IL-11 signaling occurs through two pathways:
Classic Signaling: Membrane-bound IL-11Rα and gp130 activate JAK/STAT3 and ERK cascades, driving cell proliferation and anti-apoptotic effects .
Trans-Signaling: Soluble IL-11Rα binds IL-11 to activate gp130 on cells lacking membrane-bound IL-11Rα, promoting inflammation and fibrosis .
Key functional roles include:
Hematopoiesis: Enhances megakaryocyte maturation and platelet production .
Fibrosis: Drives ERK-dependent fibrogenic protein synthesis in stromal cells .
Inflammation: Regulates macrophage differentiation and Th2 polarization .
Thrombocytopenia: FDA-approved (Oprelvekin) for chemotherapy-induced thrombocytopenia .
Mucosal Protection: Reduces intestinal injury in preclinical models .
Liver Regeneration: Promotes hepatocyte proliferation post-injury .
Fibrotic Diseases: IL-11 overexpression correlates with cardiac, renal, and pulmonary fibrosis via ERK/GSK3β/mTOR pathways .
Cancer: Promotes tumor progression in gastric and colorectal carcinomas by enhancing STAT3-mediated invasiveness .
Species-Specific Effects: Human rhIL-11 acts as a partial agonist in mice, inhibiting endogenous IL-11 signaling and confounding earlier preclinical data .
Pro-Fibrotic vs. Anti-Inflammatory Roles: Early studies mischaracterized rhIL-11 as anti-inflammatory due to cross-species partial agonism in murine models .
Clinical Trial Outcomes: Mixed efficacy in treating rheumatoid arthritis and inflammatory bowel disease led to discontinuation of phase 3 trials .
The gene fragment encoding amino acids 22-199 of human IL11 is cloned into a vector and subsequently transfected into E. coli for expression. The resulting product is recombinant human IL11 protein. Its biological activity has been validated by a cell proliferation assay utilizing murine B9-11 cells, exhibiting an ED50 of < 1 ng/ml, corresponding to a specific activity exceeding 1.0x106 IU/mg. The protein purity is greater than 95% as determined by SDS-PAGE. Its endotoxin level is less than 1.0 EU/µg as measured by the LAL method.
Human IL11 is predominantly produced by a variety of cell types, including fibroblasts, macrophages, and endothelial cells. It exerts its biological effects through the gp130 receptor signaling pathway, which it shares with other cytokines within the same family, such as IL6 and leukemia inhibitory factor (LIF) [1][2].
IL11 is renowned for its anti-inflammatory properties and its ability to promote the proliferation and differentiation of hematopoietic progenitor cells, particularly megakaryocytes, which are crucial for platelet production [3][4]. Beyond hematopoiesis, IL11 is implicated in various pathological conditions, including cancer. Studies have revealed that IL11 can enhance the invasive properties of certain cancer cells, such as those found in gastric and colorectal carcinomas, suggesting its involvement in tumor progression and metastasis [5][6]. IL11 can also modulate the activity of immune cells, influencing their proliferation and differentiation, which has implications for autoimmune diseases and inflammatory conditions [7][8].
References:
[1] P. Paiva, L. Salamonsen, U. Manuelpillai, & E. Dimitriadis, Interleukin 11 inhibits human trophoblast invasion indicating a likely role in the decidual restraint of trophoblast invasion during placentation1, Biology of Reproduction, vol. 80, no. 2, p. 302-310, 2009. https://doi.org/10.1095/biolreprod.108.071415
[2] B. Sands, B. Winston, B. Salzberg, M. Safdi, C. Barish, L. Wrubleet al., Randomized, controlled trial of recombinant human interleukin‐11 in patients with active crohn's disease, Alimentary Pharmacology & Therapeutics, vol. 16, no. 3, p. 399-406, 2002. https://doi.org/10.1046/j.1365-2036.2002.01179.x
[3] Y. Xiao, J. Liu, X. Huang, J. Guo, P. Fu, X. Huanget al., A clinical study on juheli (recombinant human interleukin - 11) in the second prevention of chemotherapy induced thrombocytopenia, Asian Pacific Journal of Cancer Prevention, vol. 17, no. 2, p. 485-489, 2016. https://doi.org/10.7314/apjcp.2016.17.2.485
[4] S. Sun, W. Wang, Y. Latchman, D. Gao, B. Aronow, & J. Reems, Expression of plasma membrane receptor genes during megakaryocyte development, Physiological Genomics, vol. 45, no. 6, p. 217-227, 2013. https://doi.org/10.1152/physiolgenomics.00056.2012
[5] T. Nakayama, A. Yoshizaki, S. Izumida, T. Suehiro, S. Maeda, T. Uemuraet al., Expression of interleukin-11 (il-11) and il-11 receptor α in human gastric carcinoma and il-11 upregulates the invasive activity of human gastric carcinoma cells, International Journal of Oncology, 2007. https://doi.org/10.3892/ijo.30.4.825
