weight & body fat
nutrition
IL6
IL6R

This Important Inflammation Gene May Cause Weight Gain (IL6)

Written by Jasmine Foster, BSc, BEd on June 19th, 2020
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IL6 is known as an inflammatory cytokine, but in certain forms, it may be anti-inflammatory and promote weight loss. What is the difference? Find out here.

What is IL-6?

Interleukin-6 (IL-6) is a cytokine that has either proinflammatory or anti-inflammatory properties, depending on the circumstances and the tissue that secretes it. It has complicated mechanisms of effect and interacts with many other cytokines and inflammatory signals [R, R].

IL-6 is typically increased when the body is diseased or stressed. Conditions associated with increased IL-6 include obesity, chronic stress, too little sleep, overeating sugar, smoking, excess alcohol, and overly strenuous exercise [R, R, R, R, R, R, R].

How Does IL6 Affect Weight Gain?

Under certain circumstances, IL-6 can be beneficial. IL-6 released after exercise, for example, sends signals to the hypothalamus (a structure in the brain) that increase its sensitivity to insulin and leptin [R].

This is the likely mechanism by which exercise decreases appetite [R].

This anti-inflammatory, appetite suppressant function of IL-6 might come as a surprise, given that this cytokine is best-known as a proinflammatory signal. However, IL-6 signalling is extremely complex, and certain forms may be beneficial [R].

IL-6 is also believed to stimulate the breakdown of fat for energy. Muscle cells need a lot of energy during exercise; the breakdown of fat by IL-6 helps provide that energy [R, R].

Chronic Inflammation: the Other Side of the Coin

If you’ve done a lot of reading about fat tissues, weight gain and inflammation, you might predict that people who are overweight produce more IL-6. Sure enough, obesity is an inflammatory state, and fat cells produce IL-6 [R].

IL-6 has mostly been studied for its ability to stimulate fat breakdown, and the production of IL-6 by fat tissue may be a defense mechanism against the buildup of too much fat. However, excess IL-6 is inflammatory and has been associated with many health problems; it is important to keep it in balance and not allow inflammation to get too high [R].

IL-6 can be either inflammatory or anti-inflammatory. In its anti-inflammatory form, it sends signals to the hypothalamus which increase leptin sensitivity and reduce appetite.

The Genetics of IL-6 & Weight Gain

The connection between IL6 and obesity actually spans two genes: IL6 and its receptor, IL6R.

IL6 SNPs & Weight

In the IL6 gene, which codes for IL-6 itself, two SNPs have been associated with weight outcomes. The best-studied of these is rs1800795: at this SNP, the rare ‘C’ allele produces less IL-6 than the common ‘G’ allele. This low-expression ‘C’ allele has been associated with weight gain in men [R, R].

Curiously, however, people with the heterozygous ‘CG’ genotype at rs1800795 were found to enjoy the greatest weight loss benefits from exercise. People with this genotype had the largest spike in muscular IL-6 (the beneficial type that increases leptin sensitivity) when they trained. If you have the ‘CG’ genotype at this SNP, exercise is likely to be even more beneficial for your weight management program than for others who do not have this variant [R].

The other IL6 variant with a recorded link to weight gain is rs10242595; here, the common ‘A’ allele was associated with lower relative fat mass in a study of white men [R].

IL6R SNPs & Weight

IL6R codes for the IL-6 receptor, the protein on target cells that binds to IL-6 and ensures that the cell receives its signals. Here, three variants (rs2229238-T, rs4845623-G, and rs2228145-C) have been associated with weight gain in specific populations [R, R].

The rs2229238-T variant has been associated with increased abdominal fat in young Taiwanese girls and with increased BMI in indigenous Pima people (native to Arizona) [R, R].

The rs4845623-G and rs2228145-C variants have been associated with increased BMI in indigenous Pima people only; no studies have investigated the relationship of these SNPs to weight in other populations so far [R].

Variants in both the IL6 gene and its receptor, IL6R, have been associated with fat deposition, BMI, and other measures of weight gain.

