Interleukin 6 (IL-6) is produced by adipose tissue under non-inflammatory conditions1,2 and has been shown to be mildly elevated in obesity. Similar to leptin, serum IL-6 levels correlate with Body Mass Index (BMI).1-3 IL-6 knockout (IL-6 K/O) mice have been shown to develop mature-onset obesity, weighing approximately 20% more than wild type (WT) at 9 months, with primarily an increase in subcutaneous fat mass. Mature IL-6 K/O mice exhibit abnormal blood lipid and carbohydrate metabolism, have increased plasma leptin levels, and do not respond to leptin treatment. In contrast, mature WT mice show a significant decrease in both body weight and food intake in response to leptin treatment.4
IL-6 and its receptors are found in the hypothalamic nuclei, which regulate metabolism.5,6 IL-6 activates the hypothalamic-pituitary-adrenal (HPA) system in conscious, freely-moving rats, thus suggesting that it may mediate an interaction between the neuroendocrine and immune systems.7
A low dose regimen of intra-cerebroventricular IL-6 replacement in IL-6 K/O mice has resulted in a significant decrease in body weight and fat mass, and an increase in oxygen consumption without inducing an acute-phase reaction. This response was not observed in the WT or intraperitoneally-treated IL-6 K/O mice. This result suggests that IL-6 acts centrally, not peripherally, to increase energy expenditure.4