{"id":144033,"date":"2020-08-31T02:47:29","date_gmt":"2020-08-31T02:47:29","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/il-6-%e5%9c%a8%e4%ba%9e%e5%a4%aa%e5%9c%b0%e5%8d%80-covid-19-%e6%b2%bb%e7%99%82%e4%b8%ad%e5%b1%95%e7%8f%be%e5%87%ba%e6%bd%9b%e5%8a%9b\/"},"modified":"2026-03-01T06:50:45","modified_gmt":"2026-03-01T06:50:45","slug":"il-6-shows-promise-for-covid-19-management-in-asia-pacific","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhtw\/disease-area\/critical-care\/il-6-shows-promise-for-covid-19-management-in-asia-pacific\/","title":{"rendered":"IL-6 \u5728\u4e9e\u592a\u5730\u5340 COVID-19 \u6cbb\u7642\u4e2d\u5c55\u73fe\u51fa\u6f5b\u529b"},"content":{"rendered":"<p>\u5728\u6301\u7e8c\u5c0d\u6297COVID-19\u75ab\u60c5\u7684\u596e\u9b25\u4e2d\uff0c\u8a31\u591a\u91ab\u7642\u4fdd\u5065\u7cfb\u7d71\u6b63\u5728\u5c07\u4ecb\u767d\u7d20-6 (IL-6)\u589e\u52a0\u5230\u5176\u8a3a\u65b7\u5de5\u5177\u5305\u4e2d\u3002IL-6\u662f\u56b4\u91cdCOVID-19\u7684\u65e9\u671f\u9810\u6e2c\u56e0\u5b50\uff0c\u662f\u4e00\u7a2e\u7406\u60f3\u7684\u9810\u5f8c\u751f\u7269\u6a19\u8a18\uff0c\u56e0\u70ba\u5b83\u53ef\u4ee5\u5f9e\u6613\u65bc\u7372\u5f97\u7684\u751f\u7269\u4f86\u6e90\uff08\u8840\u6e05\u6216\u8840\u6f3f\uff09\u4e26\u7d93\u7531\u7279\u5fb5\u660e\u78ba\u7684\u5feb\u901f\u6e2c\u5b9a\u7cfb\u7d71\u4f86\u6aa2\u6e2c\u3002\u8d8a\u4f86\u8d8a\u591a\u7684\u8b49\u64da\u51f8\u986f\u51fa\u5176\u6210\u70ba\u95dc\u9375COVID-19\u7ba1\u7406\u4e0d\u53ef\u6216\u7f3a\u7684\u4e00\u90e8\u5206\u7684\u6f5b\u529b[1]\u3002\u5728Roche Diagnostics\u6700\u8fd1\u4e3b\u6301\u7684\u7db2\u8def\u7814\u8a0e\u6703\u4e2d\uff0c\u83ef\u76db\u9813\u5927\u5b78\u00a0\u5168\u7403\u5065\u5eb7\u7cfb\u91ab\u5b78\u6559\u6388\u517c\u526f\u4e3b\u4efbConrad Liles\u535a\u58eb\u548cLudwig Maximilian University Hospital\u4e3b\u6cbb\u91ab\u5e2bTobias Weinberger\u91ab\u5e2b\u63a2\u8a0eIL-6\u4f5c\u70baCOVID-19\u7ba1\u7406\u4e2d\u7684\u751f\u7269\u6a19\u8a18\u4e4b\u4f5c\u7528\u3002\u8a72\u7db2\u8def\u7814\u8a0e\u6703\u8457\u91cd\u65bc\u7f8e\u570b\u548c\u5fb7\u570b\u7684\u81e8\u5e8a\u7814\u7a76\u548c\u500b\u6848\u5206\u4eab\uff0c\u4f46\u5b83\u63d0\u4f9b\u7684\u898b\u89e3\u8207\u4e9e\u592a\u5730\u5340\u7684\u8a31\u591a\u91ab\u7642\u4fdd\u5065\u7cfb\u7d71\u6709\u95dc\uff0c\u7279\u5225\u662f\u90a3\u4e9b\u9762\u81e8\u5927\u91cf\u91cd\u75c7\u548c\u5371\u91cd\u75c7\u60a3\u8005\u75c5\u4f8b\u7684\u91ab\