Interleukin-6 (IL-6) is a pleiotropic cytokine, a type of signaling protein, that plays a dual role in human physiology, acting as both a pro-inflammatory mediator and an anti-inflammatory myokine. Clinically, chronically elevated basal levels of IL-6 are a key biomarker for systemic low-grade inflammation, which is implicated in numerous chronic diseases and hormonal dysregulation. However, acute, exercise-induced spikes of IL-6, secreted by contracting muscles, promote metabolic health and tissue repair. Its context-dependent action makes it a crucial target in precision wellness.
Origin
The term is a compound name, combining “interleukin,” which signifies its role in communication between leukocytes (white blood cells), with the number “6,” which denotes the order of its discovery among the interleukins. The recognition of IL-6 as a key inflammatory mediator emerged in the field of immunology and later expanded into endocrinology as its role in metabolic and muscular signaling was elucidated.
Mechanism
As an inflammatory mediator, IL-6 is secreted by immune cells and signals through a complex receptor system to activate the acute phase response in the liver, increasing the production of inflammatory proteins. As a myokine, the mechanism is different; muscle contraction releases IL-6, which then acts on fat and liver cells to improve glucose uptake and lipid metabolism. This dual mechanism underscores its profound and varied influence on systemic homeostasis and cellular communication.
Aromatase inhibitors can alter male cardiovascular markers by modifying lipid profiles and inflammatory signals, underscoring the need for precise hormonal calibration.
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