High levels of "complexed" interleukin-6 in human blood

L T May1, H Viguet, J S Kenney

  • 1Department of Microbiology and Immunology, New York Medical College, Valhalla 10595.

Insights

Endogenous interleukin-6 (IL-6) in human serum exists in high-concentration complexes with plasma proteins. These complexes can mask IL-6

Area of Science:

  • Biochemistry
  • Immunology
  • Molecular Biology

Background:

  • Endogenous interleukin-6 (IL-6) is a key cytokine involved in immune responses and inflammation.
  • Understanding the native biochemical state of IL-6 in circulation is crucial for accurate assessment of its activity.
  • Previous studies often relied on assays that might not detect IL-6 in complexed forms.

Purpose of the Study:

  • To investigate the biochemical nature and molecular mass of endogenous IL-6 in human serum and plasma.
  • To characterize the protein complexes containing IL-6 and identify associated proteins.
  • To evaluate how IL-6 complexation affects its detection in conventional immunoassays and bioassays.

Main Methods:

  • Fractionation of serum and plasma samples using G-200 gel filtration chromatography.
  • Quantification of IL-6 using two distinct ELISA kits (IG61/5IL6 and 4IL6/5IL6) and a B9 hybridoma bioassay.
  • Purification of IL-6 complexes via immunoaffinity chromatography using a 5IL6 monoclonal antibody, followed by Western blotting, amino-terminal sequencing, and amino acid sequencing.

Main Results:

  • A low molecular mass form (~20 kDa) of IL-6 was detected by one ELISA and the bioassay.
  • Higher molecular mass complexes (100-150 kDa and 400-500 kDa) containing IL-6 immunoreactivity were identified by the other ELISA.
  • Purified complexes revealed IL-6 associated with complement factors (C3b, C4b), C-reactive protein, albumin, and the soluble IL-6 receptor.

Conclusions:

  • IL-6 circulates in human blood at unexpectedly high concentrations within novel biochemical complexes.
  • These IL-6-protein complexes can obscure IL-6's immunoreactivity and bioactivity in standard assays.
  • The findings necessitate re-evaluation of IL-6 measurement methods and its physiological role in complexed forms.

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