u7642\u4fdd\u5065\u7cfb\u7d71\u3002<\/p>\n<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u547c\u5438\u8870\u7aed\u7684\u65e9\u671f\u9810\u6e2c\u6307\u6a19<\/h2>\n<p>IL-6\u7684\u65e9\u671f\u9810\u6e2c\u56e0\u5b50\u662f\u591a\u6548\u6027\u708e\u6027\u7d30\u80de\u6fc0\u7d20\uff0c\u4e26\u4e14\u662f\u91cd\u5ea6COVID-19\u60a3\u8005\u4e2d\u7d30\u80de\u6fc0\u7d20\u98a8\u66b4\u7684\u4e3b\u8981\u7d44\u6210\u90e8\u5206\u3002 \u8840\u6e05\u6216\u8840\u6f3fIL-6\u5347\u9ad8\u662fCOVID-19\u60a3\u8005\u4e2d\u6700\u5e38\u5831\u544a\u7684\u7d30\u80de\u6fc0\u7d20\u7570\u5e38[2]\u3002\u83ef\u4eba\u65cf\u7fa4\u7684\u591a\u9805\u7814\u7a76\u4e5f\u767c\u73fe\uff0cIL-6 \u5347\u9ad8\u8207\u8f03\u5dee\u7684\u9810\u5f8c\u548c\u8f03\u9ad8\u7684\u6b7b\u4ea1\u7387\u76f8\u95dc[3-5]\u3002Weinberger\u91ab\u5e2b\u6307\u51fa\uff0c\u7531\u65bc\u80ba\u5de8\u566c\u7d30\u80de\u8868\u9054\u7684 IL-6 \u6c34\u5e73\u9ad8\u65bc\u8840\u6db2\u55ae\u6838\u7d30\u80de\uff0c\u300cIL-6 \u53ef\u80fd\u4ee3\u8868\u8457\u4e86\u89e3\u80ba\u90e8\u7684\u4e00\u500b\u7a97\u53e3\uff0c\u4e26\u4e14\u53ef\u80fd\u662f\u4e00\u7a2e\u5f88\u597d\u7684\u8a3a\u65b7\u5de5\u5177\uff0c\u53ef\u4ee5\u7528\u4f86\u5224\u65b7\u75be\u75c5\u7684\u56b4\u91cd\u7a0b\u5ea6\u300d\u3002Weinberger\u91ab\u5e2b\u7814\u7a76\u5718\u968a\u7684\u4e00\u9805\u524d\u77bb\u6027\u7fa4\u7d44\u7814\u7a76\u767c\u73fe\uff0c\u5347\u9ad8\u7684IL-6\u9ad8\u5ea6\u9810\u6e2c\u4e86 Ludwig Maximilian University Hospital89\u540d\u4f4f\u9662COVID-19\u60a3\u8005\u5c0d\u6a5f\u68b0\u901a\u6c23\u7684\u9700\u8981[6]\u3002\u63d2\u7ba1\u524d IL-6 \u6700\u5927\u503c\u5728 80pg\/ml \u7684\u81e8\u754c\u503c\u8655\u986f\u793a\u51fa\u6700\u5f37\u7684\u76f8\u95dc\u6027\uff0c\u5176\u967d\u6027\u9810\u6e2c\u503c\u548c\u9670\u6027\u9810\u6e2c\u503c\u5206\u5225\u70ba 74% \u548c 83%\u3002\u5728\u5408\u4f75\u7d44\u4e2d\uff0cIL-6 \u53ef\u9810\u6e2c\u60a3\u8005\u5728\u63a5\u53d7\u63d2\u7ba1\u524d\u6700\u591a 23.2 \u5c0f\u6642\u662f\u5426\u9700\u8981\u63d2\u7ba1\u3002\u5118\u7ba1\u7814\u7a76\u767c\u73fe\u6700\u5927 IL-6 \u5177\u6709\u9810\u6e2c\u50f9\u503c\uff0c\u4f46 Weinberger\u91ab\u5e2b\u901a\u5e38\u5efa\u8b70\u5728\u521d\u59cb\u8a55\u4f30\u6642\u9032\u884c IL-6 \u6aa2\u6e2c\uff0c\u56e0\u70ba\u4ed6\u5011\u9084\u767c\u73fe\uff0cIL-6 \u5728\u6aa2\u6e2c\u6709\u547c\u5438\u8870\u7aed\u98a8\u96aa\u7684\u60a3\u8005\u6642\uff0c\u5373\u4f7f\u5728 35pg\/ml \u7684\u9580\u6abb\u503c\u4e0b\uff0c\u4ecd\u7136\u4fdd\u6301\u8f03\u9ad8\u7684\u9748\u654f\u5ea6\u3002\u5728\u83ef\u76db\u9813\u5927\u5b78\u91ab\u5b78\u4e2d\u5fc3\uff0c\u7814\u7a76\u4eba\u54e1\u6703\u5c0d\u51fa\u73fe\u81e8\u5e8a\u60e1\u5316\u8de1\u8c61\uff08\u5982\u7f3a\u6c27\uff09\u4f46\u672a\u63d2\u7ba1\u6216\u672a\u5165\u4f4f\u52a0\u8b77\u75c5\u623f\u7684\u4f4f\u9662\u60a3\u8005\u9032\u884c IL-6 \u6e2c\u91cf\u3002\u300c\u6211\u5011\u7684\u65b9\u6cd5\u662f\u6cbb\u7642\u500b\u9ad4\u4ee5\u6e1b\u8f15\u5c0d\u6a5f\u68b0\u901a\u6c23\u7684\u9700\u8981\u4e26\u505c\u6b62\u80ba\u90e8\u75be\u75c5\u7684\u9032\u5c55\u2026\u4ee5\u9632\u6b62\u63d2\u7ba1\u524d\u56e0COVID\u800c\u60a3\u6709\u6025\u6027\u4f4e\u6c27\u6027\u547c\u5438\u8870\u7aed\u7684\u500b\u9ad4\u767c\u751f\u6025\u6027\u80ba\u640d\u50b7\u3002\u300dLiles\u91ab\u5e2b\u5206\u4eab\u9053\u3002Weinberger\u91ab\u5e2b\u5f37\u8abf\uff0c\u7531\u65bc\u5ee3\u6cdb\u7684\u75c5\u7a0b\u548c\u6c88\u9ed8\u6027\u7f3a\u6c27\uff0c\u8a55\u4f30COVID-19\u60a3\u8005\u7684\u9810\u5f8c\u76f8\u7576\u56f0\u96e3\u3002\u4ed6\u63d0\u51fa\u5169\u4f8b\u5177\u6709\u985e\u4f3c\u75c7\u72c0\u7684\u60a3\u8005\u75c5\u4f8b\uff0c\u5176\u4e2d\u4e00\u4f8b\u5728\u5169\u5929\u5167\u7d93\u6b77\u5feb\u901f\u81e8\u5e8a\u60e1\u5316\u4e14\u9700\u8981\u6700\u7d42\u63d2\u7ba1\uff08\u57161\uff09\u3002\u5728\u6b64\uff0c\u4ed6\u91cd\u7533\uff0c\u5be6\u9a57\u5ba4\u5f15\u6578\uff08\u8af8\u5982IL-6\uff09\u53ef\u7528\u65bc\u9451\u5b9a\u7121\u75c7\u72c0\u7f3a\u6c27\u60a3\u8005\u5c0d\u901a\u6c23\u652f\u63f4\u7684\u9700\u6c42\u3002<\/p>\n<figure style=\"width: 1366px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-84769\" src=\"\/wp-content\/uploads\/2020\/08\/IL6clinicalcases-05a.png\" alt=\"IL6 \u81e8\u5e8a\u75c5\u4f8b\" width=\"1366\" height=\"682\" data-caption=\"Figure 1: Clinical cases of COVID-19 presented by Dr Weinberger\" data-entity-type=\"file\" data-entity-uuid=\"37bc2d53-7e21-4488-a102-5d1d00d273d2\" title=\"\" srcset=\"https:\/\/labinsights.com\/app\/uploads\/2020\/08\/IL6clinicalcases-05a.png 1366w, https:\/\/labinsights.com\/app\/uploads\/2020\/08\/IL6clinicalcases-05a-302x151.png 302w, https:\/\/labinsights.com\/app\/uploads\/2020\/08\/IL6clinicalcases-05a-1024x511.png 1024w, https:\/\/labinsights.com\/app\/uploads\/2020\/08\/IL6clinicalcases-05a-768x383.png 768w\" sizes=\"(max-width: 1366px) 100vw, 1366px\" \/><figcaption