Immunology Graduate Program, University of Cincinnati, Cincinnati, Ohio; Division of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Division of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
J Allergy Clin Immunol. 2022 Aug;150(2):266-276. doi: 10.1016/j.jaci.2022.06.012.
Aberrant activation of CD4 T2 cells and excessive production of T2 cytokines such as IL-4 and IL-13 have been implicated in the pathogenesis of allergic diseases. Generally, IL-4 and IL-13 utilize Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathways for induction of inflammatory gene expression and the effector functions associated with disease pathology in many allergic diseases. However, it is increasingly clear that JAK/STAT pathways activated by IL-4/IL-13 can themselves be modulated in the presence of other intracellular signaling programs, thereby changing the overall tone and/or magnitude of IL-4/IL-13 signaling. Apart from direct activation of the canonic JAK/STAT pathways, IL-4 and IL-13 also induce proinflammatory gene expression and effector functions through activation of additional signaling cascades. These alternative signaling cascades contribute to several specific aspects of IL-4/IL-13-associated cellular and molecular responses. A more complete understanding of IL-4/IL-13 signaling pathways, including the precise conditions under which noncanonic signaling pathways are activated, and the impact of these pathways on cellular- and host-level responses, will better allow us to design agents that target specific pathologic outcomes or tailor therapies for the treatment of uncommon disease endotypes.
CD4 T2 细胞的异常激活和 T2 细胞因子(如 IL-4 和 IL-13)的过度产生与过敏性疾病的发病机制有关。通常,IL-4 和 IL-13 通过 Janus 激酶(JAK)/信号转导和转录激活因子(STAT)信号通路诱导炎症基因表达和与许多过敏性疾病的病理相关的效应功能。然而,越来越清楚的是,IL-4/IL-13 激活的 JAK/STAT 通路本身可以在其他细胞内信号程序存在的情况下被调节,从而改变 IL-4/IL-13 信号的整体基调和/或幅度。除了直接激活经典的 JAK/STAT 通路外,IL-4 和 IL-13 还通过激活其他信号级联诱导促炎基因表达和效应功能。这些替代信号级联反应有助于 IL-4/IL-13 相关的细胞和分子反应的几个特定方面。更全面地了解 IL-4/IL-13 信号通路,包括非经典信号通路被激活的确切条件,以及这些通路对细胞和宿主水平反应的影响,将使我们能够更好地设计靶向特定病理结果的药物,或针对罕见疾病亚型定制治疗方法。