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Publication : Interleukin-6 signaling drives fibrosis in unresolved inflammation.

First Author  Fielding CA Year  2014
Journal  Immunity Volume  40
Issue  1 Pages  40-50
PubMed ID  24412616 Mgi Jnum  J:209391
Mgi Id  MGI:5567050 Doi  10.1016/j.immuni.2013.10.022
Citation  Fielding CA, et al. (2014) Interleukin-6 signaling drives fibrosis in unresolved inflammation. Immunity 40(1):40-50
abstractText  Fibrosis in response to tissue damage or persistent inflammation is a pathological hallmark of many chronic degenerative diseases. By using a model of acute peritoneal inflammation, we have examined how repeated inflammatory activation promotes fibrotic tissue injury. In this context, fibrosis was strictly dependent on interleukin-6 (IL-6). Repeat inflammation induced IL-6-mediated T helper 1 (Th1) cell effector commitment and the emergence of STAT1 (signal transducer and activator of transcription-1) activity within the peritoneal membrane. Fibrosis was not observed in mice lacking interferon-gamma (IFN-gamma), STAT1, or RAG-1. Here, IFN-gamma and STAT1 signaling disrupted the turnover of extracellular matrix by metalloproteases. Whereas IL-6-deficient mice resisted fibrosis, transfer of polarized Th1 cells or inhibition of MMP activity reversed this outcome. Thus, IL-6 causes compromised tissue repair by shifting acute inflammation into a more chronic profibrotic state through induction of Th1 cell responses as a consequence of recurrent inflammation.
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