Interleukin-6 in retinal diseases: From pathogenesis to therapy

Exp Eye Res. 2023 Aug:233:109556. doi: 10.1016/j.exer.2023.109556. Epub 2023 Jun 27.

Abstract

Interleukin-6 (IL-6) is a pleiotropic cytokine that participates in immunomodulation, inflammation, increases vascular permeability, hematopoiesis, and stimulates cell proliferation, among other biological processes. It exerts effects primarily through the classic and trans-signaling pathways. Many studies have demonstrated that IL-6 plays a critical role in the development of retinal diseases including diabetic retinopathy, uveitis, age-related macular degeneration, glaucoma, retinal vein occlusion, central serous chorioretinopathy and proliferative vitreoretinopathy. Thus, the progressive development of drugs targeting IL-6 and IL-6 receptor may play a role in the treatment of multiple retinal diseases. In this article, we comprehensively review the IL-6's biological functions of and its mechanisms in the pathogenesis of various retinal diseases. Furthermore, we summarize the drugs targeting IL-6 and its receptor and prospect their potential application in retinal diseases, hoping to provide new ideas for the treatment of retinal diseases.

Keywords: Interleukin-6; Precision medicine; Retinal diseases; Targeted-IL-6 treatment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Diabetic Retinopathy* / pathology
  • Humans
  • Interleukin-6
  • Retina / pathology
  • Retinal Diseases* / drug therapy
  • Retinal Vein Occlusion* / drug therapy

Substances

  • Interleukin-6
  • IL6 protein, human