Autoimmunity, cancer and COVID-19 abnormally activate wound healing pathways: critical role of inflammation

Springer Science and Business Media LLC - Tập 158 - Trang 415-434 - 2022
Peter Gál1,2,3, Jan Brábek4,5, Michal Holub6, Milan Jakubek7,8,9, Aleksi Šedo10, Lukáš Lacina8,11,12, Karolína Strnadová8,11, Petr Dubový13, Helena Hornychová14, Aleš Ryška14, Karel Smetana8,11
1Department of Pharmacology, Pavol Jozef Šafárik University, Košice, Slovak Republic
2Department of Biomedical Research, East-Slovak Institute of Cardiovascular Diseases, Košice, Slovak Republic
3Prague Burn Centre, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic
4Department of Cell Biology, Faculty of Science, Charles University, Prague 2, Czech Republic
5BIOCEV, Faculty of Science, Charles University, Vestec, Czech Republic
6Department of Infectious Diseases, First Faculty of Medicine, Military University Hospital Prague and Charles University, Prague, Czech Republic
7Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University, Prague 2, Czech Republic
8BIOCEV, First Faculty of Medicine, Charles University, Vestec, Czech Republic
9Department of Analytical Chemistry, University of Chemistry and Technology, Prague, Prague 6, Czech Republic
10Institute of Biochemistry and Experimental Oncology, First Faculty of Medicine, Charles University, Praha 2, Czech Republic
11Institute of Anatomy, First Faculty of Medicine, Charles University, Prague 2, Czech Republic
12Department of Dermatovenereology, First Faculty of Medicine, Charles University, Prague 2, Czech Republic
13Institute of Anatomy, Faculty of Medicine, Masaryk University, Brno, Czech Republic
14The Fingerland Department of Pathology, Faculty of Medicine Hradec Králové, Charles University, Hradec Králové, Czech Republic

Tóm tắt

Recent evidence indicates that targeting IL-6 provides broad therapeutic approaches to several diseases. In patients with cancer, autoimmune diseases, severe respiratory infections [e.g. coronavirus disease 2019 (COVID-19)] and wound healing, IL-6 plays a critical role in modulating the systemic and local microenvironment. Elevated serum levels of IL-6 interfere with the systemic immune response and are associated with disease progression and prognosis. As already noted, monoclonal antibodies blocking either IL-6 or binding of IL-6 to receptors have been used/tested successfully in the treatment of rheumatoid arthritis, many cancer types, and COVID-19. Therefore, in the present review, we compare the impact of IL-6 and anti-IL-6 therapy to demonstrate common (pathological) features of the studied diseases such as formation of granulation tissue with the presence of myofibroblasts and deposition of new extracellular matrix. We also discuss abnormal activation of other wound-healing-related pathways that have been implicated in autoimmune disorders, cancer or COVID-19.

Tài liệu tham khảo

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