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Soluble interleukin-6 receptor (sIL-6R) refers to the non-membrane-bound form of the IL-6 receptor alpha subunit, which is being investigated in its recombinant or engineered forms as a therapeutic agent. Naturally, endogenous sIL-6R mediates IL-6 trans-signaling by binding to IL-6 and subsequently interacting with the ubiquitously expressed gp130 protein on cell surfaces, a process often associated with pro-inflammatory activities. Therapeutic candidates like engineered selected-sequence sIL-6R (seIL-6R) or mutant sIL-6R (mIL-6R) are designed to act as decoy receptors or competitive inhibitors. These variants bind to circulating IL-6 but are modified to prevent the activation of the gp130 signaling complex, thereby neutralizing IL-6-mediated inflammation and potentially inhibiting tumor cell migration and survival. Development is currently in the preclinical stage for indications including breast cancer, pancreatic cancer, and various chronic inflammatory conditions.
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