Abstract

Interleukin (IL)-33 belongs to IL-1 cytokine family which is constitutively produced from the structural and lining cells including fibroblasts, endothelial cells, and epithelial cells of skin, gastrointestinal tract, and lungs that are exposed to the environment. Different from most cytokines that are actively secreted from cells, nuclear cytokine IL-33 is passively released during cell necrosis or when tissues are damaged, suggesting that it may function as an alarmin that alerts the immune system after endothelial or epithelial cell damage during infection, physical stress, or trauma. IL-33 plays important roles in type-2 innate immunity via activation of allergic inflammation-related eosinophils, basophils, mast cells, macrophages, and group 2 innate lymphoid cells (ILC2s) through its receptor ST2. In this review, we focus on the recent advances of the underlying intercellular and intracellular mechanisms by which IL-33 can regulate the allergic inflammation in various allergic diseases including allergic asthma and atopic dermatitis. The future pharmacological strategy and application of traditional Chinese medicines targeting the IL-33/ST2 axis for anti-inflammatory therapy of allergic diseases were also discussed.

Highlights

  • Interleukin33 (IL-33) is a member of the IL-1 cytokine family that includes IL-1α, IL-1β, and IL-18 [1] and constitutively expressed in structural and lining cells including fibroblasts, endothelial, and epithelial cells of skin, gastrointestinal tract, and lungs that are exposed to the environment [2]

  • We focus on the recent advances of the underlying intercellular and intracellular mechanisms by which IL-33 can regulate various key immune cells in the allergic inflammatory diseases including allergic asthma and atopic dermatitis (AD), and the future pharmacological strategy and the potential application of traditional Chinese medicines targeting the IL-33/ST2 axis for the treatment of allergic inflammatory diseases

  • Production of pro-inflammatory cytokines induced by IL-33 from ST2-expressing structural cells and hematopoietic cells including ILC2s, mast cells, Th2 cells, eosinophils, basophils, dendritic cells, and alternatively activated macrophages (AAM)

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Summary

Introduction

Interleukin33 (IL-33) is a member of the IL-1 cytokine family that includes IL-1α, IL-1β, and IL-18 [1] and constitutively expressed in structural and lining cells including fibroblasts, endothelial, and epithelial cells of skin, gastrointestinal tract, and lungs that are exposed to the environment [2]. We have shown the activation of eosinophils, by different stimuli and its interactions with structural cells in atopic dermatitis (AD) and allergic asthma [37,38,39,40,41,42,43,44]. There are some clinical and pathophysiological similarities between IBD with asthma and non-pulmonary allergic diseases such as mast cell activity and the involvement of IgE [85].

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