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Updated: May 7, 2026

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Interleukin-6: an angiogenic target in solid tumours
Kathryn Middleton1, Joanna Jones1, Zarnie Lwin1
1Mater Adult Hospital, Department of Medical Oncology, Raymond Terrace, Brisbane, QLD 4101, Australia.
Abstract:
During the past decade, incorporating anti-angiogenic agents into the therapeutic management of a myriad of malignancies has in certain cases made a significant impact on survival. However, the development of resistance to these drugs is inevitable and swift disease progression on their cessation often ensues. Hence, there is a drive to devise strategies that aim to enhance response to anti-angiogenic therapies by combining them with other targeted agents that facilitate evasion from resistance. The pleiotropic cytokine, interleukin-6 (IL-6), exerts pro-angiogenic effects in the tumour microenvironment of several solid malignancies and there is emerging evidence that reveals significant relationships between IL-6 signalling and treatment failure with antibodies directed against vascular endothelial growth factor (VEGF). This review summarises the role of IL-6 in pivotal angiogenic processes and preclinical/clinical research to support the future introduction of anti-IL-6 therapies to be utilised either in combination with other anti-angiogenic drugs or as a salvage therapy for patients with diseases that become refractory to these approaches.
Insights
Resistance to anti-angiogenic drugs like anti-VEGF antibodies is common. Targeting interleukin-6 (IL-6) may overcome this resistance, improving cancer treatment outcomes.
Area of Science:
- Oncology
- Immunology
Background:
- Anti-angiogenic agents targeting vascular endothelial growth factor (VEGF) have improved survival in various cancers.
- Acquired resistance to anti-VEGF therapy is a significant clinical challenge, leading to disease progression.
Purpose of the Study:
- To review the role of interleukin-6 (IL-6) in tumor angiogenesis and its link to anti-VEGF therapy resistance.
- To explore the potential of anti-IL-6 therapies as a strategy to overcome resistance and improve cancer treatment.
Main Methods:
- Literature review of preclinical and clinical studies on IL-6, VEGF, and anti-angiogenic therapy resistance.
- Analysis of the mechanisms by which IL-6 signaling influences tumor microenvironment and angiogenesis.
Main Results:
- IL-6 signaling promotes pro-angiogenic effects within the tumor microenvironment.
- Elevated IL-6 levels correlate with treatment failure in patients receiving anti-VEGF therapies.
- IL-6 blockade demonstrates potential in preclinical models to enhance anti-angiogenic efficacy.
Conclusions:
- IL-6 is a key mediator in tumor angiogenesis and a driver of resistance to anti-VEGF therapy.
- Targeting IL-6, through anti-IL-6 therapies, represents a promising strategy to enhance response to anti-angiogenic treatments.
- Anti-IL-6 agents could be used in combination with anti-VEGF drugs or as salvage therapy for refractory cancers.
Related Concept Videos
Regulation of Angiogenesis and Blood Supply
The Tumor Microenvironment
Mechanism of Angiogenesis

