Interleukin-13 (IL-13) as a pleiotropic cytokine acts through the IL-13Ra1/ IL-4Ra complex to induce activation responses which contribute to the infl ammatory diseases. Genetic polymorphisms in IL-13 and its receptor components have been proved to be associated with higher disease prevalence rates. Animal models such as in IL-13 defi cient mice and transgenic animals also have been confi rmed the critical role of this cytokine in the immune responses, mostly by IL-13 neutralization and IL-13/IL-4 dual neutralization strategies. This review highlights IL-13 structure as well as its pivotal roles in the normal physiologic and pathologic states. It is followed by a section on the recent fi ndings on IL-13 receptors and signalling mechanisms to briefl y summarize its functions in the immune systems. IL-13 roles in the human diseases such as asthma, systematic sclerosis, and some infl ammatory diseases are described concisely. Finally some of the ongoing therapeutic applications are presented to comprehensively review IL-13 mediator roles.