Interleukin-13 in asthma pathogenesis

Curr Allergy Asthma Rep. 2004 Mar;4(2):123-31. doi: 10.1007/s11882-004-0057-6.

Abstract

Numerous studies have clearly shown that the Th2 cytokine, interleukin (IL)-13, is the central regulator of the allergic diathesis. Initial studies in animal models of disease provided compelling evidence that IL-13, independent 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 the importance of IL-13 in allergic disorders, attention is now turned toward understanding the mechanisms by which this cytokine might mediate the pathophysiologic features of allergic disease. The emerging paradigm is that IL-13 induces features of the allergic response via its actions on epithelial cells and smooth muscle cells, not through traditional effector pathways involving eosinophils and IgE-mediated events. In light of these recent developments, in this review our current understanding of the role of IL-13 in the pathogenesis of asthma is explored, with a particular focus on new insights into the mechanisms by which IL-13 induces the features of asthma.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Asthma / etiology*
  • Asthma / metabolism*
  • Asthma / physiopathology
  • Eosinophilia / etiology
  • Eosinophilia / metabolism
  • Eosinophilia / physiopathology
  • Epithelial Cells / metabolism
  • Humans
  • Interleukin-13 / metabolism
  • Interleukin-13 / physiology*
  • Interleukin-13 Receptor alpha1 Subunit
  • Mucus / chemistry
  • Mucus / metabolism
  • Receptors, Interleukin / metabolism
  • Receptors, Interleukin-13
  • Respiratory Mucosa / cytology
  • Respiratory Mucosa / metabolism
  • Up-Regulation / physiology

Substances

  • IL13RA1 protein, human
  • Interleukin-13
  • Interleukin-13 Receptor alpha1 Subunit
  • Receptors, Interleukin
  • Receptors, Interleukin-13