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Published on: February 17, 2022
Evaluation of the Tocilizumab therapy in human cancers: Latest evidence and clinical potential
Kimia Ghasemi1, Kosar Ghasemi2
1Department of Pharmacology and Toxicology, School of Pharmacy; Fertility and Infertility Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abstract:
Tocilizumab (Actemra®), as the first human interleukin-6 receptor (IL-6R) antagonist, has been used in treating moderate to severe active rheumatoid arthritis (RA) patients who were undertreatment with one or more disease-modifying anti-rheumatic drugs (DMARDs) and did not improve significantly. Tocilizumab also has been administrated and confirmed in several inflammatory-based diseases. Recently, tocilizumab has been prescribed to treat patients with advanced coronavirus disease (COVID-19) and is used as one of the effective drugs in reducing the increased inflammation in these patients. On the other hand, cancer treatment has been considered by researchers one of the most important challenges to human health. Regarding inflammatory-associated malignancies, it has been shown that inflammatory mediators such as interleukin-1 beta (IL-1β), IL-6, and tumour necrosis factor-alpha (TNF-α) may play a role in tumorigenesis, thus targeting these cytokines as evidence suggested can be useful in the treatment of these types of cancers. This review summarized the role of the IL-6/IL-6R axis in inflammation-based cancers and discussed the effectiveness and challenges of treating cancer with tocilizumab.
Insights
Tocilizumab, an interleukin-6 receptor antagonist, effectively treats rheumatoid arthritis and COVID-19 by reducing inflammation. Researchers are exploring its potential in treating inflammation-associated cancers by targeting the IL-6/IL-6R axis.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Rheumatoid arthritis (RA) and COVID-19 involve significant inflammation.
- Interleukin-6 (IL-6) and its receptor (IL-6R) play crucial roles in inflammatory processes.
- Inflammatory mediators are implicated in the development of certain cancers.
Approach:
- This review examines the role of the IL-6/IL-6R pathway in inflammation-associated cancers.
- It discusses the therapeutic potential and challenges of using tocilizumab, an IL-6R antagonist, in cancer treatment.
- Tocilizumab's efficacy in RA and COVID-19 provides a basis for exploring its anti-cancer applications.
Key Points:
- Tocilizumab is an established treatment for rheumatoid arthritis and has shown promise in managing severe COVID-19.
- The IL-6/IL-6R signaling pathway is a significant factor in tumorigenesis for inflammation-associated malignancies.
- Targeting IL-6/IL-6R with tocilizumab presents a potential therapeutic strategy for specific cancer types.
Conclusions:
- The IL-6/IL-6R axis is a critical target for managing inflammatory conditions and certain cancers.
- Tocilizumab's anti-inflammatory properties suggest its utility in treating inflammation-driven cancers.
- Further research is needed to fully establish the effectiveness and overcome challenges of using tocilizumab in oncology.
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