class=\"wp-caption-text\">\u57161\uff1a\u7531Weinberger\u535a\u58eb\u63d0\u51fa\u7684COVID-19\u81e8\u5e8a\u75c5\u4f8b<\/figcaption><\/figure>\n<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u4e9e\u592a\u5730\u5340\u5c0d IL-6 \u7684\u8208\u8da3\u65e5\u76ca\u6fc3\u539a<\/h2>\n<p>\u3002\u5728\u4e9e\u592a\u5730\u5340\uff0cIL-6 \u4f5c\u70ba COVID-19 \u7ba1\u7406\u7684\u751f\u7269\u6a19\u8a18\u7684\u6548\u7528\u6b63\u5728\u4e2d\u570b\u7a4d\u6975\u63a2\u7d22\uff0c\u5728Chinese Clinical Guidance for COVID-19 Pneumonia Diagnosis (7th\u00a0edition)\u4e2d\u7279\u5225\u63d0\u5230\u5c07IL-6\u4f5c\u70ba\u6210\u4eba\u91cd\u75c7\u548c\u5371\u91cd\u75c7\u75c5\u4f8b\u7684\u6307\u6a19 [7]\u3002\u5370\u5ea6\u53ca\u5176\u4ed6\u570b\u5bb6\u7684\u81e8\u5e8a\u5229\u76ca\u76f8\u95dc\u8005\u4e5f\u5c0d\u6b64\u611f\u8208\u8da3\u3002\u8207\u5176\u4ed6\u767c\u708e\u6027\u751f\u7269\u6a19\u7c64\uff08\u8af8\u5982\u9435\u86cb\u767d\u53caC\u53cd\u61c9\u86cb\u767d\uff09\u76f8\u6bd4\uff0cIL-6\u70ba\u547c\u5438\u8870\u7aed\u7684\u65e9\u671f\u9810\u6e2c\u56e0\u5b50\uff0c\u53ef\u5e6b\u52a9\u66f4\u53ca\u6642\u4e14\u6709\u6548\u5730\u8fa8\u8b58\u91cd\u75c7\u60a3\u8005\uff0c\u4ee5\u4fbf\u91ab\u5e2b\u53ef\u914c\u60c5\u7d44\u7e54\u52a0\u8b77\u6216\u5f37\u5316\u6cbb\u7642\u3002\u5728\u9019\u65b9\u9762\uff0c\u5728\u8af8\u5982\u5370\u5c3c\u7b49\u7d93\u6b77\u9ad8ICU\u75c5\u5e8a\u4f54\u7528\u7387\u548c\u6b7b\u4ea1\u7387\u7684\u4e9e\u6d32\u570b\u5bb6\uff0c\u8a55\u4f30IL-6\u53ef\u80fd\u7279\u5225\u6709\u76ca[8]\u3002\u60f3\u8981\u9032\u4e00\u6b65\u77ad\u89e3IL-6\u5728COVID-19\u7ba1\u7406\u4e2d\u7684\u4f5c\u7528\uff1f\u6309\u00a0<a href=\"https:\/\/progressive-eu.assetsadobe.com\/roche63\/_renditions_\/7b1\/7b10b128-5e70-4d59-80a5-eb97ced11c79\/avs\/Bluesheet_Approved_Webinar%203%20Biomarkers_Final-0x540-2000k.mp4?_token_=st=1596530321~exp=1596530621~acl=\/*~hmac=45bb5c9b2f090f5273ba9717b913745df64b087cd7219f405c88378f419f6d28\" target=\"_blank\" rel=\"noopener\">\u6b64\u8655<\/a> \u89c0\u770b\u7db2\u8def\u7814\u8a0e\u6703\u7684\u9304\u88fd\u5f71\u7247\u3002<\/p>\n<p style=\"margin: 0in 0in 8pt;\"><em>\u53c3\u8003\u6587\u737b\uff1a<\/em><\/p>\n<p><em><a href=\"https:\/\/www.nature.com\/articles\/s41591-020-1051-9\" target=\"_blank\" rel=\"noopener\">[1]<\/a> Del Valle DM, Kim-Schulze S, Huang H-H, et al. An inflammatory cytokine signature predicts COVID-19 severity and survival.Nat Med.2020\u5e748\u670824\u65e5\u7dda\u4e0a\u767c\u4f48\uff1a1-8.