“…One of these factors, IL-6, is a pleiotropic cytokine physiologically involved in the differentiation of myeloid and neuronal cells, and pathologically involved in the early host response to infection and injury (Kishimoto, 1989), in the proliferation of myeloma (Kawano et al, 1988), urological cancer cells (Miki et al, 1989;Okamoto et al, 1997a,b) and possibly breast cancer cells (Chiu et al, 1996), and in the development of hypercalcaemia and osteolytic metastases (De La Mata et al, 1995). A series of studies have suggested that IL-6 secreted from tumour cells is one of the cachectic factors in animal models of murine colon cancer or of xenograft tumours in athymic nude mice (Greenberg et al, 1992;Strassmann et al, 1992b;Ohe et al, 1993;Fujimoto-Ouchi et al, 1995;Yasumoto et al, 1995;Billingsley et al, 1996;Kajimura et al, 1996;Mori et al, 1996;Ohira et al, 1996;Tsujinaka et al, 1996). Recently, clinical reports have also suggested that elevated IL-6 levels in the sera of patients with oesophageal cancer correlate with their bodyweight loss (Oka et al, 1996), and that a decrease in serum IL-6 levels induced by medroxyprogesterone acetate (MPA) correlates with a reversion of bodyweight loss in patients with advanced breast cancer (Yamashita et al, 1996).…”