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REVIEW article

Front. Immunol.
Sec. Cytokines and Soluble Mediators in Immunity
Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1533335

IL-33/ST2 Axis in Diverse Diseases: Regulatory Mechanisms and Therapeutic Potential

Provisionally accepted
Feiya Sheng Feiya Sheng 1Mi Li Mi Li 1Jia-Mei Yu Jia-Mei Yu 1Si-Yu Yang Si-Yu Yang 1Liang Zou Liang Zou 1Guan-Jun Yang Guan-Jun Yang 2*Lele Zhang Lele Zhang 1*
  • 1 Chengdu University, Chengdu, China
  • 2 Ningbo University, Ningbo, Zhejiang Province, China

The final, formatted version of the article will be published soon.

    Interleukin-33 (IL-33) is a nuclear factor and member of the IL-1 cytokine family. IL-33 is mainly expressed by epithelial and endothelial cells and exerts its function through interaction with various immune cells, and binding to its receptor can form the IL-33/Suppression of tumorigenicity 2 (ST2) signaling pathway. While most cytokines are actively synthesized within cells, IL-33 is produced passively in response to tissue damage or cell necrosis, indicating its role as a signaling molecule following cellular infection, stress, or trauma. IL-33/ST2 signaling pathway has been proved to play diverse role in the pathological process of central nervous system disorders, cancer, fibrosis, autoimmune diseases, etc. Although research on the IL-33/ST2 signaling pathway has deepened recently, relevant treatment strategies have been proposed, and even targeted drugs are in the preclinical stage; further research on the effect of the IL-33/ST2 signaling pathway in different diseases is still necessary, to provide a clearer understanding of the different roles of IL-33/ST2 in disease progression and to develop new drugs and treatment strategies. Because IL-33/ST2 plays an important role in the occurrence and progression of diseases, the study of therapeutic drugs targeting this pathway is also necessary. This review focused on recent studies on the positive or negative role of IL-33/ST2 in different diseases, as well as the current related drugs targeting IL-33/ST2 in the preclinical and clinical stage. The mechanism of IL-33/ST2 in different diseases and its mediating effect on different immune cells have been summarized, as well as the antibody drugs targeting IL-33 or ST2, natural compounds with a mediating effect, and small molecule substances targeting relative pathway. We aim to provide new ideas and treatment strategies for IL-33/ST2-related drugs to treat different diseases.

    Keywords: interleukin-33, Suppression of tumorigenicity 2, Central Nervous System, Cancer, Fibrosis, Autoimmune Diseases, therapeutic strategies

    Received: 23 Nov 2024; Accepted: 02 Jan 2025.

    Copyright: © 2025 Sheng, Li, Yu, Yang, Zou, Yang and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Guan-Jun Yang, Ningbo University, Ningbo, 315211, Zhejiang Province, China
    Lele Zhang, Chengdu University, Chengdu, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.