6-/-/IL-10-/-] were generated and analysed for intestinal inflammation, general phenotypes and molecular/biochemical changes in the colonic mucosa compared with wild-type and IL-10-/- mice.

resultsUnexpectedly, the IL-6-/-/IL-10-/- mice showed more pronounced gut inflammation and earlier disease onset than IL-10-/- mice, both locally [colon and small bowel] and systemically [splenomegaly, ulcerative dermatitis, leukocytosis, neutrophilia and monocytosis]. IL-6-/-/IL-10-/- mice exhibited elevations of multiple cytokines [IL-1β, IL-4, IL-12, TNFα] and chemokines [MCP-1 and MIG], but not IFN-γ [Th1], IL-17A and IL-17G [Th17], or IL-22 [Th22]. FOXP3 and TGF-β, two key factors for regulatory T [Treg] cell differentiation, were significantly down-regulated in the colonic mucosa, but not in the thymus or mesenteric lymph nodes, of IL-6-/-/IL-10-/- mice. CTLA-4 was diminished while iNOS was up-regulated in the colonic mucosa of IL-6-/-/IL-10-/- mice.

conclusionIn IL-10-/- mice, complete IL-6 blockade significantly aggravates gut inflammation, at least in part by suppressing Treg/CTLA-4 and promoting the IL-1β/Th2 pathway. In addition, the double mutant exhibits signs of severe systemic inflammation. Our data define a new function of IL-6 and suggest that caution should be exercised when targeting IL-6 in IBD patients, particularly those with defects in IL-10 signalling.

Indexed as

Crohn DiseaseInflammatory Bowel DiseasesAnimalsCell DifferentiationCTLA-4 AntigenDisease Models, AnimalInflammationInterleukin-10Interleukin-6Intestinal MucosaMiceMice, KnockoutMolecular Targeted TherapyReceptors, Interleukin-6T-Lymphocytes, RegulatoryCTLA-4 AntigenIL10 protein, mouseInterleukin-10Interleukin-6Receptors, Interleukin-6Crohn’s disease [CD]extraintestinal manifestationInflammatory bowel disease [IBD]interleukin 10 [IL-10]interleukin 6 [IL-6]

Identifiers

PMID31679013
PMCPMC7346894
OpenAlexW2988985935

What OpenQuestion holds

Textmetadata
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.