Common and different roles of IL-4 and IL-13 in skin allergy and clinical implications

Curr Opin Allergy Clin Immunol. 2019 Aug;19(4):319-327. doi: 10.1097/ACI.0000000000000553.

Abstract

Purpose of review: This review summarizes the mode of action of IL-4 and IL-13 in skin allergy, upcoming therapeutics and depicts key outcomes of the latest clinical trials.

Recent findings: Atopic dermatitis is considered to be one of the most common inflammatory skin disease in industrialized countries. Accompanied by strong pruritus, atopic dermatitis has a significant impact on quality of life in severely affected individuals. Aside from unspecific immunosuppressant medications, therapeutics targeting the key cytokines IL-4 and IL-13 and their downstream mediators are under development or have been approved just recently with outstanding potential.

Summary: The recent development of several biologics and small compounds has the potential to revolutionize the treatment of atopic dermatitis, and applying this set of state-of-the-art drugs will provide a unique chance to gain insights into this skin disorder, patient subgroups, and key inflammatory mediators.

Publication types

  • Review

MeSH terms

  • Animals
  • Biological Therapy
  • Dermatitis, Atopic / immunology*
  • Dermatitis, Atopic / therapy
  • Humans
  • Hypersensitivity / immunology*
  • Hypersensitivity / therapy
  • Inflammation
  • Interleukin-13 / metabolism*
  • Interleukin-4 / metabolism*
  • Quality of Life
  • Skin / pathology*

Substances

  • Interleukin-13
  • Interleukin-4