PMID- 33621130 OWN - NLM STAT- MEDLINE DCOM- 20210310 LR - 20221207 IS - 1557-7465 (Electronic) IS - 1079-9907 (Linking) VI - 41 IP - 2 DP - 2021 Feb TI - Perspectives on Targeting IL-6 as a Potential Therapeutic Strategy for COVID-19. PG - 37-43 LID - 10.1089/jir.2020.0135 [doi] AB - Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has been a major threat to global public health. In Indonesia, the cases have rapidly increased, and the case fatality rate remains high. With COVID-19, most of the deaths have been caused by acute respiratory distress syndrome and dysregulation of the immune response. A lung biopsy from a patient with COVID-19 showed inflammatory cellular infiltration with diffuse alveolar damage. Massive pulmonary destruction has also been reported as a result of highly increased levels of proinflammatory cytokines, such as tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), IL-1beta, interferon-gamma (IFN-gamma), induced protein 10 (IP-10), and monocyte chemoattractant protein-1 (MCP-1). IL-6 is an inflammatory cytokine produced by various cell types, including immune cells and nonleukocytes, such as endothelial cells, fibroblasts, epithelial cells, type II pneumocytes, and certain tumor cells. Several studies have shown that IL-6 contributes to the severity and mortality of COVID-19. In this review, we would like to explore the immune response in COVID-19 and the role of IL-6 in the immunopathogenesis of COVID-19. FAU - Khaedir, Yordan AU - Khaedir Y AD - Department of Histology, Faculty of Medicine, Universitas Indonesia, Jakarta Pusat, Indonesia. AD - Immunology, Master's Program in Biomedical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta Pusat, Indonesia. FAU - Kartika, Rona AU - Kartika R AD - Division of Metabolic, Endocrinology, and Diabetes, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta Pusat, Indonesia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Interferon Cytokine Res JT - Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research JID - 9507088 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 0 (Janus Kinase Inhibitors) RN - 0 (Nitriles) RN - 0 (Pyrazoles) RN - 0 (Pyrimidines) RN - 0 (Receptors, Interleukin-6) RN - 82S8X8XX8H (ruxolitinib) RN - EC 2.7.10.2 (JAK1 protein, human) RN - EC 2.7.10.2 (JAK2 protein, human) RN - EC 2.7.10.2 (Janus Kinase 1) RN - EC 2.7.10.2 (Janus Kinase 2) RN - I031V2H011 (tocilizumab) RN - NU90V55F8I (sarilumab) SB - IM MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - COVID-19/*pathology MH - Cytokine Release Syndrome/drug therapy/pathology/prevention & control MH - Humans MH - Indonesia MH - Interleukin-6/immunology MH - Janus Kinase 1/antagonists & inhibitors MH - Janus Kinase 2/antagonists & inhibitors MH - Janus Kinase Inhibitors/therapeutic use MH - Nitriles MH - Pyrazoles/therapeutic use MH - Pyrimidines MH - Receptors, Interleukin-6/*antagonists & inhibitors MH - Respiratory Distress Syndrome/*drug therapy MH - SARS-CoV-2/drug effects/*immunology MH - Signal Transduction/immunology MH - COVID-19 Drug Treatment OTO - NOTNLM OT - coronavirus disease 2019 OT - immune response OT - interleukin-6 EDAT- 2021/02/24 06:00 MHDA- 2021/03/11 06:00 CRDT- 2021/02/23 17:33 PHST- 2021/02/23 17:33 [entrez] PHST- 2021/02/24 06:00 [pubmed] PHST- 2021/03/11 06:00 [medline] AID - 10.1089/jir.2020.0135 [doi] PST - ppublish SO - J Interferon Cytokine Res. 2021 Feb;41(2):37-43. doi: 10.1089/jir.2020.0135.