CLIA IL-6

Description

Interleukin 6 (IL-6) is a cytokine that plays important roles in both innate and adaptive immunity. IL-6 is upregulated in patients with infection, sepsis, and septicemia and indicates an ongoing inflammatory response. Elevated IL-6 concentrations appear to correspond with the severity of sepsis. IL-6 upregulation is associated with more localized infections but it is also increased in numerous chronic inflammatory disorders, such as systemic lupus erythematosus, rheumatoid arthritis, and inflammatory bowel disease. However, IL-6 is not diagnostic for any specific disease and IL-6 levels must be interpreted within the clinical context of the patient.

Pediatry Measuring IL-6 may also be used in neonatology and pediatrics. Elevated levels upon admission to the hospital predict septic shock in children. In children with burns, it predicts septic shock and death. In infants at risk of late neonatal sepsis, IL-6 has is increased up to 48 hours before clinical manifestation of bacterial sepsis.

Sepsis and SIRS In the sepsis and SIRS onset, IL-6 levels rise rapidly, they indicate illness severity and help in severity (or death) prognosis and risk stratification. Increasing IL-6 concentrations may also be used to predict the development of kidney injury in septic patients. In surgery patients, high levels of IL-6 predict the later development of severe sepsis.

Cytokine storm and COVID-19 Cytokine storm is a life-threatening systemic inflammatory syndrome involving elevated levels of circulating cytokines and immune-cell hyperactivation that can be triggered by infections, such as severe COVID-19 disease. IL-6 is a highly sensitive and early indicator of ongoing immunity reaction of the organism and may aid to quickly identify the development of cytokine storm in COVID-19 patients.

Technical data

• Assay time: 17 min
• Assay stability: 30 days on board stability / In use stability until the expiration date at storage temperature 2-8 °C
• Sample matrix: Serum
• Sample volume: 34 μL
• Measuring range: 5-5000 ng/l
• Complementary products: Anchor® Tips, Stackable Cuvette, KleeYa Trigger Pack, KleeYa Wash buffer
• Note: The kits are CE-IVD certified and intended for professional use.

Specifications

• Catalog Number: CL-IL6100
• Size: 100 tests
• Regulatory status: CE IVD
• Clinical topic: Sepsis & Inflammation
• Diagnostic panel: COVID-19 SIRS, Sepsis, and Severe Viral Infection
• Producer: TestLine Clinical Diagnostics s.r.o.

References

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• Tsalik EL, Jaggers LB, Glickman SW, Langley RJ, van Velkinburgh JC, Park LP, Fowler VG, Cairns CB, Kingsmore SF, Woods CW. Discriminative value of inflammatory biomarkers for suspected sepsis. J Emerg Med. 2012 Jul;43(1):97-106. doi: 10.1016/j.jemermed.2011.05.072. Epub 2011 Nov 6. PMID: 22056545; PMCID: PMC3740117.
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• Woiciechowsky C, Schöning B, Cobanov J, Lanksch WR, Volk HD, Döcke WD. Early IL-6 plasma concentrations correlate with severity of brain injury and pneumonia in brain-injured patients. J Trauma. 2002 Feb;52(2):339-45. doi: 10.1097/00005373-200202000-00021. PMID: 11834998.
• Kinasewitz GT, Yan SB, Basson B, Comp P, Russell JA, Cariou A, Um SL, Utterback B, Laterre PF, Dhainaut JF; PROWESS Sepsis Study Group. Universal changes in biomarkers of coagulation and inflammation occur in patients with severe sepsis, regardless of causative micro-organism [ISRCTN74215569]. Crit Care. 2004 Apr;8(2):R82-90. doi: 10.1186/cc2459. Epub 2004 Feb 10. PMID: 15025782; PMCID: PMC420030.
• Mokart D, Merlin M, Sannini A, Brun JP, Delpero JR, Houvenaeghel G, Moutardier V, Blache JL. Procalcitonin, interleukin 6 and systemic inflammatory response syndrome (SIRS): early markers of postoperative sepsis after major surgery. Br J Anaesth. 2005 Jun;94(6):767-73. doi: 10.1093/bja/aei143. Epub 2005 Apr 22. PMID: 15849208.
• Küster H, Weiss M, Willeitner AE, Detlefsen S, Jeremias I, Zbojan J, Geiger R, Lipowsky G, Simbruner G. Interleukin-1 receptor antagonist and interleukin-6 for early diagnosis of neonatal sepsis 2 days before clinical manifestation. Lancet. 1998 Oct 17;352(9136):1271-7. doi: 10.1016/S0140-6736(98)08148-3. PMID: 9788457.
• Fioretto JR, Martin JG, Kurokawa CS, Carpi MF, Bonatto RC, Ricchetti SM, de Moraes MA, Padovani CR. Interleukin-6 and procalcitonin in children with sepsis and septic shock. Cytokine. 2008 Aug;43(2):160-4. doi: 10.1016/j.cyto.2008.05.005. Epub 2008 Jun 18. PMID: 18565757.
• Fajgenbaum DC, June CH. Cytokine Storm. N Engl J Med. 2020 Dec 3;383(23):2255-2273. doi: 10.1056/NEJMra2026131. PMID: 33264547; PMCID: PMC7727315.

• Reagent Cartridge with specific reagents for the assay
• magnetic particles
• calibrators