Interleukin-6 is a soluble multifunctional pro-inflammatory cytokine with pleiotropic activity (
1,
2). In different tissues it can regulate a wide range of biological activities (
1,
3-
5).
IL6 acts in inflammation and the maturation of B cells. This protein has been shown to be an endogenous pyrogen that induces fever in people with infections or autoimmune diseases (
6). In sites of inflammation, IL6 was produced and secreted into the serum and induces a transcriptional inflammatory response through interleukin-6 receptor alpha (
7). IL6 was implicated in some inflammation association disease such as obesity, diabetes, and arthritis rheumatoid (
7). There are multiple splice variants reported for IL6, for which there is evidence from EST and cDNA clones (
8). IL6 have six protein coding transcript variants NM-000600.3 IL6-201, IL6-202, IL6-004, IL6-005, IL6-006, and IL6-203 encoding proteins of sizes 212 aa, 252 aa, 136 aa, 189 aa, 198 aa, and 122 aa, respectively. These alternate transcripts were characterized as follows: IL-6 (715 bp); IL6∆2 (568 bp, missing exon 2); IL6∆4 (523 bp, missing exon 4); IL6∆2, 4 (376 bp, missing both exon 2 and exon 4) (
9-
11). IL-6, as a cytokine, in its specific tissue could regulate immunity, inflammation, and hematopoiesis with direct effects on cell proliferation, apoptosis, and differentiation (
8). It is recognized that naturally occurring splice variants of cytokines can perform various biological functions in different cells and positions (
8). Two variants of human interleukin-6 are important in controlling it’s biological activity. Isoform 1 has 212 amino acids including 28 amino acids signal peptide and represents the longer transcript and encodes the longer isoform (
12). Isoform 2 has 148 amino acids and lacks an exon 2. The chromosomal position of the IL6 gene was mapped on 7p21 (
13). There are four helix bundles in an up-up-down-down topology and three loops in IL6 structure (
12). Macrophages and monocytes, after stimulation by toll-like receptor (TLRs) produced IL-6 (
14). IL-6 has different names based on its biological activity, like BSF-2, HSF, HGF, and Interferon-β (
15).
The IL-6 transported to the liver rapidly induces a vast spectrum of acute phase protein such as c-reactive protein (CRP), serum amyloid A (SAA), fibrinogen, and haptoglobin, however, it also decreases, fibronectin, albumin, and transferrin output (
12).
IL-6 could be leading to platelets release by promoting megakaryocyte maturation (
14), regulate serum iron and zinc levels (
2), and copper translation (
13). In bone marrow, IL-6 could leading to bone resorption and osteoporosis (
2). IL-6 induces keratinocytes and increases VEGF production and angiogenesis in cancers (
14,
16). This cytokine is able to induce differentiation of activated B-cells into Ab-producing plasma cell (
16). Over expression of IL-6 has been involved in the pathology of autoimmune inflammatory disease (
17). Cytokine inhibition could be a safe and possible strategy for treatment of some inflammatory diseases. IL6 inhibitors like Siltuximab (an anti-IL6 mAb) binds to IL-6, inhibiting binding to soluble and membrane bound IL-6 receptors (IL-6R). Siltuximab has been prescribed for the treatment of various cancers and malignancies (
18); Tocilizumab (an anti-IL6R mAb), as an immunosuppressive drug, has been investigated for the treatment of rheumatoid arthritis (RA) and a severe form of arthritis in children (
2). Tocilizumab is a recombinant humanized anti-IL-6R receptor antibody and it blocks IL-6-mediated signal transduction by inhibiting IL-6 binding to trans membrane and soluble IL-6R (
16).
Mesenchymal stem cells (MSCs) are the most important adult (
19), nonhematopoietic (
20), and heterogeneous stem cells (
21). MSCs have been isolated from different tissues including gingiva (
22), fetal liver, endometrium, umbilical cord (
23), trabecular bone, adipose tissue, synovium, skeletal muscle, lung, deciduous teeth, and human umbilical cord perivascular cells are derived from the Wharton’s Jelly (
24). MSCs are able to be differentiated into mesenchymal and non-mesenchymal tissues including [osteoblasts, chondrocytes, adipocytes (
25), muscle cells (
23), tendon, nerve, stromal cells (
26), and myoblasts (
27)]. Expression of growth factors and cytokines were studied in mesenchymal stem cells. IL6 is one of the important cytokines expressed in MSCs (
28,
29).
Zataria multiflora Boiss. (ZM) is a thyme-like plant belonging to the Lamiaceae family, which is native to southwestern Asia (Iran, Pakistan, and Afghanistan). This plant is a valuable medicinal and condimental plant is named Avishan-e-Shirazi (Shirazi thyme) in Iran. It has several traditional uses as an antiseptic, carminative, stimulant, diaphoretic, diuretic, anesthetic, anti-spasmodic, and analgesic (
30,
31).
Z. multiflora (Shirazi thyme) was able to inhibit mediators of inflammatory reaction (
32) and may have potential anti-cancer effects (
33). Shirazi thyme extract containing 39.67% thymol, 36.21% carvacrol, 10.62% Paracemenu, 1.77% carvacrol, methyl ester 1.76%, linalool, and 0.48% beta Kariovfilin (
30). In this study, the
Zataria multiflora Boiss. hydro alcoholic extract, on the expression of IL-6 gene in human bone marrow-derived mesenchyme stem cells, has been studied.