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Interleukin-6 receptor (IL-6R (primary receptor), gp130 (signal transducer), IL-6 signaling (pathway))

Target
IL-6R (primary receptor), gp130 (signal transducer), IL-6 signaling (pathway)
Molecular classification
Receptor (type I cytokine receptor), Signal transducer (gp130), Cytokine receptor family
01

Overview

The Interleukin-6 signaling pathway is initiated when IL-6 binds to the IL-6 receptor (IL-6R), composed of an IL-6-specific binding chain (IL-6Rα/CD126) and the signal-transducing glycoprotein 130 (gp130/CD130)[2][1]. Upon ligand engagement, this receptor complex assembles into a hexameric structure on the cell surface, activating the intracellular JAK/STAT signaling cascade, as well as MAPK and PI3K pathways[1][6]. These signaling events regulate the transcription of target genes involved in immune responses, inflammation, cell survival, proliferation, and regeneration[1][6][4]. Two principal modes of IL-6 signaling are distinguished: classical signaling (via membrane-bound IL-6R) and trans-signaling (via soluble IL-6R), allowing IL-6 to act upon a broader range of cell types[1][4][3]. The pathway is a key hub in mediating inflammatory diseases, autoimmunity, oncogenesis, and host defense, making the IL-6 receptor complex a critical therapeutic target[5][4][6]. Drugs inhibiting IL-6 or its receptor are established treatments for inflammatory and autoimmune conditions, with additional roles in cancer and infectious diseases[5][1].

Other names
IL-6 receptorIL-6Rα or CD126 (IL-6-binding chain)gp130 or CD130 (signal transducer)sIL-6R (soluble IL-6 receptor)IL6ST (gene encoding gp130)
02

Mechanism of action

Inhibition of IL-6 binding to IL-6 receptor - Blockade of IL-6R activation, preventing downstream JAK/STAT, MAPK, and PI3K signaling - Neutralization of circulating IL-6

03

Biological functions

Signal transductionImmune responseInflammationCell proliferationCell survivalDifferentiationAcute-phase responsesHematopoiesis
04

Disease associations

Inflammation (including chronic and acute)Autoimmune disease (e.g., rheumatoid arthritis)CancerInfection (modulation of immune responses)Kidney disease, cardiovascular disease, neurodegenerative diseases (role in disease progression)
05

Safety considerations

Increased risk of infection due to immune suppressionPotential impact on liver function and lipid metabolismRisk of gastrointestinal perforation in predisposed individuals
06

Interacting drugs

Tocilizumab (IL-6R antagonist)

3 more in the full profile.

07

Biomarkers

Serum IL-6 levelsCRP (C-reactive protein, downstream acute-phase marker)Soluble IL-6 receptor (sIL-6R) concentrations

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