[6] A. Yoshizaki, T. Nakayama, K. Yamazumi, Y. Yakata, M. Taba, & I. Sekine, Expression of interleukin (il)-11 and il-11 receptor in human colorectal adenocarcinoma: il-11 up-regulation of the invasive and proliferative activity of human colorectal carcinoma cells, International Journal of Oncology, 2006. https://doi.org/10.3892/ijo.29.4.869
[7] H. Elshabrawy, M. Volin, A. Essani, Z. Chen, I. McInnes, K. Raemdoncket al., Il-11 facilitates a novel connection between ra joint fibroblasts and endothelial cells, Angiogenesis, vol. 21, no. 2, p. 215-228, 2018. https://doi.org/10.1007/s10456-017-9589-y
[8] V. Lewis, M. Ozawa, M. Deavers, G. Wang, T. Shintani, W. Arapet al., The interleukin-11 receptor α as a candidate ligand-directed target in osteosarcoma: consistent data from cell lines, orthotopic models, and human tumor samples, Cancer Research, vol. 69, no. 5, p. 1995-1999, 2009. https://doi.org/10.1158/0008-5472.can-08-4845
Cytokine that stimulates the proliferation of hematopoietic stem cells and megakaryocyte progenitor cells, inducing megakaryocyte maturation resulting in increased platelet production. It also promotes the proliferation of hepatocytes in response to liver damage. Binding to its receptor, formed by IL6ST and IL11RA, activates a signaling cascade promoting cell proliferation. Signaling leads to the activation of intracellular protein kinases and the phosphorylation of STAT3. The interaction with the membrane-bound IL11RA and IL6ST stimulates 'classic signaling', whereas the binding of IL11 and soluble IL11RA to IL6ST stimulates 'trans-signaling'.
Recombinant human IL-11 is a full-length protein spanning amino acids 22-199, with a molecular structure that facilitates binding to its cognate receptor IL-11RA before engaging with the shared gp130 (IL6ST) coreceptor to form a hexameric signaling complex . The protein sequence begins with PGPPPGPPR and contains multiple structural domains that contribute to its functional specificity and receptor binding properties . Proper folding of this 178-amino acid sequence is critical for biological activity, and most commercial preparations express the protein in HEK293 cells to ensure proper post-translational modifications and maintaining ≥95% purity with minimal endotoxin contamination .
IL-11 signaling shares the common gp130-mediated pathway with other IL-6 family cytokines but has distinct receptor expression patterns and signaling dynamics . Unlike IL-6, which primarily targets immune cells through IL-6R expression, IL-11 predominantly acts on stromal cells (fibroblasts, adipocytes, vascular smooth muscle cells) where IL-11RA is highly expressed . IL-11 activates JAK/STAT3 signaling that is more transient and less potent compared to IL-6 or Oncostatin M, while showing more prolonged and biphasic ERK activation . Additionally, IL-11 uniquely signals through the ERK/P90RSK pathway to inhibit LKB1, activate mTOR, and inhibit GSK3β, triggering a mesenchymal transition program not observed with all IL-6 family members .
Classic IL-11 signaling occurs when IL-11 binds to membrane-bound IL-11RA which then complexes with membrane-bound gp130, primarily affecting cells expressing the IL-11RA receptor . In contrast, trans-signaling involves the binding of IL-11 to soluble IL-11RA, creating a complex that can activate gp130 on cells lacking IL-11RA . This distinction is functionally significant as trans-signaling expands the range of potential target cells beyond those expressing IL-11RA, potentially mediating different biological effects and contributing to pathological processes . The dominant form of IL-11 activity under physiological versus pathological conditions requires further research, though current evidence suggests classic signaling predominates under normal conditions .
Maintaining IL-11 activity requires careful attention to storage conditions, reconstitution protocols, and exposure to freeze-thaw cycles . For optimal results, recombinant IL-11 should be reconstituted in sterile, serum-free media containing carrier protein (0.1-1% BSA or HSA) and stored at -20°C to -80°C in single-use aliquots to avoid repeated freeze-thaw cycles . Working concentrations should be established through titration experiments, as effective doses range from 0.02-0.12 ng/mL for certain bioassays to 10-10,000 ng/mL in tissue-based experiments . Additionally, researchers should verify protein activity through functional assays specific to their experimental system, as activity can diminish over time even under optimal storage conditions.
