Evidence map›Paper›PMID 41182006›Full record

ArticleJournal of the American Heart Association2025

Genetic Downregulation of Interleukin-6 Signaling and Arteriolosclerotic Cerebral Small Vessel Disease: A Drug Target Mendelian Randomization Analysis.

Larissa Ange Tchuisseu-Kwangoua, Murad Omarov, Alexey Shatunov, Hugh S Markus, Joseph Kamtchum-Tatuene, Marios K Georgakis

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. The role of inflammation in cerebral small vessel disease and vascular cognitive impairment, and therapeutic implications.International journal of stroke : official journal of the International Stroke Society · 2026
    Review
  2. Article
  3. 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

6 authors.

Larissa Ange Tchuisseu-KwangouaClinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health University of Oxford Oxford UK.ORCID 0000-0002-9591-6139
Murad OmarovInstitute for Stroke and Dementia Research, LMU University Hospital LMU Munich Munich Germany.ORCID 0000-0001-6126-8631
Alexey ShatunovStroke Research Group, Department of Clinical Neurosciences University of Cambridge Oxford UK.
Hugh S MarkusStroke Research Group, Department of Clinical Neurosciences University of Cambridge Oxford UK.ORCID 0000-0002-9794-5996
Joseph Kamtchum-TatueneWolfson Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences University of Oxford Oxford UK.ORCID 0000-0002-1041-4202
Marios K GeorgakisInstitute for Stroke and Dementia Research, LMU University Hospital LMU Munich Munich Germany.ORCID 0000-0003-3507-3659

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArteriolosclerotic cerebral small vessel disease (cSVD) is a leading cause of stroke and dementia, yet no disease-modifying therapies exist. Anti-inflammatory strategies targeting IL-6 (interleukin-6) signaling have shown efficacy in preventing atherosclerotic cardiovascular disease, but their potential in arteriolosclerotic cSVD remains unexplored. We investigated whether genetically downregulated IL-6 signaling is associated with clinical, imaging, and pathological manifestations of arteriolosclerotic cSVD.

methodsWe applied 2-sample Mendelian randomization using (1) 26 genetic variants near

resultsGenetically downregulated IL-6 signaling (30% decrement in C-reactive protein via 26

conclusionsUnlike atherosclerotic traits, genetically proxied IL-6 signaling downregulation is not associated with clinical, imaging, or pathological manifestations of arteriolosclerotic cSVD. These genetic findings suggest that targeting IL-6 signaling is unlikely to yield effects on cSVD prevention comparable with those expected for atherosclerotic disease.

Indexed as

Cerebral Small Vessel DiseasesInterleukin-6Receptors, Interleukin-6C-Reactive ProteinDown-RegulationFemaleGenetic Predisposition to DiseaseHumansMagnetic Resonance ImagingMaleMendelian Randomization AnalysisRisk FactorsSignal TransductionC-Reactive ProteinIL6 protein, humanIL6R protein, humanInterleukin-6Receptors, Interleukin-6arteriolosclerosiscerebral small vessel diseasehuman geneticsinflammationinterleukin‐6stroke

Identifiers

PMID41182006
PMCPMC12684786

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Registered trials

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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.