Evidence map›Paper›PMID 34095633›Full record

ArticleJACC. Basic to translational science2021

Selective Interleukin-6 Trans-Signaling Blockade Is More Effective Than Panantagonism in Reperfused Myocardial Infarction.

Marc Jonathan George, Nur Hayati Jasmin, Valerie Taylor Cummings, Angela Richard-Loendt, Francesca Launchbury, Kevin Woollard, Tabitha Turner-Stokes, Ana Isabel Garcia Diaz, Mark Lythgoe, Daniel James Stuckey and 2 more

Open access · goldAbstract read
In one paragraph

Article in JACC. Basic to translational science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.0field-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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. No evidence for paradoxical effects of tocilizumab in rodents.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. The roles of neutrophils in cardiovascular diseases.Frontiers in cardiovascular medicine · 2025
    Review
  12. Article
  13. Obesity Arrhythmias: Role of IL-6 Trans-Signaling.International journal of molecular sciences · 2024
    Review
  14. Review
  15. Review
  16. Review
  17. Nonspecific Inhibition of IL6 Family Cytokine Signalling by Soluble gp130.International journal of molecular sciences · 2024
    Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Marc Jonathan GeorgeDepartment of Clinical Pharmacology, Division of Medicine, University College London, London, United Kingdom.
Nur Hayati JasminCentre for Advanced Biomedical Imaging (CABI), Division of Medicine, University College London, London, United Kingdom.
Valerie Taylor CummingsCentre for Advanced Biomedical Imaging (CABI), Division of Medicine, University College London, London, United Kingdom.
Angela Richard-LoendtDepartment of Neuropathology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Francesca LaunchburyUCL IQPath, Institute of Neurology, University College London, London, United Kingdom.
Kevin WoollardImmunology and Inflammation, Faculty of Medicine, Imperial College London, London, United Kingdom.
Tabitha Turner-StokesImmunology and Inflammation, Faculty of Medicine, Imperial College London, London, United Kingdom.
Ana Isabel Garcia DiazImmunology and Inflammation, Faculty of Medicine, Imperial College London, London, United Kingdom.
Mark LythgoeCentre for Advanced Biomedical Imaging (CABI), Division of Medicine, University College London, London, United Kingdom.
Daniel James StuckeyCentre for Advanced Biomedical Imaging (CABI), Division of Medicine, University College London, London, United Kingdom.
Aroon Dinesh HingoraniDepartment of Clinical Pharmacology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Derek William GilroyDepartment of Clinical Pharmacology, Division of Medicine, University College London, London, United Kingdom.
University College London · GBImperial College London · GBUniversity College London Hospitals NHS Foundation Trust · GBCAB International · GB

Funding

Medical Research Council MR/M003159/1Medical Research Council MR/R026416/1
6 · The paper itself

Abstract

Interleukin (IL)-6 is an emerging therapeutic target in myocardial infarction (MI). IL-6 has 2 distinct signaling pathways: trans-signaling, which mediates inflammation, and classic signaling, which also has anti-inflammatory effects. The novel recombinant fusion protein sgp130Fc achieves exclusive trans-signaling blockade, whereas anti-IL-6 antibodies (Abs) result in panantagonism. In a rat model of reperfused MI, sgp130Fc, but not anti-IL-6-Ab, attenuated neutrophil and macrophage infiltration into the myocardium, reduced infarct size, and preserved cardiac function 28 days after MI. These data demonstrate the efficacy of exclusive IL-6 trans-signaling blockade and support further investigation of sgp130Fc as a potential novel therapy in MI.

Indexed as

AAR, area at riskAb, antibodyc-caspase-3, cleaved caspase-3CCL, C-C motif chemokine ligandCMR, cardiac magnetic resonanceCXCL, C-X-C motif ligandICAM-1, intercellular adhesion molecule 1IL, interleukininflammationinterleukin-6IS, infarct sizeLGE, late-gadolinium enhancementLVEF, left ventricular ejection fractionMHC, major histocompatibility complexMI, myocardial infarctionmyocardial infarctionNSTEMI, non–ST-segment-elevation MIRCAEC, rat coronary artery endothelial cellreperfusionsIL-6R, soluble IL-6 receptorSTEMI, ST-segment-elevation MITCZ, tocilizumabTrop-T, troponin T

Identifiers

PMID34095633
PMCPMC8165121
OpenAlexW3144922262

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.