Species-specificity presents a significant challenge when interpreting IL-11 studies, as recombinant human IL-11 (rhIL-11) has been shown to act as a partial antagonist of mouse Il11 signaling rather than a true agonist . Researchers should use species-matched recombinant proteins (e.g., mouse Il11 for mouse studies) to accurately assess gain-of-function effects . If using rhIL-11 in mouse models, scientists must recognize that observed effects likely represent inhibition of endogenous mouse Il11 function rather than human IL-11 gain-of-function . Alternative approaches include using transgenic animals expressing human IL-11RA or validating findings with neutralizing antibodies against endogenous Il11 to confirm mechanistic interpretations . This species-specificity issue explains many contradictory findings in the literature, particularly regarding anti-inflammatory versus pro-inflammatory effects.
Essential controls for IL-11 signaling experiments include vehicle controls, dose-response analyses, time-course studies, and pathway-specific inhibitors . Researchers should include positive controls such as IL-6 or Oncostatin M to benchmark signaling intensity and kinetics . JAK inhibitors (e.g., ruxolitinib), STAT3 inhibitors, and ERK pathway inhibitors should be employed to confirm pathway specificity . When studying inflammatory responses, parallel stimulation with known pro-inflammatory factors (TNF-α, IL-1β) provides contextual comparison . For studies involving receptor interactions, controls with receptor-blocking antibodies or soluble receptors are critical for distinguishing classic from trans-signaling effects . In animal models, genetic controls (receptor knockouts) and species-matched cytokines are vital to avoid misinterpretation of species-specific effects described in the literature .
The understanding of IL-11's role in hematopoiesis has undergone significant revision . Initially characterized as a key hematopoietic factor, studies of IL-11 receptor knockouts (IL11RA-/- mice) and long-term neutralizing antibody administration revealed no significant effects on blood counts, contradicting the initial classification . The acute thrombocytosis observed after high-dose rhIL-11 administration likely represents pharmacological activation of gp130-related signaling in the bone marrow, similar to Oncostatin M, rather than reflecting IL-11's physiological function . Researchers should therefore approach IL-11 not primarily as a hematopoietic factor but instead focus on its roles in tissue injury responses, inflammation, and fibrosis . This paradigm shift necessitates reinterpretation of earlier literature and suggests that therapeutic applications in thrombocytopenia may represent off-target effects rather than physiological replacement.
Investigating IL-11's effects on epithelial-mesenchymal transition (EMT) and fibrosis requires multi-parametric approaches combining molecular, cellular, and tissue-level analyses . At the molecular level, researchers should measure changes in EMT markers (decreased E-cadherin, increased vimentin, fibronectin) alongside activation of downstream signaling pathways (JAK/STAT3, ERK/P90RSK, GSK3β/SNAI1) . Time-course experiments are essential, as IL-11 induces a program of mesenchymal transition that evolves over time rather than operating as an immediate switch . Three-dimensional cell culture models better recapitulate the complex cellular interactions versus traditional monolayer cultures, while organoid systems can reveal tissue-specific responses . In animal models, conditional cell-specific knockouts of IL-11 or IL-11RA provide more precise insights than global knockouts, which should be complemented with histological assessments of tissue architecture, collagen deposition, and inflammatory infiltration to fully characterize the fibrotic response .
Reconciling contradictory findings regarding IL-11's inflammatory effects requires careful attention to experimental contexts, species differences, and dosing regimens . The apparent anti-inflammatory effects observed in earlier mouse studies using rhIL-11 likely resulted from rhIL-11 acting as a partial antagonist of endogenous mouse Il11 signaling . In contrast, studies using species-matched Il11 or human cells with rhIL-11 reveal pro-inflammatory effects, including upregulation of factors such as SERPINB2, TNFRSF18, IL33, CCL20, IL1RL1, CXCL3/5/8, and ICAM1 . To resolve these contradictions, researchers should: (1) use species-matched recombinant proteins, (2) validate findings with receptor knockouts or neutralizing antibodies, (3) distinguish between acute versus chronic effects, and (4) consider the tissue-specific microenvironment . Additionally, examining the effects of IL-11 on specific inflammatory cell populations rather than just measuring global inflammatory markers provides mechanistic clarity regarding seemingly contradictory outcomes.
When investigating IL-11 in inflammatory bowel disease (IBD) models, researchers must consider several critical factors that influence experimental outcomes and interpretation . First, distinguish between preventive versus therapeutic intervention timing, as rhIL-11 shows different efficacy depending on whether it's administered before inflammation onset or during active disease . Second, assess both clinical parameters (diarrhea, weight loss) and molecular/histological markers (mucosal healing, ion transport function, myeloperoxidase activity) to comprehensively evaluate treatment effects . Third, recognize that rhIL-11 modulates epithelial ion transport differently in inflamed versus healthy tissue, affecting outcomes in a context-dependent manner . Fourth, investigate the differential effects on jejunum versus colon, as these tissues respond distinctly to both inflammation and IL-11 intervention . Finally, consider potential discrepancies between acute pharmacological effects versus chronic physiological roles of IL-11 in intestinal homeostasis, which may explain conflicting results in the literature.
