Evidence map›Paper›PMID 42759885›Full record

Trial reportMolecular metabolism2026

Autocrine signaling may regulate exercise-induced interleukin-6 release from human skeletal muscle.

Jonas Osted Hvidemose, Beckey Trinh, Alexandra Vassilieva, Anne-Sophie Worm Fenger, Peter Nissen Bjerring, Matthijs van Hall, Jens Otto Clemmesen, Sigurður Þór Sigurðsson, Kirsten Møller, Gerrit van Hall and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecular metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06334653 (Exercise-regulated Organ Crosstalk, Influence of IL-6), which is not on this map. Not yet cited in PubMed.

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

NCT06334653 nacompletednot on this map

Exercise-regulated Organ Crosstalk, Influence of IL-6

TypeinterventionalSponsorHelga EllingsgaardRan2024 to 2024Enrolled30ConditionsHealthy Volunteers Only, Energy MetabolismArmsexercise
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Jonas Osted HvidemoseCenter for Physical Activity Research (CFAS), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Beckey TrinhCenter for Physical Activity Research (CFAS), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Endocrinology, Diabetes and Metabolism Clinic, University Hospital of Basel, Basel, Switzerland.
Alexandra VassilievaDepartment of Neuroanaesthesiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Anne-Sophie Worm FengerDepartment of Neuroanaesthesiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Peter Nissen BjerringDepartment of Intestinal Failure and Liver Diseases, Rigshospitalet, Copenhagen, Denmark.
Matthijs van HallDepartment of Clinical Biochemistry, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Clinical Integrative Fluxomics core (CIFcore), Rigshospitalet, Copenhagen, Denmark.
Jens Otto ClemmesenDepartment of Intestinal Failure and Liver Diseases, Rigshospitalet, Copenhagen, Denmark.
Sigurður Þór SigurðssonDepartment of Neuroanaesthesiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Kirsten MøllerThe Neuroscience Center and Institute for Clinical Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Department of Biochemistry and Molecular Biology, University of Southern Denmark, Odense, Denmark.
Gerrit van HallDepartment of Clinical Biochemistry, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Clinical Integrative Fluxomics core (CIFcore), Rigshospitalet, Copenhagen, Denmark; Endocrinology & Metabolism, Faculty of Health & Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Mark A FebbraioBaker Heart & Diabetes Institute, Melbourne, VIC, Australia; Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia.
Bente K PedersenCenter for Physical Activity Research (CFAS), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Peter PlomgaardCenter for Physical Activity Research (CFAS), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Helga EllingsgaardCenter for Physical Activity Research (CFAS), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. Electronic address: Helga.Ellingsgaard@regionh.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContracting skeletal muscle releases interleukin-6 (IL-6) which is primarily cleared by the liver. The tissue-specific regulation of IL-6 and soluble IL-6 receptor (sIL-6R) kinetics remains, however, poorly understood. To characterize tissue-specific IL-6 and sIL-6R exchange during exercise, we combined simultaneous arteriovenous measurements across the contracting leg, splanchnic region, and the brain with, or without, pharmacological IL-6 receptor (IL-6R) blockade.

methodsThirty young, well-trained men were randomized in a double-blind, placebo-controlled design to receive either tocilizumab (IL-6R blockade) or placebo before performing moderate-intensity cycling exercise. Net tissue flux of IL-6 and sIL-6R was determined from arteriovenous concentration differences across the femoral, hepatic, and internal jugular circulation.

resultsDuring exercise, leg IL-6 release increased with both placebo and IL-6R blockade but was significantly augmented by IL-6R blockade, suggesting a potential role for autocrine regulation of local IL-6 release. Under control conditions, the splanchnic bed was the predominant site of IL-6 clearance; however, IL-6R blockade shifted splanchnic IL-6 net balance from uptake to release. In addition, the exercising leg was identified as the source of circulating sIL-6R during exercise, whereas no consistent sIL-6R exchange occurred across the splanchnic bed or brain.

conclusionsThese findings suggest a potential role for IL-6 signaling in the autocrine regulation of IL-6 release from the contracting leg during exercise. Furthermore, exercise increases leg-derived sIL-6R, thereby contributing to increased circulating sIL-6R concentrations, while receptor-mediated splanchnic clearance appears to be a major determinant of systemic IL-6 availability during exercise in humans. CLINICAL TRIAL REGISTRATION NUMBER: Clinicaltrials.gov (NCT06334653).

Indexed as

Autocrine CommunicationExerciseInterleukin-6Muscle, SkeletalAdultAntibodies, Monoclonal, HumanizedDouble-Blind MethodHumansMaleReceptors, Interleukin-6Signal TransductionYoung AdultAntibodies, Monoclonal, HumanizedIL6 protein, humanInterleukin-6Receptors, Interleukin-6tocilizumabArteriovenous balanceAutocrine signalingInterleukin-6Skeletal muscleSoluble IL-6 receptorTocilizumab

Identifiers

PMID42759885
PMCPMC13636069

What OpenQuestion holds

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Registered trials

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.