2022
DOI: 10.4110/in.2022.22.e11
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Targeting the Epithelium-Derived Innate Cytokines: From Bench to Bedside

Abstract: When epithelial cells are exposed to potentially threatening external stimuli such as allergens, bacteria, viruses, and helminths, they instantly produce “alarmin” cytokines, namely, IL-33, IL-25, and TSLP. These alarmins alert the immune system about these threats, thereby mobilizing host immune defense mechanisms. Specifically, the alarmins strongly stimulate type-2 immune cells, including eosinophils, mast cells, dendritic cells, type-2 helper T cells, and type-2 innate lymphoid cells. Given that the alarm-… Show more

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Cited by 19 publications
(22 citation statements)
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References 158 publications
(207 reference statements)
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“…Exposing the HT-29 cell line, as IEC, to ovalbumin enhanced secretion of type 2 driving alarmins. Contributions of these alarmins in modulating DC function enabling them to drive Th2 cell development have been previously studied ( 4 , 17 19 ). Murine studies revealed that increased epithelial IL33 secretion is sufficient for in vivo DC activation leading to peanut allergy, independent of IL25 and TSLP ( 17 ).…”
Section: Discussionmentioning
confidence: 99%
“…Exposing the HT-29 cell line, as IEC, to ovalbumin enhanced secretion of type 2 driving alarmins. Contributions of these alarmins in modulating DC function enabling them to drive Th2 cell development have been previously studied ( 4 , 17 19 ). Murine studies revealed that increased epithelial IL33 secretion is sufficient for in vivo DC activation leading to peanut allergy, independent of IL25 and TSLP ( 17 ).…”
Section: Discussionmentioning
confidence: 99%
“…Specifically, inhaled allergens disrupt the airway epithelium, which increases the production of alarmins, stimulating T helper (Th) 2 cells, type 2 innate lymphoid cells (ILC2s), eosinophils, and alveolar macrophages. 19 The local and systemic augmentation of eosinophils is considered a key risk factor for asthma exacerbation. 20 However, 10%–33% of asthmatics have normal ranges of serum immunoglobulin E (IgE) and a non-allergic phenotype that is less responsive to standard therapy 21 22 and is marked by increased neutrophilic inflammation.…”
Section: Neutrophils In Chronic Respiratory Diseasesmentioning
confidence: 99%
“…Similarly, airway exposure to the common fungal aeroallergen Alternaria alternata upregulates IL-33, IL-5, and IL-13 levels in the bronchoalveolar lavage of mice and induces eosinophilic airway inflammation, however, this inflammation does not develop when the mice lack IL-33 or ILC2s ( 56 , 57 ). Thus, allergens elevate epithelial-cell secretion of alarmins, which activate ILC2s in the lung, which in turn leads to the pathological effects of allergic asthma, namely, eosinophil infiltration, AHR, and mucus overproduction ( 58 61 ).…”
Section: Innate Lympoid Cells In Asthmamentioning
confidence: 99%