Evidence map›Paper›PMID 9185517›Full record

ArticleThe Journal of clinical investigation1997

Interleukin 1 receptor antagonist (IL-1Ra) is an acute-phase protein.

C Gabay, M F Smith, D Eidlen, W P Arend

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 314 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. An ancient evolutionary origin for IL-1 cytokines.Nature ecology & evolution · 2026
    Article
  6. Review
  7. Article
  8. IL-1 family of cytokines in gastrointestinal and liver disorders.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Humoral Innate Immunity and Acute-Phase Proteins.The New England journal of medicine · 2023
    Review
  14. Differential gene expression response of synovial fibroblasts from temporomandibular joints and knee joints to dynamic tensile stress.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2022
    Article
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33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

C GabayDivision of Rheumatology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado 80262, USA. gabay_c@defiance.uchsc.edu
M F Smith
D Eidlen
W P Arend
University of Colorado Health · USUniversity of Virginia · US

Funding

IDENTIFICATION OF LPS-INDUCED SIGNALING MECHANISMSR01AI034358 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI SMITH, MICHAEL F · 2000 to 2004
$1.5M
ROLE OF INTERLEUKIN-1 INHIBITOR--INFLAMMATORY SYNOVITISR01AR040135 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI AREND, WILLIAM P · 1990 to 2003
$1.1M
IDENTIFICATION OF LPS-INDUCED SIGNALLING MECHAMISMSR29AI034358 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI SMITH, MICHAEL F · 1995 to 1999
–
NIAID NIH HHS AI-34358NIAMS NIH HHS AR-40135
6 · The paper itself

Abstract

Interleukin 1 receptor antagonist (IL-1Ra) levels are elevated in the blood of patients with a variety of infectious, immune, or traumatic conditions. To examine whether IL1Ra is produced by liver cells with characteristics resembling an acute-phase protein, human primary hepatocytes isolated from liver biopsies and HepG2 hepatoma cells were stimulated with IL-1beta, IL-6, and TNFalpha. IL-1Ra was present in the supernatants of both cells, with production significantly enhanced by IL-1beta, and by the combination of IL-1beta and IL-6. The term IL-1Ra refers to two different proteins encoded by the same gene, but generated by alternative splicing of two different first exons. One isoform is secreted (17-kD sIL-1Ra), and the other isoform remains in the cytoplasm (18-kD icIL-1Ra). By Western blot analysis, the supernatants of human hepatoma (HepG2) cells contained only sIL-1Ra, whereas the lysates contained a novel smaller molecular mass isoform of 16 kD. RT-PCR and ribonuclease protection assay with RNA from HepG2 cells showed that only sIL-1Ra mRNA was expressed, and confirmed the inducing effect of IL-1beta and IL-6. Transfection studies were performed using constructs containing the promoters of either sIL-1Ra or icIL-1Ra coupled to the luciferase reporter gene. The sIL-1Ra promoter was active in HepG2 cells stimulated by IL-1beta and/or IL-6, whereas the icIL-1Ra promoter was inactive. Mutation of binding sites for transcription factors NF-kappaB and/or C/EBP within the proximal sIL-1Ra promoter led to significant decreases in response to IL-1beta and IL-6 in comparison to the wild-type promoter. Electromobility gel shift assays confirmed the presence of NF-kappaB and C/EBP binding sites within the sIL-1Ra promoter, and indicated a significant increase in the binding activities of nuclear proteins from HepG2 cells treated with IL-1beta and IL-6. In summary, sIL-1Ra, but not icIL-1Ra, is produced by hepatocytes, and is regulated by proinflammatory cytokines as an acute-phase protein. In addition, NF-kappaB and C/EBP family members are likely to play important roles in the full expression of IL-1Ra by hepatocytes during inflammatory conditions.

Indexed as

Acute-Phase ProteinsBinding SitesCarcinoma, HepatocellularCells, CulturedDNADNA-Binding ProteinsElectrophoresisHumansInterleukin-1Interleukin 1 Receptor Antagonist ProteinInterleukin-6LiverLiver NeoplasmsNF-kappa BPolymerase Chain ReactionRNA, MessengerAcute-Phase ProteinsDNADNA-Binding ProteinsIL1RN protein, humanInterleukin-1Interleukin 1 Receptor Antagonist ProteinInterleukin-6NF-kappa BRNA, MessengerSialoglycoproteinsTumor Necrosis Factor-alpha

Identifiers

PMID9185517
PMCPMC508145
OpenAlexW2083955105

What OpenQuestion holds

Textmetadata
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.