Cited by 303Adipokines, Inflammation, and Metabolic DiseasesStress Responses and CortisolCytokine Signaling Pathways and Interactions

The DOI matches its Crossref record; 104 of the 104 references it cites were found in a registry or an index; none of the 70 sources its claims cite is checked for support yet.

Origin and Function of Stress-Induced IL-6 in Murine Models

Open access

Abstract

Summary Acute psychological stress has long been known to decrease host fitness to inflammation in a wide variety of diseases, but how this occurs is incompletely understood. Using mouse models, we show that IL6 is the dominant cytokine inducible upon acute stress alone. Stress-inducible IL6 is produced from brown adipocytes in a beta-3-adrenergic-receptor-dependent fashion. During stress, endocrine IL6 is the required instructive signal for mediating hyperglycemia through hepatic gluconeogenesis, which is necessary for anticipating and fueling “fight or flight” responses. This adaptation came at the cost of enhancing mortality to a subsequent inflammatory challenge. These findings provide a mechanistic understanding of the ontogeny and adaptive purpose of IL6 as a bona fide stress hormone coordinating systemic immunometabolic reprogramming. This brain-brown fat-liver axis may provide new insights into brown adipose tissue as a stress-responsive endocrine organ and mechanistic insight into targeting this axis in the treatment of inflammatory and neuropsychiatric diseases.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Acute psychological stress in mice induces endocrine IL-6, produced by brown adipocytes via β3-adrenergic receptor signaling, which drives hepatic gluconeogenesis and stress hyperglycemia but also worsens mortality to subsequent endotoxemia. The paper defines a brain–brown fat–liver axis for stress-induced IL-6 and its adaptive and maladaptive consequences.

Key findings

  • Acute stress alone induced circulating IL-6 in mice; among 32 screened cytokines/chemokines, IL-6 was the most greatly induced and common to two stress models. Stress-induced IL-6 peaked at 4 hours and remained detectable above baseline at 18 hours, unlike corticosterone/noradrenaline, which peaked at 2 hours and returned to baseline by 4 hours. In a human community sample, high-stress individuals had higher IL-6 (74 pg/ml, SE 35) than low-stress individuals (3.9 pg/ml, SE 2.78; t=2.15, p<0.05).
  • Stress-inducible IL-6 came from brown adipocytes, required consciousness and sympathetic outflow, and depended on ADRB3 but not UCP1 or ambient temperature. BAT excision ablated the IL-6 response; Il6f/fΔUCP1 and Adrb3f/fΔUCP1 mice showed attenuated stress-induced IL-6.
  • IL-6 was necessary and sufficient for stress hyperglycemia via hepatic gluconeogenesis. IL6Ra blockade reduced endogenous glucose production and impaired pyruvate conversion to glucose; hepatocyte-specific Il6ra deletion recapitulated these effects and impaired normal light-dark box behavior after stress.
  • Stress-induced BAT-derived IL-6 decreased host tolerance to LPS: stress priming enhanced LPS mortality, ADRB3 agonist or stress-dosed IL-6 was sufficient to potentiate mortality, and Il6f/fΔUCP1 mice were resistant to stress-priming. Stress-primed animals showed more renal damage and a trend toward more cardiac damage, absent in Il6f/fΔUCP1 animals.

Methods

  • Male mice aged 6–8 weeks, largely C57BL/6J, plus genetic models including Il6f/fΔUCP1, Adrb3f/fΔUCP1, Il6raf/fΔAlb, Adrb3 KO, Ucp1 KO, and bone marrow chimeras. Acute stress models included tube restraint, cage switching, social isolation, and retro-orbital bleeding; human subjects were a community sample assessed with the Cumulative Adversity Interview and matched on age, gender, education, and BMI.
  • Main analyses included plasma cytokine arrays and ELISA, qRT-PCR, immunohistochemistry, metabolic tolerance tests (GTT, ITT, PTT), tracer infusions for endogenous glucose production and palmitate turnover, indirect calorimetry, blood pressure telemetry, light-dark box behavior, and LPS endotoxemia survival. Statistics used Prism 8.0 with t tests, one-way/two-way ANOVA, Tukey tests, and log-rank Mantel-Cox tests; p<0.05 considered significant.

Limitations

  • The paper states experiments were performed on mice in a single facility and largely on the C57BL/6J background; microbiota, genetic background, and facility-specific factors are unknown, and animal-facility settings likely affect physiology studies. It also states stress-induced IL-6 likely has additional roles, many open questions remain, and human translatability is to be determined.
  • The paper notes the LPS model may not be generalizable to other models of inflammation, and the precise mechanism by which stress-induced IL-6 primes LPS-mediated mortality remains unclear. It also states the role of BAT in adult humans is controversial and it remains unclear how rodent findings translate to humans.
  • Evident from the text: most mechanistic claims rely on male mice, and the human data are limited to a small high/low stress comparison without the same causal manipulations.

