|
|
||||||||

1
* The Copenhagen Muscle Research Centre and
The Department of Infectious Diseases, Rigshospitalet, The University of Copenhagen, Copenhagen, Denmark; and
The Department of Physiology, The University of Melbourne, Parkville, Victoria, Australia
1Correspondence: Copenhagen Muscle Research Centre, Rigshospitalet, 7652, Tagensvej 20, DK-2200, Copenhagen N, Denmark. E-mail: bkp{at}rh.dk
It has recently been demonstrated that the marked increase in the systemic concentration of cytokine interleukin-6 (IL-6) seen with exercise originates from the contracting limb and that skeletal muscle cells per se are the likely source of the production. This review summarizes the possible mechanisms for activation and biological consequences of muscle-derived IL-6. It appears that intramuscular IL-6 is stimulated by complex signaling cascades initiated by both calcium (Ca2+) -dependent and -independent stimuli. It also seems likely that skeletal muscle produces IL-6 to aid in maintaining metabolic homeostasis during periods of altered metabolic demand such as muscular exercise or insulin stimulation. It may do so via local and/or systemic effects. This review also explores the efficacy that IL-6 may be used as a therapeutic drug in treating metabolic disorders such as obesity, type 2 diabetes, and atherosclerosis.Febbraio, M. A., Pedersen, B. K. Muscle-derived interleukin 6: mechanisms for activation and possible biological roles.
Key Words: cytokines lipolysis intracellular signaling metabolism calcium glycogen metabolic syndrome
This article has been cited by other articles:
![]() |
V. Castellano, D. I. Patel, and L. J. White Cytokine responses to acute and chronic exercise in multiple sclerosis J Appl Physiol, June 1, 2008; 104(6): 1697 - 1702. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Broholm, O. H. Mortensen, S. Nielsen, T. Akerstrom, A. Zankari, B. Dahl, and B. K. Pedersen Exercise induces expression of leukaemia inhibitory factor in human skeletal muscle J. Physiol., April 15, 2008; 586(8): 2195 - 2201. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. M. Meador, C. P. Krzyszton, R. W. Johnson, and K. A. Huey Effects of IL-10 and age on IL-6, IL-1{beta}, and TNF-{alpha} responses in mouse skeletal and cardiac muscle to an acute inflammatory insult J Appl Physiol, April 1, 2008; 104(4): 991 - 997. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. H. Secher, T. Seifert, and J. J. Van Lieshout Cerebral blood flow and metabolism during exercise: implications for fatigue J Appl Physiol, January 1, 2008; 104(1): 306 - 314. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Lamprecht, K. Oettl, G. Schwaberger, P. Hofmann, and J. F. Greilberger Several Indicators of Oxidative Stress, Immunity, and Illness Improved in Trained Men Consuming an Encapsulated Juice Powder Concentrate for 28 Weeks J. Nutr., December 1, 2007; 137(12): 2737 - 2741. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Hojbjerre, M. Rosenzweig, F. Dela, J. M Bruun, and B. Stallknecht Acute exercise increases adipose tissue interstitial adiponectin concentration in healthy overweight and lean subjects Eur. J. Endocrinol., November 1, 2007; 157(5): 613 - 623. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Louis, U. Raue, Y. Yang, B. Jemiolo, and S. Trappe Time course of proteolytic, cytokine, and myostatin gene expression after acute exercise in human skeletal muscle J Appl Physiol, November 1, 2007; 103(5): 1744 - 1751. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. R. Nielsen, R. Mounier, P. Plomgaard, O. H. Mortensen, M. Penkowa, T. Speerschneider, H. Pilegaard, and B. K. Pedersen Expression of interleukin-15 in human skeletal muscle effect of exercise and muscle fibre type composition J. Physiol., October 1, 2007; 584(1): 305 - 312. