Cited by 683Asthma and respiratory diseasesIL-33, ST2, and ILC PathwaysAllergic Rhinitis and Sensitization

Interleukin‐13 in asthma pathogenesis

Wills‐Karp, Marsha·2004·Immunological Reviews

Abstract

Summary: Bronchial asthma is a complex disorder that is thought to arise as a result of aberrant T‐lymphocyte responses to noninfectious environmental antigens. In particular, the symptoms of asthma are closely associated with the presence of activated T‐helper 2 cell (Th2) cytokine‐producing cells [interleukin (IL)‐4, IL‐5, IL‐9, and IL‐13] in the airway wall. Although each of the Th2 cytokines likely contributes to the overall immune response directed against environmental antigens, a substantial body of evidence points to a singular role for IL‐13 in the regulation of the allergic diathesis. Initial studies in animal models of disease provided compelling evidence that IL‐13, independently of other Th2 cytokines, was both necessary and sufficient to induce all features of allergic asthma. The importance of IL‐13 in allergic disorders in humans is supported by consistent associations between tissue IL‐13 levels and genetic variants in the IL‐13 gene with asthma and related traits. With the preponderance of evidence continuing to support a pivotal role for IL‐13 in allergic disorders, attention is now turned toward understanding the mechanisms by which this cytokine may mediate the pathophysiological features of allergic disease. The emerging paradigm is that IL‐13 induces features of the allergic response via a complex array of actions on resident airway cells rather than through traditional effector pathways involving eosinophils and immunoglobulin E‐mediated events. In light of these recent developments, this review explores our current understanding of the singular role of IL‐13 in the pathogenesis of asthma, with a particular focus on new insights into the mechanisms by which IL‐13 mediates various features of asthma.

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Crossref · 10.1111/j.0105-2896.2004.00215.x

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Authors
Wills‐Karp, M.
Venue
Immunological Reviews
Publisher
Wiley
Published
2004-11-11
Volume
202
Issue
1
Pages
175-190
ISSN
  • 0105-2896 (ISSN-L)
  • 1600-065X
OpenAlex
W2065801967
Cited by
683
References
5
Citations by year
2026: 4 · 2025: 14 · 2024: 12 · 2023: 7 · 2022: 15 · 2021: 14 · 2020: 15 · 2019: 26 · 2018: 27 · 2017: 13 · 2016: 36 · 2015: 46 · 2014: 37 · 2013: 49 · 2012: 45
FWCI
4.70
Type
journal article
Language
en
Open access
closed
Locations
  • Immunological Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Heart, Lung, and Blood Institute (P01HL076383, R01 HL72987, R01HL072987, P01 HL-10342, R01-HL67736, R01HL067736, P01HL010342)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Life Sciences › Immunology and Microbiology › Immunology › IL-33, ST2, and ILC Pathways
  • Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
Keywords
IL-13, allergic asthma, asthma pathogenesis, Th2 cytokines, airway inflammation, eosinophils, immunoglobulin E, airway epithelial cells, allergic diathesis, animal models of asthma
MeSH terms
Asthma, Humans, Hypersensitivity, Inflammation, Respiratory System, Signal Transduction, T-Lymphocyte Subsets, Receptors, Interleukin, Th2 Cells, Interleukin-13, Receptors, Interleukin-13, Interleukin-13 Receptor alpha1 Subunit

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