PMID- 28277826 OWN - NLM STAT- MEDLINE DCOM- 20180104 LR - 20220316 IS - 1744-8409 (Electronic) IS - 1744-666X (Linking) VI - 13 IP - 5 DP - 2017 May TI - Commonality of the IL-4/IL-13 pathway in atopic diseases. PG - 425-437 LID - 10.1080/1744666X.2017.1298443 [doi] AB - Allergy results from an aberrant Type 2 inflammatory response, triggered by a wide range of environmental antigens (allergens) that lead to various immune responses, culminating in the production of immunoglobulin E (IgE). Two key cytokines, interleukin (IL)-4 and IL-13, are critical to the induction and perpetuation of the Type 2 response, and have been implicated in multiple atopic diseases. Area covered: This review summarizes recent milestone developments that have elucidated components of the pathogenesis of atopic diseases such as atopic dermatitis (AD), asthma, and chronic sinusitis with nasal polyposis (CSwNP). Expert commentary: Several therapeutic agents that selectively target potentiators of the Type 2 pathway have shown efficacy in one or more of these atopic diseases, but few agents have proven to be broadly applicable across all three atopic diseases. Dupilumab, a human monoclonal antibody that simultaneously inhibits signaling of IL-4 and IL-13, has demonstrated significant clinical efficacy in AD, asthma, and CSwNP. The fact that these diseases often occur as comorbidities and respond to the same therapy suggests that there is a common underlying pathogenic pathway, and that IL-4 and IL-13 cytokines are central to regulating the pathogenesis of these atopic diseases. FAU - Gandhi, Namita A AU - Gandhi NA AD - a Clinical Sciences , Regeneron Pharmaceuticals, Inc. , Tarrytown , New York , USA. FAU - Pirozzi, Gianluca AU - Pirozzi G AD - b Research and Development , Sanofi, Bridgewater , New Jersey , USA. FAU - Graham, Neil M H AU - Graham NMH AD - c Project Direction , Regeneron Pharmaceuticals, Inc. , Tarrytown , New York , USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20170315 PL - England TA - Expert Rev Clin Immunol JT - Expert review of clinical immunology JID - 101271248 RN - 0 (Allergens) RN - 0 (Interleukin-13) RN - 207137-56-2 (Interleukin-4) SB - IM MH - Allergens/immunology MH - Asthma/*immunology MH - Chronic Disease MH - Dermatitis, Atopic/*immunology MH - Humans MH - Interleukin-13/*metabolism MH - Interleukin-4/*metabolism MH - Molecular Targeted Therapy MH - Nasal Polyps/*immunology MH - Signal Transduction MH - Sinusitis/*immunology MH - Th2 Cells/*immunology OTO - NOTNLM OT - Type 2 pathway OT - asthma OT - atopic dermatitis OT - dupilumab OT - interleukin-13 OT - interleukin-4 OT - lebrikizumab OT - nasal polyposis OT - tralokinumab EDAT- 2017/03/10 06:00 MHDA- 2018/01/05 06:00 CRDT- 2017/03/10 06:00 PHST- 2017/03/10 06:00 [pubmed] PHST- 2018/01/05 06:00 [medline] PHST- 2017/03/10 06:00 [entrez] AID - 10.1080/1744666X.2017.1298443 [doi] PST - ppublish SO - Expert Rev Clin Immunol. 2017 May;13(5):425-437. doi: 10.1080/1744666X.2017.1298443. Epub 2017 Mar 15.