High levels of neutralizing IL‐6 autoantibodies in 0.1% of apparently healthy blood donors

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Abstract
IL‐6‐specific autoantibodies (aAb‐IL‐6) have been reported in diseased and healthy individuals. We recently established a model for aAb‐IL‐6 in different mouse strains, based on vaccination with immunogenic IL‐6 analogues, in which titers of aAb‐IL‐6 above 1,000 resulted in an in vivo IL‐6 deficiency. Here, we examined aAb‐IL‐6 in 4,230 blood donors. Stable low titers of aAb‐IL‐6 were found in 9% of the donors, while 1% had titers ranging from 64 to greater than 10,000. Such aAb‐IL‐6‐positive donors appeared normal with no overt signs of pathology. Natural and recombinant forms of IL‐6 bound avidly to their IgG, and their plasma strongly neutralized IL‐6 in vitro. Slightly elevated concentrations of IL‐6 exclusively in the form of IL‐6‐IgG complexes were present in their circulation. The complexes did not contain soluble IL‐6 receptors. Titers of 0.1% of the blood donors were as positive as the vaccination‐induced IL‐6‐deficient mice. Such donors might be IL‐6 deficient, and if so, IL‐6 seems be dispensable for several months in otherwise healthy individuals. Such highly positive donors also explain why normal human IgG for pharmaceutical use may contain high anti‐IL‐6 activity. Finally, transfusion of plasma with a high titer of aAb‐IL‐6 might, temporally, render a recipient IL‐6 deficient.