Interleukin 33
Ever since we demonstrated that TFF2 was an early damage-induced molecule that facilitated IL-33 expression, we have become increasingly interested in this peculiar IL-1 family cytokine22. Indeed, there has been an explosion of interest in IL-33 recently given its role in allergic disease and host protection against helminths, but over the past 5-7 years it has become evident that IL-33 is involved in a much wider array of immune responses and diverse biological processes including tissue repair, stem cell function, neural development, and thermoregulation23-25. Perhaps one of the most interesting aspects of its biology is that it is a cytokine constitutively tethered in the nucleus, thought to be released only upon necrotic cell death to function as an alarmin that initiates inflammation26. However, it is now clear that IL-33 also has profound immunoregulatory effects through enhancing the immunosuppressive functions of T regulatory cells (Treg). Whether IL-33 could be delivered from the cell in a manner independent of cell death and whether myeloid lineage cells served as biologically relevant sources of IL-33 have been outstanding questions that many investigators have sought to answer.
It was known that IL-33 could drive expansion of both pro-inflammatory group 2 innate lymphoid cells (ILC2) and immunoregulatory/suppressive Foxp3+ Tregs. Given that our TFF2 studies and studies from others have indicated that both myeloid and epithelial cell lineages could be important sources of IL-3311,27, we formed a hypothesis that cell source could define the biological role for this cytokine. Our recent work demonstrates that indeed, the cellular source of IL-33 can have a radical impact on its biological function: whereas mice lacking intestinal epithelial cell (IEC)-derived IL-33 have impaired Type 2 cytokine production, reduced ILC2 responses, and defects in host resistance to GI nematode infection, mice lacking myeloid APC-derived IL-33 show defects in GATA3+ST2+Foxp3+ Treg numbers and augmented resistance to GI nematodes28.
Moreover, due to the lack of signal peptide, it has remained a puzzle whether IL-33 could be released through a specific mechanism. While cytokines alone can influence lymphocyte lineage decisions and activation status, it is clear that naive T cell priming requires simultaneous delivery of peptide: MHC signals, co-stimulation, and cytokines. Thus it, was reasonable to speculate that cytokines release during cell necrosis would influence T cell function differently from cytokine release from a myeloid APC during synapse formation with a T lymphocyte. Our recently published work demonstrated that the pore-forming protein Perforin-2 is expressed by conventional dendritic cells (cDC) expressing cytoplasmic IL-33 protein, and that the release of IL-33 from cDC was Perforin-2-dependent28. While we do not yet possess direct evidence that Perforin-2 localizes to the immunological synapse, our data revealed that Perforin-2 localizes to the APC-T cell interface during Foxp3+ Treg engagement and that blocking Perforin-2 activity inhibits proliferative expansion of GATA3+ ST2+Foxp3+ Tregs28. We interpret this data that a specific release mechanism exists and this topic is a very active area of research in the lab.
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