Evidence map›Paper›PMID 40858837›Full record

ArticleNature cardiovascular research2025

IL6 genetic perturbation mimicking IL-6 inhibition is associated with lower cardiometabolic risk.

Lanyue Zhang, Murad Omarov, Lingling Xu, Emil deGoma, Pradeep Natarajan, Marios K Georgakis

Abstract read
In one paragraph

Article in Nature cardiovascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Proteogenomics in human populations.Nature reviews. Genetics · 2026
    Review
  4. Article
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  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lanyue ZhangInstitute for Stroke and Dementia Research, LMU University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-6798-1320
Murad OmarovInstitute for Stroke and Dementia Research, LMU University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-6126-8631
Lingling XuInstitute for Stroke and Dementia Research, LMU University Hospital, LMU Munich, Munich, Germany.
Emil deGomaTourmaline Bio Inc., New York, NY, USA.
Pradeep NatarajanCardiovascular Research Center and Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8402-7435
Marios K GeorgakisInstitute for Stroke and Dementia Research, LMU University Hospital, LMU Munich, Munich, Germany. marios.georgakis@med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-3507-3659

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 512461526Fritz Thyssen Stiftung (Fritz Thyssen Foundation) 10.22.2.024MNGemeinnützige Hertie-Stiftung (Hertie Foundation) ID P1239935
6 · The paper itself

Abstract

Human genetics supports a causal involvement of IL-6 signaling in atherosclerotic cardiovascular disease, prompting the clinical development of anti-IL-6 therapies. Genetic evidence has historically focused on IL6R missense variants, but emerging cardiovascular treatments target IL-6, not its receptor, questioning the translatability of genetic findings. Here we develop a genetic instrument for IL-6 signaling downregulation comprising IL6 locus variants that mimic the effects of the anti-IL-6 antibody ziltivekimab and use it to predict the effects of IL-6 inhibition on cardiometabolic and safety endpoints. Similar to IL6R, we found that genetically downregulated IL-6 signaling via IL6 perturbation is associated with lower lifetime risks of coronary artery disease, peripheral artery disease and ischemic atherosclerotic stroke in individuals of European and East Asian ancestry. Unlike IL6R missense variants linked to bacterial infections, the IL6 instrument was associated with lower risk of pneumonia hospitalization. Our data suggest that IL-6 inhibition can reduce cardiovascular risk without major unexpected safety concerns.

Indexed as

Antibodies, Monoclonal, HumanizedCardiovascular DiseasesInterleukin-6Interleukin-6 InhibitorsAgedCardiometabolic Risk FactorsDown-RegulationFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedReceptors, Interleukin-6Risk AssessmentSignal TransductionWhite PeopleAntibodies, Monoclonal, HumanizedIL6 protein, humanIL6R protein, humanInterleukin-6Interleukin-6 InhibitorsReceptors, Interleukin-6

Identifiers

PMID40858837
PMCPMC12436178

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.