Approaching IL-11 inhibition studies requires strategic consideration of inhibition mechanisms, dosing regimens, and appropriate disease models . Researchers can target IL-11 signaling through several approaches: neutralizing antibodies against IL-11 itself, receptor-blocking antibodies against IL-11RA, or small molecule inhibitors of downstream signaling components like JAK2 . Timing of intervention is critical—prophylactic administration addresses preventive potential while intervention during established disease tests therapeutic efficacy . Dose-finding studies should establish optimal inhibition while monitoring for potential compensatory upregulation of other IL-6 family cytokines . Appropriate models include those with documented IL-11 pathway activation, such as TGFβ-driven fibrosis models or certain inflammatory conditions . Readouts should comprehensively assess tissue architecture, function, inflammatory markers, and fibrosis-associated gene expression to evaluate efficacy . Finally, genetic validation using conditional knockout approaches helps confirm that observed effects result specifically from IL-11 inhibition rather than off-target effects.
Pharmacokinetic/pharmacodynamic (PK/PD) studies of IL-11 require careful attention to several parameters to ensure reliable and translatable results . For PK assessment, researchers should employ sensitive and specific immunoassays capable of distinguishing endogenous from exogenous IL-11, with appropriate sampling timepoints based on the expected half-life (~7-8 hours in humans) . Standard measurements should include maximum concentration (Cmax), area under the curve (AUC), elimination half-life (t1/2), and volume of distribution . For PD assessment, both proximal biomarkers (STAT3 phosphorylation, ERK activation) and distal functional outcomes (platelet counts, inflammatory markers) should be monitored to establish exposure-response relationships . Route of administration significantly impacts PK/PD profiles, with subcutaneous delivery providing more sustained exposure compared to intravenous administration . Species differences in IL-11 receptor binding and signaling necessitate caution when extrapolating PK/PD data across species, particularly between rodents and humans . Finally, researchers should consider potential differences in PK/PD parameters between healthy and disease states, as inflammation, fibrosis, or organ dysfunction may significantly alter IL-11 disposition and efficacy.
Ensuring consistent IL-11 activity requires rigorous quality control encompassing physical, chemical, and biological parameters . Purity ≥95% confirmed by SDS-PAGE and HPLC is essential, with contaminants below detection limits . Endotoxin levels must remain below 0.005 EU/μg to prevent experimental artifacts . Biological activity should be verified through standardized assays measuring proliferation of IL-11-dependent cell lines or STAT3 phosphorylation, with batch-to-batch consistency in EC50 values (typically 0.02-0.12 ng/mL for proliferation assays) . Physical stability should be confirmed through appropriate protein concentration validation, absence of aggregation, and consistent secondary structure . Identity confirmation through mass spectrometry and N-terminal sequencing ensures the correct protein sequence with proper post-translational modifications . Finally, functional testing in the specific experimental system of interest provides the ultimate verification of activity relevant to the research question.
Distinguishing classic from trans-signaling in IL-11 experiments requires specialized experimental designs and reagents . To isolate classic signaling, researchers can use cells expressing membrane-bound IL-11RA while blocking soluble receptor with neutralizing antibodies specific to soluble IL-11RA . Conversely, to study trans-signaling, IL-11RA-negative cells can be treated with pre-formed complexes of IL-11 with soluble IL-11RA . Receptor expression profiling through flow cytometry, immunofluorescence, or Western blotting establishes the baseline IL-11RA status of experimental systems . Genetic approaches using IL-11RA knockout systems with controlled reintroduction of membrane-bound or soluble forms provide definitive mechanistic insights . Differential pathway activation patterns may help distinguish signaling modes, as trans-signaling often produces more sustained STAT3 activation . Finally, pathway-specific inhibitors targeting different components of the signaling cascade can reveal mechanistic differences between classic and trans-signaling responses .
Addressing reproducibility challenges in IL-11 research requires acknowledging historical misunderstandings while implementing rigorous experimental controls and transparent reporting . Researchers should explicitly state the species origin of both the IL-11 protein and the experimental system, recognizing that rhIL-11 in mouse systems represents a partial antagonist rather than agonist . Comprehensive signaling pathway analysis beyond simplistic "activated/not activated" readouts provides mechanistic clarity, while time-course experiments capture the dynamic nature of IL-11 responses . Genetic validation through receptor knockouts or knockdowns confirms specificity of observed effects . When comparing to published literature, researchers should critically evaluate whether apparent contradictions stem from species mismatch issues rather than genuine biological differences . Multi-laboratory validation for key findings enhances confidence, while detailed methodology reporting (protein source, purity, activity verification, dosing, timing) enables proper replication . Finally, publishing negative or contradictory results alongside positive findings provides a more complete picture of IL-11 biology and prevents perpetuation of misunderstandings.