IL-6 Inhibitors and TNF Inhibitors

Interleukin-6 inhibitors (IL-6i) are commonly used in patients with rheumatoid arthritis to reduce inflammation from chronically increased IL-6. IL-6 levels increase transiently following exercise, exerting numerous positive effects. This study examined if beneficial exercise-induced cardiac adaptations were attenuated in patients with rheumatoid arthritis in concomitant IL-6i treatment compared with tumor necrosis factor inhibitors. Compared with control, we found that the tumor necrosis factor inhibitor-treated group, but not the IL-6i group, had a significant increase in left ventricular mass following 12 weeks of supervised exercise. However, the interaction effect of treatment modalities on exercise-induced cardiac adaptations was insignificant. (Exercise-induced Cardiac Adaptions in Rheumatoid Arthritis Patients During IL-6 vs TNF Antibody Therapy; NCT05215509).

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Publication Details

Journal
JACC Basic to Translational Science
Published
2025-02-05
DOI
https://doi.org/10.1016/j.jacbts.2024.11.010
Citations
4
Primary Topic
Exercise and Physiological Responses
Type
article
Field-Weighted Citation Impact
4.10
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IL-6 Inhibitors and TNF Inhibitors

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JACC Basic to Translational Science
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IL-6 Inhibitors and TNF Inhibitors

Iben Elmerdahl Rasmussen, Simon Jønck, Robin Christensen, Peter Godsk Jørgensen, Lars Køber, Mathilde Løk, Morten Asp Vonsild Lund, Niels Grove Vejlstrup, Ronan M. G. Berg, Bente Klarlund Pedersen, Helga Ellingsgaard, Lene Dreyer, Søren Jacobsen, Pil Højgaard, Malte Lund Adamsen, Anna Agnes Lytzen, Regitse Højgaard Christensen
article en
4 citations

Abstract

Interleukin-6 inhibitors (IL-6i) are commonly used in patients with rheumatoid arthritis to reduce inflammation from chronically increased IL-6. IL-6 levels increase transiently following exercise, exerting numerous positive effects. This study examined if beneficial exercise-induced cardiac adaptations were attenuated in patients with rheumatoid arthritis in concomitant IL-6i treatment compared with tumor necrosis factor inhibitors. Compared with control, we found that the tumor necrosis factor inhibitor-treated group, but not the IL-6i group, had a significant increase in left ventricular mass following 12 weeks of supervised exercise. However, the interaction effect of treatment modalities on exercise-induced cardiac adaptations was insignificant. (Exercise-induced Cardiac Adaptions in Rheumatoid Arthritis Patients During IL-6 vs TNF Antibody Therapy; NCT05215509).

JACC Basic to Translational ScienceVol. 10(5)
University of Copenhagen (DK), Aalborg University Hospital (DK), Copenhagen University Hospital (DK), Gentofte Hospital (DK), Rigshospitalet (DK)
Openalex Percentile: Top 7%
Exercise and Physiological Responses
4.10
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