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February 25, 2026ERJ Open Research2 citationsOpen Access

IL-33 blockade in asthma: a story of hype, hope and hindsight

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SGSteve N. GeorasABArnaud Bourdin

Key Points

  • The study aims to clarify how interleukin-33 (IL-33) influences asthma development and severity.
  • Reviewing genetic studies linking IL-33 variants to asthma.
  • Analyzing the role of IL-33 in inducing cytokine expression.
  • Exploring the relationship between eosinophil counts and asthma phenotypes.
  • IL-33 variants are linked to increased or decreased asthma risk.
  • IL-33 enhances airway inflammation via T helper 2 (Th2) cell activation.
  • Mechanisms of action for IL-33 in asthma remain largely undefined.

Abstract

Extract Interest in the role of interleukin (IL)-33 in asthma was sparked by genome-wide association studies linking IL-33 genetic variants with blood eosinophil counts and different asthma phenotypes 1, 2. Both coding and non-coding IL-33 variants have been associated with protection from or risk for asthma 3, 4, but the exact mechanisms linking IL-33 with airway inflammation and hyperreactivity remain elusive. The discovery that IL-33, a member of the IL-1 cytokine family, was a ligand for IL-1R1 (ST2) and induced cytokine gene expression from T helper 2 (Th2) cells was a major advance 5.

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Cite This Study

Georas et al. (2026) studied this question.

synapsesocial.com/papers/699e919cf5123be5ed04f391https://doi.org/10.1183/23120541.01202-2025
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