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Mast cells and endothelial cells mediate interleukin-33 and ST2 responses in distal chronic obstructive pulmonary disease lungs

Andersson, Cecilia K LU ; Siddhuraj, Premkumar LU ; Jönsson, Jimmie ; Ahlgren, Johan LU ; Lindö, Caroline LU ; Nys, Josquin A ; Scott, Ian C ; Lindstedt, Sandra LU ; Kolbeck, Roland and Humbles, Alison A , et al. (2026) In American Journal of Respiratory and Critical Care Medicine 212(7). p.1495-1509
Abstract

RATIONALE: Information is missing on the tissue cell expression patterns of interleukin 33 (IL-33) and splice variants of the IL-33 receptor ST2 in normal and chronic obstructive pulmonary disease (COPD) lungs.

OBJECTIVES: To characterize the expression patterns of IL-33, the soluble ST2 (sST2) and membrane-bound ST2 (ST2L) splice variants in the poorly studied small airway and distal lung compartments in COPD and controls.

METHODS: Surgically excised lung tissue was collected from 38 COPD patients and 21 non-COPD controls. Lung compartment expression of IL-33 and ST2 and key expressing cell types were assessed histologically by combined in situ hybridization and multiplex immunohistochemistry. Expression dynamics of IL-33,... (More)

RATIONALE: Information is missing on the tissue cell expression patterns of interleukin 33 (IL-33) and splice variants of the IL-33 receptor ST2 in normal and chronic obstructive pulmonary disease (COPD) lungs.

OBJECTIVES: To characterize the expression patterns of IL-33, the soluble ST2 (sST2) and membrane-bound ST2 (ST2L) splice variants in the poorly studied small airway and distal lung compartments in COPD and controls.

METHODS: Surgically excised lung tissue was collected from 38 COPD patients and 21 non-COPD controls. Lung compartment expression of IL-33 and ST2 and key expressing cell types were assessed histologically by combined in situ hybridization and multiplex immunohistochemistry. Expression dynamics of IL-33, ST2L, and sST2 were explored by spatially resolved single-cell analysis.

MEASUREMENTS AND MAIN RESULTS: COPD lungs displayed increased IL-33 mRNA and IL-33 mRNA/protein ratios, suggesting increased IL-33 turnover. Total ST2/IL1RL1 mRNA levels were upregulated in COPD lungs. Mast cells constituted the major ST2-expressing immune cell population in controls and displayed a microenvironmental-specific upregulation of both ST2L and sST2 in COPD. In control alveolar regions, ST2Lhigh sST2high mast cells were present alongside IL-33-expressing general capillary (gCap) and sST2moderate ST2Llow aerocyte endothelial subsets. In COPD, patchy alveolar regions displayed markedly elevated capillary sST2 and numbers of ST2L+ and IL-33+ gCaps.

CONCLUSIONS: By unraveling the expression patterns of IL-33 and the biologically opposing ST2L and sST2 splice variants in control and COPD lungs, the present study provides novel insights into IL-33-mediated immunity in the distal lung, information that has bearing on treatment strategies targeting this pathway in lung diseases.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Pulmonary Disease, Chronic Obstructive/metabolism, Interleukin-33/metabolism, Interleukin-1 Receptor-Like 1 Protein, Mast Cells/metabolism, Male, Female, Aged, Middle Aged, Endothelial Cells/metabolism, Lung/metabolism, Receptors, Cell Surface/metabolism, Interleukins, RNA, Messenger/metabolism, Case-Control Studies
in
American Journal of Respiratory and Critical Care Medicine
volume
212
issue
7
pages
1495 - 1509
publisher
American Thoracic Society
external identifiers
  • pmid:42085217
  • scopus:105043547303
ISSN
1535-4970
DOI
10.1093/ajrccm/aamag079
language
English
LU publication?
yes
additional info
© The Author(s) 2026. Published by Oxford University Press on behalf of the American Thoracic Society.
id
340e9256-7972-4745-ba7b-675edee9e2a1
date added to LUP
2026-08-26 10:50:47
date last changed
2026-08-27 04:00:52
@article{340e9256-7972-4745-ba7b-675edee9e2a1,
  abstract     = {{<p>RATIONALE: Information is missing on the tissue cell expression patterns of interleukin 33 (IL-33) and splice variants of the IL-33 receptor ST2 in normal and chronic obstructive pulmonary disease (COPD) lungs.</p><p>OBJECTIVES: To characterize the expression patterns of IL-33, the soluble ST2 (sST2) and membrane-bound ST2 (ST2L) splice variants in the poorly studied small airway and distal lung compartments in COPD and controls.</p><p>METHODS: Surgically excised lung tissue was collected from 38 COPD patients and 21 non-COPD controls. Lung compartment expression of IL-33 and ST2 and key expressing cell types were assessed histologically by combined in situ hybridization and multiplex immunohistochemistry. Expression dynamics of IL-33, ST2L, and sST2 were explored by spatially resolved single-cell analysis.</p><p>MEASUREMENTS AND MAIN RESULTS: COPD lungs displayed increased IL-33 mRNA and IL-33 mRNA/protein ratios, suggesting increased IL-33 turnover. Total ST2/IL1RL1 mRNA levels were upregulated in COPD lungs. Mast cells constituted the major ST2-expressing immune cell population in controls and displayed a microenvironmental-specific upregulation of both ST2L and sST2 in COPD. In control alveolar regions, ST2Lhigh sST2high mast cells were present alongside IL-33-expressing general capillary (gCap) and sST2moderate ST2Llow aerocyte endothelial subsets. In COPD, patchy alveolar regions displayed markedly elevated capillary sST2 and numbers of ST2L+ and IL-33+ gCaps.</p><p>CONCLUSIONS: By unraveling the expression patterns of IL-33 and the biologically opposing ST2L and sST2 splice variants in control and COPD lungs, the present study provides novel insights into IL-33-mediated immunity in the distal lung, information that has bearing on treatment strategies targeting this pathway in lung diseases.</p>}},
  author       = {{Andersson, Cecilia K and Siddhuraj, Premkumar and Jönsson, Jimmie and Ahlgren, Johan and Lindö, Caroline and Nys, Josquin A and Scott, Ian C and Lindstedt, Sandra and Kolbeck, Roland and Humbles, Alison A and Lutter, René and Sabogal Piñeros, Yanaika S and Jonkers, René E and Tufvesson, Ellen and Sandén, Caroline and Cohen, E Suzanne and Erjefält, Jonas S}},
  issn         = {{1535-4970}},
  keywords     = {{Humans; Pulmonary Disease, Chronic Obstructive/metabolism; Interleukin-33/metabolism; Interleukin-1 Receptor-Like 1 Protein; Mast Cells/metabolism; Male; Female; Aged; Middle Aged; Endothelial Cells/metabolism; Lung/metabolism; Receptors, Cell Surface/metabolism; Interleukins; RNA, Messenger/metabolism; Case-Control Studies}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{7}},
  pages        = {{1495--1509}},
  publisher    = {{American Thoracic Society}},
  series       = {{American Journal of Respiratory and Critical Care Medicine}},
  title        = {{Mast cells and endothelial cells mediate interleukin-33 and ST2 responses in distal chronic obstructive pulmonary disease lungs}},
  url          = {{http://dx.doi.org/10.1093/ajrccm/aamag079}},
  doi          = {{10.1093/ajrccm/aamag079}},
  volume       = {{212}},
  year         = {{2026}},
}