Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

A New IL-6 Inducing Mechanism in Cancer with new Therapeutic Possibilities

Version 1 : Received: 19 August 2024 / Approved: 19 August 2024 / Online: 20 August 2024 (03:39:41 CEST)

How to cite: Håkansson, L.; Duner, P.; Broströmer, E.; Gustavsson, B.; Wettergren, Y.; Ghafouri, B.; Håkansson, A.; Clinchy, B. A New IL-6 Inducing Mechanism in Cancer with new Therapeutic Possibilities. Preprints 2024, 2024081373. https://doi.org/10.20944/preprints202408.1373.v1 Håkansson, L.; Duner, P.; Broströmer, E.; Gustavsson, B.; Wettergren, Y.; Ghafouri, B.; Håkansson, A.; Clinchy, B. A New IL-6 Inducing Mechanism in Cancer with new Therapeutic Possibilities. Preprints 2024, 2024081373. https://doi.org/10.20944/preprints202408.1373.v1

Abstract

Background: Interleukin-6 is dysregulated in multiple pathological conditions, e.g. cancer and inflammatory diseases. Aim: To investigate new mechanisms for regulation of pathological IL-6 production. Methods: PBMC produce interleukin-6 (IL-6) stimulated by cancer serum factors or specific peptides. Immunoregulatory albumin neo-structures and peptides were identified with 2D-gel electrophoresis and MALDI-TOF-MS analyses. Il-6 and albumin neo-structures were determined by ELISA. Results: Conformational changes of normal serum albumin by proteolytic degradation generates an IL-6 inducing neo-structure, IL-6 inducing factor (IL-6IF), which is immunogenic eliciting production of autoantibodies. IL-6 production induced by IL-6IF and cancer patient sera is inhibited by specific antibodies. The serum concentration of IL-6IF, is significantly higher in advanced cancer stages and its presence is significantly correlated to the survival of the patients. Conclusion: A new mechanism for induction IL-6 synthesis is presented. Based on this mechanism the pathological IL-6 production related to an enhanced proteolytic activity can be diagnosed and selectively inhibited by specific antibodies. Such antibodies have been identified and purified. Thus, the neo-structure, inducing pathological IL-6 production, associated with a reduced survival of cancer patients can be selectively removed by therapeutic administration of antibodies leaving the function of IL-6 needed for the normal activity of the immune system intact.

Keywords

Interleukin-6; cancer; PBMC; immunoregulation; albumin neo-structure; IL-6 inducing factor; autoantibodies; immune complexes; prognosis

Subject

Biology and Life Sciences, Immunology and Microbiology

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