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T-helper type 2 (Th2) cytokines are a group of signaling proteins primarily produced by Th2 cells, including Interleukin-4 (IL-4), Interleukin-5 (IL-5), and Interleukin-13 (IL-13). These cytokines play a central role in coordinating the type 2 immune response, which is essential for host defense against extracellular parasites like helminths but is also the primary driver of allergic diseases (NIH, 2023). IL-4 and IL-13 are critical for B-cell isotype switching to IgE and airway hyperresponsiveness, while IL-5 is the principal cytokine responsible for the maturation, recruitment, and survival of eosinophils (StatPearls, 2023). In clinical practice, Th2 cytokines are major therapeutic targets for chronic inflammatory conditions such as moderate-to-severe asthma and atopic dermatitis. Biologic therapies, such as Dupilumab (targeting the IL-4Rα subunit shared by IL-4 and IL-13) and Mepolizumab (targeting IL-5), have revolutionized the treatment of 'Type 2-high' endotypes by significantly reducing exacerbation rates and improving lung function or skin barrier integrity (PubMed, 2021). Because this term refers to a heterogeneous group of proteins rather than a single molecular target, drug development is typically focused on neutralizing specific cytokines or their individual receptors within this pathway.
Monoclonal antibodies that either bind directly to the Th2 cytokines (such as IL-5, IL-13) or their shared receptor subunits (such as IL-4Rα, IL-5Rα) to block downstream signaling through the JAK-STAT pathway, thereby reducing allergic inflammation and tissue remodeling.
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