Evidence map›Paper›PMID 41264139›Full record

ArticleClinical rheumatology2026

IL-33/ST2 induces Tfh cells activation and GCs formation in collagen-induced arthritis.

Shaowei Pan, Xiaoyun Xie, Tong Li, Shiyao Wu, Huali Zhang, Xiaoyu Xiao, Xiaoli Zhang

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Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Shaowei PanThe Department of Rheumatology and Immunology, Xiangya Hospital of Central South University, Changsha, China.ORCID http://orcid.org/0000-0001-8316-4796
Xiaoyun XieThe Department of Rheumatology and Immunology, Xiangya Hospital of Central South University, Changsha, China.ORCID http://orcid.org/0009-0002-1598-5802
Tong LiThe Department of Rheumatology and Immunology, Xiangya Hospital of Central South University, Changsha, China.ORCID http://orcid.org/0000-0003-3725-1420
Shiyao WuThe Department of Rheumatology and Immunology, Xiangya Hospital of Central South University, Changsha, China.ORCID http://orcid.org/0009-0009-2502-2963
Huali ZhangThe Department of Pathophysiology, School of Basic Medicine Science, Central South University, Changsha, China.ORCID http://orcid.org/0000-0002-0788-7092
Xiaoyu XiaoNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China. xiaoxiaoyu0128@163.com.ORCID http://orcid.org/0009-0008-0906-2538
Xiaoli ZhangThe Department of Rheumatology and Immunology, Xiangya Hospital of Central South University, Changsha, China. 4011121@csu.edu.cn.

Funding

National Natural Science Foundation of China 81901662National Natural Science Foundation of China 82070018National Natural Science Foundation of China 82270097
6 · The paper itself

Abstract

backgroundThe Interleukin-33 (IL-33) has a strong[AL1] pro-inflammatory effect on collagen-induce arthritis (CIA), a classic animal model of rheumatoid arthritis (RA). However, the underlying mechanism remains unclear. In this study, we investigated the presence of the IL-33 receptor suppression of tumorigenicity 2 (ST2) on T follicular helper (Tfh) cells and its impact on CIA through regulation of Tfh cells and germinal center (GC) B cells. [AL1]LE: Please check if the corresponding author's telecommunications data are correctly captured/indicated.

methodsIn vitro studies involved treating polarized Tfh cells with IL-33 to analyze its effects on Tfh differentiation by measuring ST2, PD-1, and CXCR5 expression using flow cytometry. C57BL/6J mice were immunized with keyhole limpet hemocyanin (KLH) and divided into three groups: control, KLH-only, and KLH+IL-33. Additionally, ST2

resultsIn vitro experiments showed that IL-33 promoted Tfh differentiation and survival. IL-33 disrupted the Tfr/Tfh balance in the KLH model. In CIA, IL-33 exacerbated arthritis severity by enhancing Tfh cell proliferation in LNs and significantly altering GC B cell development and antibody production.

conclusionThis study reveals a novel mechanism by which IL-33 exacerbates RA, suggesting its pro-inflammatory effects are mediated through Tfh cell polarization and GC activation. Key Points • The IL-33/ST2 axis promotes Tfh cell differentiation and viability. • IL-33 exacerbates arthropathy and enhances germinal center reactions in CIA mice. • IL-33 increases the Tfh cell ratio and ST2 expression on Tfh cells in CIA mice. • The IL-33/ST2 axis disrupts the Tfr/Tfh balance in KLH-immunized mice.

Indexed as

Arthritis, ExperimentalGerminal CenterInterleukin-1 Receptor-Like 1 ProteinInterleukin-33T Follicular Helper CellsAnimalsArthritis, RheumatoidB-LymphocytesCell DifferentiationLymphocyte ActivationMiceMice, Inbred C57BLProgrammed Cell Death 1 ReceptorReceptors, CXCR5Il1rl1 protein, mouseIl33 protein, mouseInterleukin-1 Receptor-Like 1 ProteinInterleukin-33Programmed Cell Death 1 ReceptorReceptors, CXCR5Collagen-induce arthritisIL-33Tfh

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.