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. 2022 Aug 16;20:369. doi: 10.1186/s12967-022-03570-w

Table 1.

Roles of IL-33 in brain neurological diseases

Diseases/models IL-33/ST2 level Mechanism Function References
Damage
 AD and MCI patients

IL-33(↑)

ST2(↑)

Higher levels of apolipoprotein E ε4 and phosphorylated tau are indeed associated with cognitive decline Patients expressing IL-33 preserve their cognitive function [66]
 MS patients IL-33(↑) Inhibits CNS myelination Involves in the pathogenesis of all MS [8, 118, 147, 148]
 EAE mice

IL-33(↑)

ST2(↑)

Enhances Th1/Th17 response

Inhibits Treg response

Promotes EAE [113]
 HIV-infected cells

IL-33(↑)

ST2L(↑)

Leads to neuroinflammation

Dys-regulates synaptic function and apoptosis

Promotes HIV [135]
 ECM IL-33(↑) Orchestrates an amplification loop between IL-1β and IL-33 in microglia and oligodendrocytes to exacerbate neuroinflammation Exacerbates neurological and cognitive defects [3]
Protect
 TBI human and mice IL-33(↑) Promotes recruitment of microglia and release of pro-inflammatory mediators Promotes TBI [150]
 APP/PS1 mice

IL-33(↑)

sST2(↓)

Reverses synaptic plasticity impairment

Promotes microglia polarization toward anti-inflammatory M2

Promotes microglia phagocytic activity to Aβ uptake

Ameliorates AD and cognitive decline [47, 80]
 EAE mice

IL-33(↑)

ST2(↑)

Switches a predominantly pathogenic Th17/Th1 response to Th2 activity

Promotes microglia polarization toward anti-inflammatory M2

Suppresses the activation of astrocytes and microglia

Attenuates EAE [78, 84, 112]
 ECM –

Reduces pro-inflammatory cytokine and chemokine

Drives the expansion of ILC2 to produce Type-2 cytokines

Leads to the polarization of the anti-inflammatory M2 and expands Treg

Prevents the development of ECM [79]
 RNS mice

IL-33(↓)

ST2(↓)

Inhibits apoptosis, ER stress, and autophagy

Reverses the up-regulation of IL-1β and TNF-α levels

Attenuates RNS-induced neurobehavioral disorders and spatial learning and memory deficits [28, 85]
 ICH mice/rats

IL-33(↓)

ST2L(↑)

Suppresses the expression of pro-inflammation cytokines IL-1β and TNF-α

Promotes microglia M2 polarization

Suppresses apoptotic and autophagic activation

Alleviates ICH-induced neurological deficits, neuronal degeneration, cell death, and neurobehavioral deficits [87, 88]
 Stroke mice/MCAO mice –

Inhibits Th1/Th17 response

Enhances Treg response

Induces immune-shift of Th cells from Th1 to Th2 response

Promotes microglia polarization toward anti-inflammatory M2

Provides neuroprotection [90, 100, 115]
 TBI mice

IL-33(↑)

ST2L(↓)

Inhibits autophagy, ERS, and apoptosis

Prevented TBI-induced increase of IL-1β and TNF-α levels to inhibit neuroinflammation

Promotes the polarization of M2 microglial and type-2 phenotype cytokines production

Mitigates TBI-induced motor function outcome, spatial learning, and memory deficits [86, 91]
 Stroke patients and mice models

IL-33(↑)

sST2(↑)

Increases M2-type microglia and induces IL-4 secretion

Reduces astrocytes activation

Reduces ischemia-induced sensorimotor deficits [116]