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. K. Pedersen, T. C. A. Akerstrom, A. R. Nielsen, and C. P. Fischer Role of myokines in exercise and metabolism J Appl Physiol, September 1, 2007; 103(3): 1093 - 1098. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Steensberg, C. Keller, T. Hillig, C. Frosig, J. F. P. Wojtaszewski, B. K. Pedersen, H. Pilegaard, and M. Sander Nitric oxide production is a proximal signaling event controlling exercise-induced mRNA expression in human skeletal muscle FASEB J, September 1, 2007; 21(11): 2683 - 2694. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Weigert, M. Dufer, P. Simon, E. Debre, H. Runge, K. Brodbeck, H. U. Haring, and E. D. Schleicher Upregulation of IL-6 mRNA by IL-6 in skeletal muscle cells: role of IL-6 mRNA stabilization and Ca2+-dependent mechanisms Am J Physiol Cell Physiol, September 1, 2007; 293(3): C1139 - C1147. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. K. Pedersen State of the Art Reviews: Health Benefits Related to Exercise in Patients With Chronic Low-Grade Systemic Inflammation American Journal of Lifestyle Medicine, August 1, 2007; 1(4): 289 - 298. [Abstract] [PDF] |
||||
![]() |
S. Glund, A. Deshmukh, Y. C. Long, T. Moller, H. A. Koistinen, K. Caidahl, J. R. Zierath, and A. Krook Interleukin-6 Directly Increases Glucose Metabolism in Resting Human Skeletal Muscle Diabetes, June 1, 2007; 56(6): 1630 - 1637. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. A. C. van Helvoort, Y. F. Heijdra, R. C. C. de Boer, A. Swinkels, H. M. H. Thijs, and P. N. R. Dekhuijzen Six-Minute Walking-Induced Systemic Inflammation and Oxidative Stress in Muscle-Wasted COPD Patients Chest, February 1, 2007; 131(2): 439 - 445. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. K. Pedersen, M. A. Febbraio, and R. A. Mooney Interleukin-6 does/does not have a beneficial role in insulin sensitivity and glucose homeostasis J Appl Physiol, February 1, 2007; 102(2): 814 - 816. [Full Text] [PDF] |
||||
![]() |
B. W. Timmons Exercise and Immune Function in Children American Journal of Lifestyle Medicine, January 1, 2007; 1(1): 59 - 66. [Abstract] [PDF] |
||||
![]() |
L. Frydelund-Larsen, T. Akerstrom, S. Nielsen, P. Keller, C. Keller, and B. K. Pedersen Visfatin mRNA expression in human subcutaneous adipose tissue is regulated by exercise Am J Physiol Endocrinol Metab, January 1, 2007; 292(1): E24 - E31. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Frydelund-Larsen, M. Penkowa, T. Akerstrom, A. Zankari, S. Nielsen, and B. K. Pedersen Muscle: Exercise induces interleukin-8 receptor (CXCR2) expression in human skeletal muscle Exp Physiol, January 1, 2007; 92(1): 233 - 240. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Al-Khalili, K. Bouzakri, S. Glund, F. Lonnqvist, H. A. Koistinen, and A. Krook Signaling Specificity of Interleukin-6 Action on Glucose and Lipid Metabolism in Skeletal Muscle Mol. Endocrinol., December 1, 2006; 20(12): 3364 - 3375. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. B. Ruderman, C. Keller, A.-M. Richard, A. K. Saha, Z. Luo, X. Xiang, M. Giralt, V. B. Ritov, E. V. Menshikova, D. E. Kelley, et al. Interleukin-6 Regulation of AMP-Activated Protein Kinase: Potential Role in the Systemic Response to Exercise and Prevention of the Metabolic Syndrome Diabetes, December 1, 2006; 55(Supplement_2): S48 - S54. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. L. Carey, G. R. Steinberg, S. L. Macaulay, W. G. Thomas, A. G. Holmes, G. Ramm, O. Prelovsek, C. Hohnen-Behrens, M. J. Watt, D. E. James, et al. Interleukin-6 Increases Insulin-Stimulated Glucose Disposal in Humans and Glucose Uptake and Fatty Acid Oxidation In Vitro via AMP-Activated Protein Kinase. Diabetes, October 1, 2006; 55(10): 2688 - 2697. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. R. Steinberg, A. J. McAinch, M. B. Chen, P. E. O'Brien, J. B. Dixon, D. Cameron-Smith, and B. E. Kemp The Suppressor of Cytokine Signaling 3 Inhibits Leptin Activation of AMP-Kinase in Cultured Skeletal Muscle of Obese Humans J. Clin. Endocrinol. Metab., September 1, 2006; 91(9): 3592 - 3597. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. B.S. Flores, M. F. A. Fernandes, E. R. Ropelle, M. C. Faria, M. Ueno, L. A. Velloso, M. J.A. Saad, and J. B.C. Carvalheira Exercise Improves Insulin and Leptin Sensitivity in Hypothalamus of Wistar Rats Diabetes, September 1, 2006; 55(9): 2554 - 2561. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. G. Smith and G. E. O. Muscat Orphan nuclear receptors: therapeutic opportunities in skeletal muscle Am J Physiol Cell Physiol, August 1, 2006; 291(2): C203 - C217. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. M. Sacheck, J. G. Cannon, K. Hamada, E. Vannier, J. B. Blumberg, and R. Roubenoff Age-related loss of associations between acute exercise-induced IL-6 and oxidative stress Am J Physiol Endocrinol Metab, August 1, 2006; 291(2): E340 - E349. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. A. C. van Helvoort, Y. F. Heijdra, L. M. A. Heunks, P. L. M. Meijer, W. Ruitenbeek, H. M. H. Thijs, and P. N. R. Dekhuijzen Supplemental Oxygen Prevents Exercise-induced Oxidative Stress in Muscle-wasted Patients with Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., May 15, 2006; 173(10): 1122 - 1129. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Juretic, P. Garcia-Huidobro, J. A. Iturrieta, E. Jaimovich, and N. Riveros Depolarization-induced slow Ca2+ transients stimulate transcription of IL-6 gene in skeletal muscle cells Am J Physiol Cell Physiol, May 1, 2006; 290(5): C1428 - C1436. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Matsushita, H. Yatsuya, K. Tamakoshi, K. Wada, R. Otsuka, S. Takefuji, K. Sugiura, T. Kondo, T. Murohara, and H. Toyoshima Comparison of Circulating Adiponectin and Proinflammatory Markers Regarding Their Association With Metabolic Syndrome in Japanese Men Arterioscler. Thromb. Vasc. Biol., April 1, 2006; 26(4): 871 - 876. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Weigert, A. M. Hennige, R. Lehmann, K. Brodbeck, F. Baumgartner, M. Schauble, H. U. Haring, and E. D. Schleicher Direct Cross-talk of Interleukin-6 and Insulin Signal Transduction via Insulin Receptor Substrate-1 in Skeletal Muscle Cells J. Biol. Chem., March 17, 2006; 281(11): 7060 - 7067. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. G. Hardie and K. Sakamoto AMPK: A Key Sensor of Fuel and Energy Status in Skeletal Muscle Physiology, February 1, 2006; 21(1): 48 - 60. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Keller, A. Steensberg, A. K. Hansen, C. P. Fischer, P. Plomgaard, and B. K. Pedersen Effect of exercise, training, and glycogen availability on IL-6 receptor expression in human skeletal muscle J Appl Physiol, December 1, 2005; 99(6): 2075 - 2079. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Bruunsgaard Physical activity and modulation of systemic low-level inflammation J. Leukoc. Biol., October 1, 2005; 78(4): 819 - 835. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Bach, D. Naon, S. Pich, F. X. Soriano, N. Vega, J. Rieusset, M. Laville, C. Guillet, Y. Boirie, H. Wallberg-Henriksson, et al. Expression of Mfn2, the Charcot-Marie-Tooth Neuropathy Type 2A Gene, in Human Skeletal Muscle: Effects of Type 2 Diabetes, Obesity, Weight Loss, and the Regulatory Role of Tumor Necrosis Factor {alpha} and Interleukin-6 Diabetes, September 1, 2005; 54(9): 2685 - 2693. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Banzet, N. Koulmann, N. Simler, O. Birot, H. Sanchez, R. Chapot, A. Peinnequin, and X. Bigard Fibre-type specificity of interleukin-6 gene transcription during muscle contraction in rat: association with calcineurin activity J. Physiol., August 1, 2005; 566(3): 839 - 847. