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Publication : The IL-33/ST2 pathway shapes the regulatory T cell phenotype to promote intestinal cancer.

First Author  Pastille E Year  2019
Journal  Mucosal Immunol Volume  12
Issue  4 Pages  990-1003
PubMed ID  31165767 Mgi Jnum  J:294547
Mgi Id  MGI:6453930 Doi  10.1038/s41385-019-0176-y
Citation  Pastille E, et al. (2019) The IL-33/ST2 pathway shapes the regulatory T cell phenotype to promote intestinal cancer. Mucosal Immunol 12(4):990-1003
abstractText  The composition of immune infiltrates strongly affects the prognosis of patients with colorectal cancer (CRC). Interleukin (IL)-33 and regulatory T cells (Tregs) in the tumor microenvironment have been separately implicated in CRC; however their contribution to intestinal carcinogenesis is still controversial. Here, we reveal that IL-33 signaling promotes CRC by changing the phenotype of Tregs. In mice with CRC, tumor-infiltrating Tregs preferentially upregulate IL-33 receptor (ST2), and IL-33/ST2 signaling positively correlates with tumor number and size. Transcriptomic and flow cytometry analyses demonstrate that ST2 expression induces a more activated and migratory phenotype in FOXP3(+) Tregs, which favors their accumulation in the tumor environment. Consequently, genetic ablation of St2 reduces Treg infiltration and concomitantly enhances the frequencies of effector CD8(+) T cells, thereby restraining CRC. Mechanistically, IL-33 curtails IL-17 production by FOXP3(+) Tregs and inhibits Th17 differentiation. In humans, numbers of activated ST2-expressing Tregs are increased in blood and tumor lesions of CRC patients, suggesting a similar mode of regulation. Together, these data indicate a central role of IL-33/ST2 signaling in shaping an immunosuppressive environment during intestinal tumorigenesis. Blockade of this pathway may provide a strategy to modulate the composition of CRC immune infiltrates.
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