<\/em><\/p>\n<p><em><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2020.01446\/full\" target=\"_blank\" rel=\"noopener\">[2]<\/a>\u00a0Ragab D, Salah Eldin H, Taeimah M, Khattab R, Salem R.The COVID-19 Cytokine Storm; What We Know So Far.Front Immunol. 2020;11.<\/em><\/p>\n<p><em><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fphar.2020.01093\/full\" target=\"_blank\" rel=\"noopener\">[3]<\/a>\u00a0Liu Z, Li J, Chen D, et al. Dynamic Interleukin-6 Level Changes as a Prognostic Indicator in Patients With COVID-19. Front Pharmacol. 2020;11.<\/em><\/p>\n<p><em><a href=\"https:\/\/academic.oup.com\/cid\/advance-article\/doi\/10.1093\/cid\/ciaa449\/5821311\" target=\"_blank\" rel=\"noopener\">[4]<\/a>\u00a0CChen X, Zhao B, Qu Y, et al. Detectable Serum Severe Acute Respiratory Syndrome Coronavirus 2 Viral Load (RNAemia) Is Closely Correlated With Drastically Elevated Interleukin 6 Level in Critically Ill Patients With Coronavirus Disease 2019. Clin Infect Dis.<\/em><\/p>\n<p><em><a href=\"https:\/\/link.springer.com\/article\/10.1007%2Fs00134-020-06028-z\" target=\"_blank\" rel=\"noopener\">[5]<\/a>\u00a0Ruan Q, Yang K, Wang W, Jiang L, Song J.Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China.Intensive Care Med. 2020;46(5):846-848. <\/em><\/p>\n<p><em><a href=\"https:\/\/www.jacionline.org\/action\/showPdf?pii=S0091-6749%2820%2930685-0\" target=\"_blank\" rel=\"noopener\">[6]<\/a>\u00a0Herold T, Jurinovic V, Arnreich C, et al. Elevated levels of IL-6 and CRP predict the need for mechanical ventilation in COVID-19. J Allergy Clin Immunol. 2020;146(1):128-136.e4.<\/em><\/p>\n<p><em>[7]\u00a0Chinese Clinical Guidance for COVID-19 Pneumonia Diagnosis and Treatment (7th edition) \u6297\u51fb\u65b0\u51a0\u80ba\u708e.2020\u5e748\u670810\u65e5\u6aa2\u7d22\u3002 http:\/\/kjfy.meetingchina.org\/msite\/news\/show\/cn\/3337.html<\/em><\/p>\n<p><em>[8] Jakarta&#8217;s Covid-19 Response Team.Jakarta&#8217;s Covid-19 Response Team.2020\u5e748\u670825\u65e5\u6aa2\u7d22\u3002 https:\/\/corona.jakarta.go.id\/en<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5728\u6301\u7e8c\u5c0d\u6297COVID-19\u75ab\u60c5\u7684\u596e\u9b25\u4e2d\uff0c\u8a31\u591a\u91ab\u7642\u4fdd\u5065\u7cfb\u7d71\u6b63\u5728\u5c07\u4ecb\u767d\u7d20-6 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