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Weigert, A. M. Hennige, K. Brodbeck, H. U. Haring, and E. D. Schleicher Interleukin-6 acts as insulin sensitizer on glycogen synthesis in human skeletal muscle cells by phosphorylation of Ser473 of Akt Am J Physiol Endocrinol Metab, August 1, 2005; 289(2): E251 - E257. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Jove, A. Planavila, J. C. Laguna, and M. Vazquez-Carrera Palmitate-Induced Interleukin 6 Production Is Mediated by Protein Kinase C and Nuclear-Factor {kappa}B Activation and Leads to Glucose Transporter 4 Down-Regulation in Skeletal Muscle Cells Endocrinology, July 1, 2005; 146(7): 3087 - 3095. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Plomgaard, P. Keller, C. Keller, and B. K. Pedersen TNF-{alpha}, but not IL-6, stimulates plasminogen activator inhibitor-1 expression in human subcutaneous adipose tissue J Appl Physiol, June 1, 2005; 98(6): 2019 - 2023. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Kasapis and P. D. Thompson The Effects of Physical Activity on Serum C-Reactive Protein and Inflammatory Markers: A Systematic Review J. Am. Coll. Cardiol., May 17, 2005; 45(10): 1563 - 1569. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Fujimoto, N. Shimizu, K. Kunii, J.A. J. Martyn, K. Ueki, and M. Kaneki A Role for iNOS in Fasting Hyperglycemia and Impaired Insulin Signaling in the Liver of Obese Diabetic Mice Diabetes, May 1, 2005; 54(5): 1340 - 1348. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. M. W. Petersen and B. K. Pedersen The anti-inflammatory effect of exercise J Appl Physiol, April 1, 2005; 98(4): 1154 - 1162. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Xiang, J. Naik, and R. L. Hester Exercise-induced increase in skeletal muscle vasodilatory responses in obese Zucker rats Am J Physiol Regulatory Integrative Comp Physiol, April 1, 2005; 288(4): R987 - R991. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. I Lancaster, Q. Khan, P. Drysdale, F. Wallace, A. E Jeukendrup, M. T Drayson, and M. Gleeson The physiological regulation of toll-like receptor expression and function in humans J. Physiol., March 15, 2005; 563(3): 945 - 955. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Haddad, F. Zaldivar, D. M. Cooper, and G. R. Adams IL-6-induced skeletal muscle atrophy J Appl Physiol, March 1, 2005; 98(3): 911 - 917. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. I. Lancaster, Q. Khan, P. T. Drysdale, F. Wallace, A. E. Jeukendrup, M. T. Drayson, and M. Gleeson Effect of prolonged exercise and carbohydrate ingestion on type 1 and type 2 T lymphocyte distribution and intracellular cytokine production in humans J Appl Physiol, February 1, 2005; 98(2): 565 - 571. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Staiger, K. Staiger, N. Stefan, H. G. Wahl, F. Machicao, M. Kellerer, and H.-U. Haring Palmitate-Induced Interleukin-6 Expression in Human Coronary Artery Endothelial Cells Diabetes, December 1, 2004; 53(12): 3209 - 3216. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. P. Fischer, P. Plomgaard, A. K. Hansen, H. Pilegaard, B. Saltin, and B. K. Pedersen Endurance training reduces the contraction-induced interleukin-6 mRNA expression in human skeletal muscle Am J Physiol Endocrinol Metab, December 1, 2004; 287(6): E1189 - E1194. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Lappas, M. Permezel, and G. E. Rice Release of Proinflammatory Cytokines and 8-Isoprostane from Placenta, Adipose Tissue, and Skeletal Muscle from Normal Pregnant Women and Women with Gestational Diabetes Mellitus J. Clin. Endocrinol. Metab., November 1, 2004; 89(11): 5627 - 5633. