# The role of IL-33/ST2 axis in esophageal inflammatory diseases and cancers: implications for the immunopathogenesis and immunotherapeutic target?

**Authors:** Gaofeng Lu, Guanglin Cui

PMC · DOI: 10.1177/17562848251344049 · Therapeutic Advances in Gastroenterology · 2025-06-12

## TL;DR

This review explores how the IL-33/ST2 pathway contributes to esophageal inflammation and cancer, and its potential as a target for immunotherapy.

## Contribution

The paper provides a comprehensive review of the IL-33/ST2 axis's role in esophageal diseases and its potential as an immunotherapeutic target.

## Key findings

- The IL-33/ST2 axis modulates inflammatory esophageal disorders like eosinophilic esophagitis.
- The IL-33/ST2 axis is involved in the immunopathogenesis of esophageal adenocarcinoma and squamous cell carcinoma.
- The IL-33/ST2 axis shows translational potential as a target for immunotherapies in these conditions.

## Abstract

Considerable scientific evidence confirms that interleukin (IL)-33 and its main receptor, suppression of tumorigenicity 2 (ST2), form a functional axis to modulate the development of esophageal inflammatory disorders, such as eosinophilic esophagitis and gastroesophageal reflux disease. Recently, studies have also revealed that the IL-33/ST2 axis is implicated in the immunopathogenesis of both esophageal adenocarcinoma and squamous cell carcinoma. In view of the importance of the IL-33/ST2 axis in the immunopathogenesis of esophageal inflammatory diseases and cancers, this review summarizes recent progress in this research field based on current published data. Moreover, the translational potential of the IL-33/ST2 axis as a promising immunotherapeutic target in esophageal inflammatory disorders and cancers was discussed.

## Linked entities

- **Genes:** IL33 (interleukin 33) [NCBI Gene 90865], ST2 (suppression of tumorigenicity 2) [NCBI Gene 6761]
- **Diseases:** eosinophilic esophagitis (MONDO:0005361), gastroesophageal reflux disease (MONDO:0007186), esophageal adenocarcinoma (MONDO:0005028), squamous cell carcinoma (MONDO:0005096)

## Full-text entities

- **Genes:** ST2 (suppression of tumorigenicity 2) [NCBI Gene 6761], IL33 (interleukin 33) [NCBI Gene 90865] {aka C9orf26, DVS27, IL1F11, NF-HEV, NFEHEV}
- **Diseases:** esophageal inflammatory disorders (MESH:D004941), cancers (MESH:D009369), esophageal inflammatory diseases (MESH:D004935), squamous cell carcinoma (MESH:D002294), eosinophilic esophagitis (MESH:D057765), esophageal adenocarcinoma (MESH:D000230), gastroesophageal reflux disease (MESH:D005764)

## Full text

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## Figures

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## References

94 references — full list in the complete paper: https://tomesphere.com/paper/PMC12166281/full.md

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Source: https://tomesphere.com/paper/PMC12166281