Abstract

Interleukin (IL)-33 is a chromatin-related nuclear interleukin that is a component of IL-1 family. IL-33 production augments the course of inflammation after cell damage or death. It is discharged into the extracellular space. IL-33 is regarded as an “alarmin” able to stimulate several effectors of the immune system, regulating numerous immune responses comprising cancer immune reactions. IL-33 has been demonstrated to influence tumorigenesis. However, as far as this cytokine is concerned, we are faced with what has sometimes been defined as the IL-33 paradox. Several studies have demonstrated a relevant role of IL-33 to numerous malignancies, where it may have pro- and—less frequently—antitumorigenic actions. In the field of hematological malignancies, the role of IL-33 seems even more complex. Although we can affirm the existence of a negative role of IL-33 in Chronic myelogenos leukemia (CML) and in lymphoproliferative diseases and a positive role in pathologies such as Acute myeloid leukemia (AML), the action of IL-33 seems to be multiple and sometimes contradictory within the same pathology. In the future, we will have to learn to govern the negative aspects of activating the IL-33/ST2 axis and exploit the positive ones.

Highlights

  • Interleukin (IL)-33 is a component of the IL-1 family, cytokines that maintain a structure of β-trefoil folds containing 12 antiparallel β-strands that are organized in a three-fold symmetric configuration [1]

  • While these results suggest a possible therapeutic advantage in stopping IL-33/ST2 signaling in Myeloproliferative neoplasms (MPNs), other studies should determine the role of this system for disease progression and drug resistance in MPN subjects

  • Our study described the existence of an inverse correlation between plasma levels of IL-33 and CD20 expression, and IL-33 seems to be able to modify the expression of CD20

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Summary

Introduction

Interleukin (IL)-33 is a component of the IL-1 family, cytokines that maintain a structure of β-trefoil folds containing 12 antiparallel β-strands that are organized in a three-fold symmetric configuration [1]. It is recognized that this cytokine is a chromatin-related nuclear interleukin, and that connecting to histones is crucial for IL-33 action [3]. Nuclear IL-33 can act as a transcriptional repressor when overexpressed in cells [4]. OMrdoirnegovtoert,hiencfleallmtympaetoanryd pthroetdeiasseeassefr, oamndmdaifsfterceenlltsimanmduonteheerffceecltlssacraencatruasnesdfobrym ftuhlel-dleinffgerthenItLm-3o3leicnutolessh[1o5r,t1e6r].sMtruocretuorveesr,(i1n8f–la2m1 mkDatao)rywphroosteeaascetsiofnroims 3m0a-fsotlcdelmls oarnedpoothteenrtcethllasncatnhe fturalln-lsefnogrmth ffuolrlm-le.nHgtohwILev-3e3r,inthtoe sshhoorrtteerr sftorrumctudroeess(n18o–t2p1akssDian)two hthoesenaucctlieounsiass3i0t-fdooldesmnoortehpaovteentht e nuclear localization signal present in full-length IL-33 [10,17,18,19]. The shorter form does not pass into the nucleus as it does not have the nuclear localization signal present in full-length IL-33 [10,17,18,19]

The ST2 Receptors
IL-33 and Hematologic Malignancies
Acute Myeloid Leukemia
Lymphoproliferative Diseases
Monoclonal Gammopathies
Future Challenges and Perspectives
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