Target intelligence / Profile preview

Interleukin-6 messenger RNA (IL-6 mRNA) (IL-6 mRNA)

Target
IL-6 mRNA
Molecular classification
Nucleic acid, Messenger RNA
01

Overview

Interleukin-6 (IL-6) messenger RNA (mRNA) is the nucleic acid template responsible for the synthesis of the IL-6 protein, a pleiotropic cytokine that mediates critical aspects of the immune response, inflammation, and hematopoiesis (NCBI Gene ID: 3569). The stability and translation of IL-6 mRNA are tightly controlled by various RNA-binding proteins and endoribonucleases, such as Regnase-1, which prevent excessive inflammatory signaling under normal conditions (PMID: 29103911). Pathological overexpression of IL-6 mRNA is a hallmark of several chronic inflammatory diseases, including rheumatoid arthritis, Castleman disease, and systemic juvenile idiopathic arthritis, where it drives the cytokine storm and systemic inflammation (PMID: 31108135). While traditional therapies target the IL-6 protein or its receptor (IL-6R), targeting the mRNA itself using antisense oligonucleotides (ASOs) or RNA interference (RNAi) offers a strategy to inhibit the production of the cytokine at its source. For instance, the investigational drug IONIS-IL6-LRx (ION-606) is an antisense oligonucleotide designed to bind to IL-6 mRNA and trigger its degradation via RNase H1, thereby reducing systemic IL-6 levels (Ionis Pharmaceuticals). This approach may provide more durable suppression of IL-6 signaling compared to protein-targeting antibodies and is being explored for conditions like chronic kidney disease and other inflammatory disorders (ClinicalTrials.gov NCT04039386).

Other names
IL6 mRNAB-cell stimulatory factor 2 mRNAInterferon beta-2 mRNAHepatocyte stimulatory factor mRNABSF2 mRNAIFNB2 mRNA
02

Mechanism of action

Antisense oligonucleotide-mediated RNase H1 cleavage of the target mRNA, preventing translation into the Interleukin-6 protein.

03

Biological functions

Protein translationImmune response regulationPro-inflammatory signalingAcute phase response inductionHematopoiesis regulation
04

Disease associations

Rheumatoid arthritisCastleman diseaseCytokine release syndromeChronic kidney diseaseSystemic juvenile idiopathic arthritisSystemic lupus erythematosusCOVID-19 associated inflammation
05

Safety considerations

Increased risk of serious bacterial and viral infectionsInjection site reactionsPotential for thrombocytopenia (ASO class effect)Potential for renal or hepatic toxicity (ASO class effect)Neutropenia
06

Interacting drugs

IONIS-IL6-LRx (ION-606)
07

Biomarkers

Serum Interleukin-6 protein levelsC-reactive protein (CRP)Erythrocyte sedimentation rate (ESR)Serum amyloid A

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