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The IL-33/ST2 Axis Protects the Hippocampus from LPS-Induced Inflammation and Damage by Modulating Microglial
Jelena Nedeljkovic1, Jelena Milovanovic2,3, Vladimir Markovic3,4
1Department of Medical Statistics and Informatics, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Biomedicines
|February 27, 2026
Summary
The Interleukin-33 (IL-33)/Suppression of Tumorigenicity 2 (ST2) axis protects the brain from inflammation-induced neurodegeneration. IL-33 treatment reduced amyloid, prevented cell death, and preserved myelin in mice.
Area of Science:
- Neuroscience
- Immunology
- Pathology
Background:
- Systemic inflammation drives neurodegeneration, including amyloid accumulation and neuronal loss.
- The Interleukin-33 (IL-33)/Suppression of Tumorigenicity 2 (ST2) pathway is a key immune regulator in the brain.
- The specific role of IL-33/ST2 in hippocampal pathology during endotoxemia remains unclear.
Purpose of the Study:
- To investigate the role of the IL-33/ST2 axis in neurodegenerative processes caused by systemic inflammation.
- To determine the effects of IL-33/ST2 signaling on hippocampal pathology following lipopolysaccharide (LPS) challenge.
Main Methods:
- BALB/c wild-type (WT) and ST2-deficient (ST2-/-) mice were challenged with LPS.
- Exogenous IL-33 was administered to a subgroup of WT mice.
- Immunohistochemistry, TUNEL assay, flow cytometry, and RT-PCR were used to assess neuroinflammation, apoptosis, microglial phenotype, and cytokine expression.
Main Results:
- LPS induced demyelination and amyloid deposition, most severe in ST2-/- mice, with increased IL-1β and apoptosis.
- Exogenous IL-33 treatment in WT mice showed neuroprotection, promoting phagocytic microglia and upregulating IL-10.
- IL-33 treatment preserved myelin, reduced amyloid load, and prevented hippocampal apoptosis.
Conclusions:
- The IL-33/ST2 axis is crucial for defense against LPS-induced neuroinflammation and neurodegeneration.
- IL-33 promotes a regulatory microglial state, balancing IL-10/IL-1β ratio to prevent neuronal damage.
- The IL-33/ST2 pathway holds potential for treating amyloid-related pathologies.

