Evidence for a Functional Thymic Stromal Lymphopoietin Signaling Axis in Fibrotic Lung Disease
Open accessAbstract
Thymic stromal lymphopoietin (TSLP) recently has emerged as a key cytokine in the development of type 2 immune responses. Although traditionally associated with allergic inflammation, type 2 responses are also recognized to contribute to the pathogenesis of tissue fibrosis. However, the role of TSLP in the development of non–allergen-driven diseases, characterized by profibrotic type 2 immune phenotypes and excessive fibroblast activation, remains underexplored. Fibroblasts represent the key effector cells responsible for extracellular matrix production but additionally play important immunoregulatory roles, including choreographing immune cell recruitment through chemokine regulation. The aim of this study was to examine whether TSLP may be involved in the pathogenesis of a proto-typical fibrotic disease, idiopathic pulmonary fibrosis (IPF). We combined the immunohistochemical analysis of human IPF biopsy material with signaling studies by using cultured primary human lung fibroblasts and report for the first time, to our knowledge, that TSLP and its receptor (TSLPR) are highly upregulated in IPF. We further show that lung fibroblasts represent both a novel cellular source and target of TSLP and that TSLP induces fibroblast CCL2 release (via STAT3) and subsequent monocyte chemotaxis. These studies extend our understanding of TSLP as a master regulator of type 2 immune responses beyond that of allergic inflammatory conditions and suggest a novel role for TSLP in the context of chronic fibrotic lung disease.
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Levels of TSLP are significantly elevated in BALF and lung tissue from patients with IPF.
“Levels of TSLP are significantly elevated in BALF43 and lung tissue from patients with IPF44”
From Inhaled LTI-03 for idiopathic pulmonary fibrosis: a randomized dose escalation study (2026) · cites this paper as [44]
In IPF, TSLP may promote fibrogenesis by activating fibroblasts and recruiting immune cells to sites of epithelial injury.
“In IPF, TSLP may promote fibrogenesis by activating fibroblasts and recruiting immune cells to sites of epithelial injury44.”
From Inhaled LTI-03 for idiopathic pulmonary fibrosis: a randomized dose escalation study (2026) · cites this paper as [44]
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Functions of thymic stromal lymphopoietin in non-allergic diseases
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TSLP/TSLPR promotes renal fibrosis by activating STAT3 in renal fibroblasts
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TSLP: contrasting roles in cancer
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- Authors
- Datta, A., Alexander, R., Sulikowski, M. G., Nicholson, A. G., Maher, T. M., Scotton, C. J., & Chambers, R. C.
- Affiliations
- University College London (GB)
- Royal Brompton Hospital (GB)
- Corresponding author
- Datta, Arnab
- Alexander, Robert
- ORCID
- Venue
- The Journal of Immunology
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-11-01
- Volume
- 191
- Issue
- 9
- Pages
- 4867-4879
- ISSN
- 0022-1767 (ISSN-L)
- 1550-6606
- PMC
- PMC3836180
- OpenAlex
- W2108352507
- Cited by
- 73
- References
- 89
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 7 · 2023: 7 · 2022: 6 · 2021: 3 · 2020: 7 · 2019: 7 · 2018: 7 · 2017: 5 · 2016: 6 · 2015: 4 · 2014: 4
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- The Journal of Immunology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- GlaxoSmithKline
- Wellcome Trust (084382, 084382/Z/07/Z)
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Life Sciences › Immunology and Microbiology › Immunology › IL-33, ST2, and ILC Pathways
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- thymic stromal lymphopoietin, idiopathic pulmonary fibrosis, Th2 immune response, lung fibroblasts, TSLP receptor, MCP-1, STAT3, monocyte chemotaxis, fibrosis, chemokine regulation, extracellular matrix
- MeSH terms
- Thymic Stromal Lymphopoietin, Cells, Cultured, Chemotaxis, Fibroblasts, Fibrosis, Humans, Inflammation, Lung, Signal Transduction, Interleukin-7, Cytokines, Receptors, Cytokine, Chemokine CCL2, RNA Interference, RNA, Small Interfering, STAT3 Transcription Factor, Idiopathic Pulmonary Fibrosis
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