Purpose of review
Allergic diseases are thought to be driven by aberrant immune responses. Epithelium responds to various environmental factors by releasing key cytokines, such as thymic stromal lymphopoietin (TSLP), IL-33 and IL-25. While there are important differences among these cytokines, there are also similarities which confound a clear understanding of exact roles of these cytokines. The purpose of this review is to analyze advances in biology and functions of these cytokines over recent years, elucidate their differences and similarities, and provide new conceptual understanding as to their roles in allergic diseases.
Recent findings
There are distinct differences in the timing, onset, and kinetics of the responses and perhaps in potency of action of TSLP, IL-33 and IL-25. Newer roles of these cytokines have been described, including airway remodeling and fibrosis-related functions (TSLP, IL-33 and IL-25), fetal-maternal interface (IL-33 and TSLP), T cell biology (TSLP), group 2 innate lymphoid cell (ILC2) biology (TSLP, IL-33 and IL-25), and mast cell-neutrophil axis (IL-33). Novel roles of these cytokines in in pathogenesis of atopic dermatitis and asthma have also been described.
Summary
TSLP, IL-25 and IL-33 are increasingly recognized to play important roles in pathophysiology of allergic diseases. More clear recognition of the differences and similarities of the immunological pathways mediated by these cytokines would help optimize treatment for allergic diseases.