Your IL6 Results for Obesity

SNP Table

SNP Summary and Table

IL6 rs1800795

  • ‘G’ = Not associated with weight gain; higher-expression allele
  • ‘C’ = Associated with weight gain in men; lower-expression allele
  • ‘CG’ = Heterozygous genotype associated with more weight loss due to exercise

IL6 rs10242595

  • ‘A’ = Associated with lower relative fat mass measurements in Caucasian men
  • ‘G = Associated with higher relative fat mass measurements in Caucasian men

IL6R rs2229238

  • ‘C’ = Not associated with weight measures
  • ‘T’ = Associated with increased abdominal fat in Taiwanese girls and indigenous Pima people

IL6R rs4845623

  • ‘A’ = Not associated with weight measures
  • ‘G’ = Associated with higher BMI in indigenous Pima people

IL6R rs2228145

  • ‘A’ = Not associated with weight measures
  • ‘C’ = Associated with higher BMI in indigenous Pima people

Recommendations

If You See the Red or Yellow Face at the Top of This Post…

If you see the red or yellow face at the top of this post, that means that you have genetic variants that confer lower IL-6 and possible weight gain. The gene-based recommendations for weight loss below can help increase beneficial IL-6 signalling from muscle cells to the hypothalamus.

Exercise

Exercise increases the production of beneficial IL-6 by muscle tissues. IL-6 produced by the muscles sends signals to the hypothalamus to increase leptin sensitivity and reduce appetite. People with lower expression of IL6 and IL6R may enjoy greater weight-loss benefits from exercise; those with the heterozygous ‘CG’ genotype at rs1800795 most of all [R, R].

High-intensity exercise is probably the best strategy to lose weight. In addition to promoting fat burning, the increased norepinephrine production may suppress food intake according to a study in rats [R].

Being active burns calories and jump-starts metabolism. Some studies suggest it also increases BDNF, which supports mental health and might cause us to eat less [R].

Exercise also increases endorphins, which activates mu-opioid receptors and also suppresses appetite [R].

Aerobic exercise (like walking, running, swimming, etc) has also been shown to cause major reductions in belly fat in multiple studies [R, R].

Although the reason is not fully understood, yoga can be a useful tool for weight loss too [R, R, R].

Exercise is the best strategy for weight loss for almost anyone, and the vast majority of doctors agree that you should stay physically fit, regardless of your genotype. However, people with low IL-6 may benefit more than others!

Physical exercise is well-known to increase anti-inflammatory IL-6 in the hypothalamus, where it increases leptin sensitivity and reduces appetite. Exercise may be most beneficial for people with low-expression IL6 or IL6R variants.

Improved Sleep Schedule

IL-6 concentrations change dramatically over the course of a night’s sleep. Some researchers believe that sleep deprivation decreases IL-6, which may help explain why loss of sleep depresses the immune system and makes us more susceptible to infection [R].

Dysregulated sleep, with increased REM sleep and decreased slow-wave sleep, may increase inflammatory IL-6 and cause its own set of problems. To balance IL-6 (in either direction), it is important to get a full night’s sleep every night, going to bed and getting up at the same time each day if possible [R, R].

Research over the past few decades has recognized the importance of circadian biology in obesity. Scientists think that circadian biology may have a massive influence on energy balance and metabolism [R].

In lab settings, mice who ate at the wrong time (when it’s dark for humans) gained more weight, despite the absence of any significant differences in calorie intake or activity over the course of the experiment. The authors suspect that their metabolism shifted [R].

According to another theory, a disrupted circadian rhythm may be why shift workers seem to be at an increased risk of obesity [R].

IL-6 concentrations in the brain change dramatically over the course of a good night’s sleep. For both IL-6 balance and weight loss, a regular sleep schedule is essential.

If You See the Green Face at the Top of This Post…

If you see the green face at the top of this post, that means that you have genetic variants that confer higher than average IL-6, which may be associated with lower baseline weight, but a potential susceptibility to inflammation. If you are struggling to lose weight, you may wish to focus on strategies that have been found to both decrease IL-6 and improve weight loss outcomes.

