PMID- 16278864 OWN - NLM STAT- MEDLINE DCOM- 20060323 LR - 20081121 IS - 0364-5134 (Print) IS - 0364-5134 (Linking) VI - 59 IP - 1 DP - 2006 Jan TI - Interleukin-6 involvement in brain arteriovenous malformations. PG - 72-80 AB - We recently reported that the GG genotype of the interleukin-6 (IL-6)-174G>C promoter polymorphism is associated with clinical presentation of intracranial hemorrhage in brain arteriovenous malformation (AVM) patients. In this study, we investigated whether tissue IL-6 expression was associated with IL-6-174G>C genotype, and whether IL-6 was linked to downstream targets involved in angiogenesis and vascular instability. Our results showed that the highest IL-6 protein levels in brain AVM tissue were associated with IL-6-174GG genotype (GG: 57.7 +/- 20.2; GC: 35.6 +/- 26.6; CC: 13.9 +/- 10.2pg/mg; p = 0.001). IL-6 protein levels were increased in AVM tissue from patients with hemorrhagic presentation compared with patients without hemorrhage (55 +/- 22 vs 40 +/- 27pg/mg; p = 0.038). IL-6 messenger RNA expression strongly correlated with messenger RNA levels of IL-1beta, tumor necrosis factor-alpha, IL-8, matrix metalloproteinase-3 (MMP-3), MMP-9, and MMP-12. We further investigated the plausibility of IL-6 being an upstream cytokine responsible for initiating the angiogenic cascade by cell culture and animal experiments. IL-6 induced MMP-3 and MMP-9 expression and activity in mouse brain and increased proliferation and migration of cerebral endothelial cells. Together, our results suggest that the IL-6 genotype associated with intracranial hemorrhage modulates IL-6 expression in brain AVM tissue, which is consistent with the hypothesis that inflammatory processes induce angiogenic activity possibly contributory to brain AVM intracranial hemorrhage. FAU - Chen, Yongmei AU - Chen Y AD - Center for Cerebrovascular Research, University of California at San Francisco, 1001 Potrero Avenue, San Francisco, CA, USA. FAU - Pawlikowska, Ludmila AU - Pawlikowska L FAU - Yao, Jianhua S AU - Yao JS FAU - Shen, Fanxia AU - Shen F FAU - Zhai, Wenwu AU - Zhai W FAU - Achrol, Achal S AU - Achrol AS FAU - Lawton, Michael T AU - Lawton MT FAU - Kwok, Pui-Yan AU - Kwok PY FAU - Yang, Guo-Yuan AU - Yang GY FAU - Young, William L AU - Young WL LA - eng GR - K24 NS 02091/NS/NINDS NIH HHS/United States GR - P01 NS 44155/NS/NINDS NIH HHS/United States GR - R01 NS 34949/NS/NINDS NIH HHS/United States GR - R01 NS 41877/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 RN - 0 (Interleukin-6) RN - 0 (RNA, Messenger) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Adult MH - Aged MH - Animals MH - Brain/cytology/metabolism MH - Cells, Cultured MH - Endothelial Cells/cytology/metabolism MH - Genotype MH - Humans MH - Interleukin-6/*genetics/metabolism MH - Intracranial Arteriovenous Malformations/*genetics/pathology MH - Matrix Metalloproteinases/genetics/metabolism MH - Mice MH - Middle Aged MH - *Polymorphism, Genetic MH - Promoter Regions, Genetic MH - RNA, Messenger/metabolism MH - Statistics as Topic EDAT- 2005/11/10 09:00 MHDA- 2006/03/24 09:00 CRDT- 2005/11/10 09:00 PHST- 2005/11/10 09:00 [pubmed] PHST- 2006/03/24 09:00 [medline] PHST- 2005/11/10 09:00 [entrez] AID - 10.1002/ana.20697 [doi] PST - ppublish SO - Ann Neurol. 2006 Jan;59(1):72-80. doi: 10.1002/ana.20697.