Evidence map›Paper›PMID 41747289›Full record

ArticleAging2026

Causal effects of inflammation on long-term mortality: A mendelian randomization study.

Eliano P Navarese, Dean J Kereiakes, Timothy D Henry, Marc Brouwer, Giuseppe Talanas, Mehriban Isgender, Michael E Farkouh, Jacek Kubica

Abstract read
In one paragraph

Article in Aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Eliano P NavareseDepartment of Life and Health Sciences, Link Campus University, Rome, Italy.
Dean J KereiakesThe Christ Hospital and Lindner Research Center, Cincinnati, OH 45219, USA.
Timothy D HenryThe Christ Hospital and Lindner Research Center, Cincinnati, OH 45219, USA.
Marc BrouwerRadboud University Medical Center, Nijmegen, The Netherlands.
Giuseppe TalanasDepartment of Life and Health Sciences, Link Campus University, Rome, Italy.
Mehriban IsgenderDepartment of Cardiology, Republican Clinical Hospital, Azerbaijan Medical University, Baku, Azerbaijan.
Michael E FarkouhDepartments of Academic Affairs and Cardiology, Cedars-Sinai Health System, Los Angeles, CA 90048, USA.
Jacek KubicaDepartment of Cardiology and Internal Medicine, L. Rydygier Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterleukin-6 (IL6) signaling plays a key role in inflammation and cardiovascular disease, but its causal effect on long-term mortality remains unclear. We aimed to assess whether genetically proxied levels of IL6, soluble IL6 receptor (IL6R), C-reactive protein (CRP), and growth differentiation factor-15 (GDF15) exert causal effects on long-term all-cause mortality, and to examine potential opposing effects of IL6 and IL6R.

methodsWe conducted Mendelian randomization (MR) using genome-wide association study instruments from >750,000 individuals. The primary outcome was all-cause mortality over a median follow-up of 11.7 years. Secondary outcomes included cardiovascular events and selected non-cardiovascular conditions. Multiple sensitivity analyses were applied to evaluate robustness and directionality.

resultsGenetically higher IL6R levels were associated with reduced mortality (odds ratio (OR) per 1-SD increase: 0.95; 95% CI: 0.91-0.98,

conclusionsIL6 and IL6R appear to be biologically opposing causal regulators of human survival: IL6 increases, while IL6R reduces mortality through cardiovascular mechanisms. CRP and GDF15 likely reflect disease risk rather than drive it. These results support IL6R antagonism as a potential strategy for cardiovascular disease prevention.

Indexed as

cardiovascular diseaseinflammatory biomarkersmendelian randomizationmortality

Identifiers

PMID41747289
PMCPMC13632775

What OpenQuestion holds

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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.