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A neutralizing antibody to IL-6 is a therapeutic monoclonal antibody designed to bind specifically to interleukin-6 (IL-6), a key pro-inflammatory cytokine. By binding to IL-6, these antibodies prevent its interaction with the IL-6 receptor (IL-6R) and the gp130 signal transducer, thereby blocking downstream signaling pathways such as the JAK/STAT pathway. This inhibition suppresses inflammatory responses, immune cell activation, and tumor-promoting microenvironments. Several anti-IL-6 neutralizing antibodies have been developed, including siltuximab (approved for multicentric Castleman disease), olokizumab, and sirukumab, which are investigated or approved for autoimmune diseases like rheumatoid arthritis and various cancers.
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