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Integrity signals

Registry

Crossref · 10.1016/j.cell.2020.05.054

Cites

104 of 104 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 70 cited sources checked · 0 supported · 0 flagged

Show all 72 claims

  • It may state two separate claims as one. 41
  • Probably not a substantial claim. 26
54 of 54
  • The paper relies on this without support.

    LPS-induced mortality is due solely to the inflammatory response without any confounding contribution by pathogens.

    “We decided to use the lipopolysaccharide (LPS) model of inflammation, since in this model, mortality is due solely to the inflammatory response without any confounding contribution by pathogens.”
  • The paper relies on this without support.

    The role that IL6 plays in the acute stress response is unclear.

    “The role that IL6 plays in the acute stress response, also referred to as the “fight or flight” response, is unclear.”
  • The paper relies on this without support.

    The possibility that stress-inducible cytokines underlie how stress leads to poorer outcomes in inflammatory diseases has not been explored in depth.

    “The possibility that stress-inducible cytokines, as opposed to glucocorticoids or catecholamines, underlie how stress leads to poorer outcomes in inflammatory diseases has not been explored in depth.”
  • The paper relies on this without support.

    How acute psychological stress decreases host fitness to inflammation is incompletely understood.

    “Acute psychological stress has long been known to decrease host fitness to inflammation in a wide variety of diseases, but how this occurs is incompletely understood.”
  • The paper relies on this without support.

    A normal adaptive response in the light-dark box is to spend more time in the dark enclosure.

    “A normal adaptive response is to spend more time in the dark enclosure.”
  • The paper relies on this without support.

    Mechanistic understanding for stress-induced endocrine IL6 had not been addressed.

    “However, mechanistic understanding for this phenomenon has not been addressed.”
  • The paper relies on this without support.

    The evolutionary basis for IL6 induction during acute stress was unknown, and how this may connect to stress, metabolism, and inflammation was unclear.

    “The evolutionary basis for IL6 induction during acute stress was unknown, and how this may connect to the long-observed connection between stress, metabolism, and inflammation was also unclear.”
  • The paper relies on this without support.

    BAT is highly enriched in ADRB3.

    “Finally, BAT is highly enriched in ADRB3.”
8 of 8

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Stress is described as both lowering and raising triglycerides

    Minor

    The results state that acute stress decreased circulating triglycerides, but the same paragraph later refers to stress-induced hypertriglyceridemia.

  • IL6 administration is called endogenous despite being injected

    Minor

    The LPS results say that endogenous administration of IL6 bypassed the need for consciousness, but the described intervention was an injection of recombinant IL6.

  • Reported stress hormone differs from the hormone assayed

    Minor

    The results describe a time course for circulating cortisol, whereas the methods specify an assay for corticosterone, not cortisol.

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Metadata

Authors
Qing, H., Desrouleaux, R., Israni-Winger, K., Mineur, Y. S., Fogelman, N., Zhang, C., Rashed, S., Palm, N. W., Sinha, R., Picciotto, M. R., Perry, R. J., & Wang, A.
Affiliations
Yale University (US)
Corresponding author
Wang, Andrew
Venue
Cell
Publisher
Elsevier BV
Published
2020-07
Volume
182
Issue
2
Pages
372-387.e14
ISSN
0092-8674 (ISSN-L)
OpenAlex
W3038243707
Cited by
303
References
104
Citations by year
2026: 35 · 2025: 52 · 2024: 54 · 2023: 58 · 2022: 55 · 2021: 43 · 2020: 6
FWCI
29.05
Type
journal article
Language
en
Update notices
erratum (2020-09-17)
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (DA14241, DA050986, R01-DK099039, MH077681, P30-DK079310, K99/R00 CA215315, K08AI128745)
  • Gruber Foundation
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Life Sciences › Immunology and Microbiology › Immunology › Cytokine Signaling Pathways and Interactions
Keywords
interleukin-6, acute psychological stress, brown adipose tissue, beta3-adrenergic receptor, hepatic gluconeogenesis, hyperglycemia, stress hormones, immunometabolic reprogramming, inflammation, cytokine induction, fight-or-flight response
MeSH terms
Uncoupling Protein 1, Animals, Bone Marrow Cells, Brain, Adipose Tissue, Brown, Disease Models, Animal, Gluconeogenesis, Hyperglycemia, Liver, Male, Mice, Inbred C57BL, Stress, Psychological, Interleukin-6, Bone Marrow Transplantation, Cytokines, Mice, Knockout, Chemokines, Receptors, Interleukin-6, Receptors, Adrenergic, beta-3, Mice

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