Table 1 Pleiotropic effects of IL-6

From: IL-6 and the dysregulation of immune, bone, muscle, and metabolic homeostasis during spaceflight

TARGET

EFFECT

B cells

Controls the proliferation, maturation and survival of B cells and plasmablasts; initiates T-cell-dependent and -independent isotype switching and antibody production; promotes the differentiation of IL-10+ B regulatory (B1) cells [IL-1β], and IL-21 production in CD4+ T cells to drive STAT-3 dependent plasma cell development.

T cells

Regulates trafficking of lymphocytes, monocytes and macrophages and initiates transition from granulocytic to mononuclear cell infiltration at sites of inflammation; upregulates expression of surface markers involved in antigen presentation and phagocytosis; promotes the differentiation of Th2 [IL-4], Th17 [TGF-β], Th22 [TNF-α], Treg [IL-27], and Tfh [IL-21] cells; initiates the secretion of IL-10 by IFN-γ+ Th1, IL-4+ Th2 and IL-17+ Th17 cells [IL-27]; facilitates T-cell survival; inhibits Th1 differentiation [IFN-γ] and TNF-α and IL-1β secretion; enhances IL-2, IL-4, IL-10, IL-1ra secretion and IL-2R expression; stimulates TCR independent CD8+ T-cell proliferation and effector functions [IL-7 or IL-15].

Monocytes, dendrocytes

Promotes monocyte and dendrocyte to macrophage differentiation and IL-10+ M2 macrophage (M2d) activation.

Hematopoietic progenitors

Promotes proliferation of multipotential hematopoietic cells, including the maturation of megakaryocytes [IL-3].

Hepatocytes

Initiates acute phase protein synthesis.

Bone

Promotes bone formation by enhancing OB differentiation from mesenchymal cell precursors, by inhibiting OB apoptosis, and by augmenting immune cell secretion of IL-4, IL-10 and IL-1ra; inhibits bone resorption by decreasing OC RANKL expression, by upregulating OPG secretion in bone and B cells, and by inhibiting immune cell secretion of IL-1α/β and TNF-α; enhances OB activity in response to bone loading signals by releasing osteoclast-derived coupling factors/transmitters.

Muscle

Increases glucose uptake and mitochondrial fatty acid oxidation by activating AMPK, P13K. Promotes myocyte differentiation, proliferation, and response to injury. Promotes post-exercise extracellular matrix reorganization and stem cell niche accumulation.

Metabolic homeostasis

Restores CNS sensitivity to insulin, leptin; prevents obesity, glucose intolerance; increases pancreatic beta cell viability and insulin secretion; induces lipolysis, fat oxidation in hepatocytes, adipocytes.

  1. Cytokines bracketed by [] act as essential cofactors
  2. AMPK 5′ adenosine monophosphate activated protein kinase, CNS central nervous system, G/M granulocyte/monocyte, IFN-γ interferon-γ, IL interleukin, IL-1ra interleukin-1 receptor antagonist, IL-2R interleukin 2 receptor, OB osteoblast, OC osteoclast, OPG osteoprotegerin, P13K phosphatidylinositol-3-kinase, RANKL receptor activator of nuclear factor kappa B ligand, TCR T-cell receptor, Th T helper, Tfh T follicular helper, TGF-β transforming growth factor-β, TNF-α tumor necrosis factor-α