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Ducreux, F. Zorzato, C. Muller, C. Sewry, F. Muntoni, R. Quinlivan, G. Restagno, T. Girard, and S. Treves Effect of Ryanodine Receptor Mutations on Interleukin-6 Release and Intracellular Calcium Homeostasis in Human Myotubes from Malignant Hyperthermia-susceptible Individuals and Patients Affected by Central Core Disease J. Biol. Chem., October 15, 2004; 279(42): 43838 - 43846. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. KUMAR, R. MURPHY, P. ROBINSON, L. WEI, and A. M. BORIEK Cyclic mechanical strain inhibits skeletal myogenesis through activation of focal adhesion kinase, Rac-1 GTPase, and NF-{kappa}B transcription factor FASEB J, October 1, 2004; 18(13): 1524 - 1535. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Staiger, S. Kaltenbach, K. Staiger, N. Stefan, A. Fritsche, A. Guirguis, C. Peterfi, M. Weisser, F. Machicao, M. Stumvoll, et al. Expression of Adiponectin Receptor mRNA in Human Skeletal Muscle Cells Is Related to In Vivo Parameters of Glucose and Lipid Metabolism Diabetes, September 1, 2004; 53(9): 2195 - 2201. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. G. Holmes, M. J. Watt, and M. A. Febbraio Suppressing lipolysis increases interleukin-6 at rest and during prolonged moderate-intensity exercise in humans J Appl Physiol, August 1, 2004; 97(2): 689 - 696. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. H. S. Chan, A. L. Carey, M. J. Watt, and M. A. Febbraio Cytokine gene expression in human skeletal muscle during concentric contraction: evidence that IL-8, like IL-6, is influenced by glycogen availability Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2004; 287(2): R322 - R327. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Vassilakopoulos, M. Divangahi, G. Rallis, O. Kishta, B. Petrof, A. Comtois, and S. N. A. Hussain Differential Cytokine Gene Expression in the Diaphragm in Response to Strenuous Resistive Breathing Am. J. Respir. Crit. Care Med., July 15, 2004; 170(2): 154 - 161. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. P. Fischer, N. J. Hiscock, M. Penkowa, S. Basu, B. Vessby, A. Kallner, L.-B. Sjoberg, and B. K. Pedersen Supplementation with vitamins C and E inhibits the release of interleukin-6 from contracting human skeletal muscle J. Physiol., July 15, 2004; 558(2): 633 - 645. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A. Febbraio, N. Hiscock, M. Sacchetti, C. P. Fischer, and B. K. Pedersen Interleukin-6 Is a Novel Factor Mediating Glucose Homeostasis During Skeletal Muscle Contraction Diabetes, July 1, 2004; 53(7): 1643 - 1648. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Weigert, K. Brodbeck, H. Staiger, C. Kausch, F. Machicao, H. U. Haring, and E. D. Schleicher Palmitate, but Not Unsaturated Fatty Acids, Induces the Expression of Interleukin-6 in Human Myotubes through Proteasome-dependent Activation of Nuclear Factor-{kappa}B J. Biol. Chem., June 4, 2004; 279(23): 23942 - 23952. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. L. Horvath, S. Diano, and M. Tschop Brain Circuits Regulating Energy Homeostasis Neuroscientist, June 1, 2004; 10(3): 235 - 246. [Abstract] [PDF] |
||||
![]() |
J. Faldt, I. Wernstedt, S. M. Fitzgerald, K. Wallenius, G. Bergstrom, and J.-O. Jansson Reduced Exercise Endurance in Interleukin-6-Deficient Mice Endocrinology, June 1, 2004; 145(6): 2680 - 2686. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Teramoto, H. Yamamoto, Y. Ouchi, K.-i. Inoue, H. Takano, and T. Yoshika Increased Plasma Interleukin-6 Is Associated With the Pathogenesis of Obstructive Sleep Apnea Syndrome Chest, May 1, 2004; 125(5): 1964 - 1965. [Full Text] [PDF] |
||||
![]() |
T. You, D. M. Berman, A. S. Ryan, and B. J. Nicklas Effects of Hypocaloric Diet and Exercise Training on Inflammation and Adipocyte Lipolysis in Obese Postmenopausal Women |