Diet

Fish & Seafood

DHA, an omega-3 fatty acid found primarily in fish and seafood, has been found to decrease inflammatory IL-6. It may therefore be beneficial for those with high-expression IL6 and IL6R variants [R].

Fish is hypothesized to reduce leptin; higher leptin is associated with obesity. In young, overweight men, the inclusion of either lean or fatty fish or fish oil as part of an energy-restricted diet resulted in approximately 1 kg more weight loss after 4 weeks compared to a similar diet without seafood or a supplement [R, R].

DHA from fish and seafood decreases inflammatory IL-6 and may be most beneficial for people with high-expression IL6 variants.

Fruits & Vegetables

Fruits and vegetables are rich in antioxidant polyphenols, many of which have been found to decrease inflammatory IL-6. These include apigenin, luteolin, quercetin, resveratrol, and fisetin, all of which are abundant in popular fruits and vegetables [R, R, R, R, R].

Vegetables are rich in soluble fiber, which has been shown to cause weight loss in some studies. Fiber gets broken down by bacteria in the digestive tract to produce butyrate, which has weight loss effects in animals [R, R, R, R].

Fruits are good, too. In a study of 91 obese individuals, eating half a fresh grapefruit before meals caused weight loss of 3.5 pounds (1.6 kg) over a period of 12 weeks [R].

Polyphenols from various fruits (including blueberries and apples) led to lower weight in animal studies as well [R, R].

Many polyphenols in fruits and vegetables have been found to decrease IL-6 and promote weight loss; vegetables rich in soluble fiber have improved weight loss outcomes as well. Fruits and vegetables may be especially important for people with high IL-6.

Olive Oil

Olive oil is anti-inflammatory and has been found to reduce IL-6 production [R].

In a review of 11 clinical studies, olive oil-enriched diet significantly reduced BMI and waist circumference. Unlike oil in its natural form, supplementation with capsules was not effective [R].

Scientists are investigating whether oleic acid, the main fatty acid found in olive oil, excites neurons that cause weight loss (POMC) [R].

Supplements

Berberine

Berberine is an alkaloid with potent metabolic effects. People use berberine as a supplement to support weight control and glucose metabolism, and it has been found to decrease IL-6 in rats [R].

Berberine supplementation reduced BMI and enhanced leptin sensitivity in 37 patients with metabolic syndrome. In another study, it caused an average weight loss of 5 lbs (2.3 kg) and lowered blood lipids [R, R].

According to a 2020 review of human and animal studies, berberine might contribute to weight loss by improving gut microbiota and glucose and fat metabolism [R].

People with high-expression IL6 or IL6R variants may benefit from berberine, which decreased IL-6, enhanced leptin sensitivity, and improved weight loss symptoms in various studies.

Author photo
Jasmine Foster
BSc, BEd

Jasmine received her BS from McGill University and her BEd from Vancouver Island University.

Jasmine loves helping people understand their brains and bodies, a passion that grew out of her dual background in biology and education. From the chem lab to the classroom, everyone has the right to learn and make informed decisions about their health.

Disclaimer

The information on this website has not been evaluated by the Food & Drug Administration or any other official medical body. This information is presented for educational purposes only, and may not be used to diagnose or treat any illness or disease.

Also keep in mind that the “Risk Score” presented in this post is based only on a select number of SNPs, and therefore only represents a small portion of your total risk as an individual. Furthermore, these analyses are based primarily on associational studies, which do not necessarily imply causation. Finally, many other (non-genetic) factors can also play a significant role in the development of a disease or health condition — therefore, carrying any of the risk-associated genotypes discussed in this post does not necessarily mean you are at increased risk of developing a major health condition.

Always consult your doctor before acting on any information or recommendations discussed in this post — especially if you are pregnant, nursing, taking medication, or have been officially diagnosed with a medical condition.

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