Evidence map›Paper›PMID 37584653›Full record

ArticleThe Journal of experimental medicine2023

IL-6 translation is a therapeutic target of human cytokine release syndrome.

Yuzhuo Yang, Yajing Zhang, Xiaoyan Xing, Gang Xu, Xin Lin, Yao Wang, Meixia Chen, Chunmeng Wang, Bin Zhang, Weidong Han and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Nanomaterials Drive In Vivo CAR Immune Cells Engineering.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. AnFrontiers in cellular and infection microbiology · 2026
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Exploring the Action Mechanism and Validation of the Key Pathways ofCombinatorial chemistry & high throughput screening · 2024
    Article
  17. Review
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 1 country.

Yuzhuo Yang *Institute for Immunology and School of Medicine, Tsinghua University , Beijing, China.ORCID 0000-0002-6737-3085
Yajing Zhang *Department of Bio-Therapeutic, The First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0009-0000-6011-3355
Xiaoyan XingInstitute for Immunology and School of Medicine, Tsinghua University , Beijing, China.ORCID 0000-0001-9809-9202
Gang XuMinistry of Education Key Laboratory of Bioinformatics, School of Life Sciences, Tsinghua University, Beijing, China.ORCID 0009-0007-2914-842X
Xin LinInstitute for Immunology and School of Medicine, Tsinghua University , Beijing, China.ORCID 0000-0003-0956-3654
Yao WangDepartment of Bio-Therapeutic, The First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0002-9352-422X
Meixia ChenDepartment of Bio-Therapeutic, The First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0009-0000-3483-4394
Chunmeng WangDepartment of Bio-Therapeutic, The First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0009-0005-5915-1393
Bin ZhangInstitute for Immunology and School of Medicine, Tsinghua University , Beijing, China.ORCID 0000-0001-6232-6768
Weidong HanDepartment of Bio-Therapeutic, The First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0003-3207-3899
Xiaoyu HuInstitute for Immunology and School of Medicine, Tsinghua University , Beijing, China.ORCID 0000-0002-4289-6998
Chinese PLA General Hospital · CNCenter for Life Sciences · CNTsinghua University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T therapies have achieved remarkable success for treating hematologic malignancies, yet are often accompanied by severe cytokine release syndrome (CRS). Here, an accidental clinical observation raised the possibility that metoprolol, an FDA-approved β1 adrenergic receptor blocker widely used for cardiovascular conditions, may alleviate CAR T-induced CRS. Metoprolol effectively blocked IL-6 production in human monocytes through unexpected mechanisms of action of targeting IL-6 protein translation but not IL6 mRNA expression. Mechanistically, metoprolol diminished IL-6 protein synthesis via attenuating eEF2K-eEF2 axis-regulated translation elongation. Furthermore, an investigator-initiated phase I/II clinical trial demonstrated a favorable safety profile of metoprolol in CRS management and showed that metoprolol significantly alleviated CAR T-induced CRS without compromising CAR T efficacy. These results repurposed metoprolol, a WHO essential drug, as a potential therapeutic for CRS and implicated IL-6 translation as a mechanistic target of metoprolol, opening venues for protein translation-oriented drug developments for human inflammatory diseases.

Indexed as

Receptors, Chimeric AntigenCytokine Release SyndromeCytokinesHumansImmunotherapy, AdoptiveInterleukin-6MetoprololCytokinesInterleukin-6MetoprololReceptors, Chimeric Antigen

Identifiers

PMID37584653
PMCPMC10432851
OpenAlexW4385851627

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.