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Table 2 Strategies to inhibit Th2 cell differentiation

From: Treatment of allergic asthma: Modulation of Th2 cells and their responses

Target

Mechanism

Intervention example

Effect

Comment

GATA-3

Development of Th2 cells [169]

Local treatment with GATA-3 antisense oligonucleotides [170] or RNA interference delivered by a lentiviral vector [171]

Inhibits allergen-induced asthma

Important for T cell development, its inhibition could cause immunosuppression [169]

STAT3

Important for differentiation of Th2 cells [172]

Selective small molecule inhibitors [173]

Inhibits allergen-induced asthma

-

STAT5a

Important for differentiation of Th2 cells

None known

STAT-5a deficient mice have decreased IL-5 production and Th2 and eosinophil recruitment in mouse model of asthma [174]

Also important for development of inducible Tregs [175]

STAT6

Important for differentiation of Th2 cells

Selective small molecule inhibitors [176] or RNA interference [177] of STAT6

Suppresses Th2 responses in vitro and in animal models

-

Notch

Binds to the promoter of GATA-3 and regulates its transcription [178, 179]

Gamma-secretase inhibitor (GSI) [180]

Selective inhibition of Th2, but not Th1 responses [181]

Involved in development of many other leukocytes and organs [182, 183]

c-Maf

Transcription factor expressed at high levels in Th2 cells [184, 185]

So-Cheong-Ryong-Tang (a Korean traditional medicine; [186]) or KR62890 (agonist of peroxisome proliferator-activated receptor γ; [187])

Inhibits Th2 cell functions

Inhibits Th-17 and Treg function

Gfi-1, Dec2, ROG and Bcl-6

Transcription repressors important for Th2 cell development [188–192]

None known

N/A

-

SOCS-3

Inhibitor of cytokine signalling pathways [193]

None known

SOCS-3 blocks Th1 cell development and is preferentially expressed in Th2 cells [194]

Appears to be involved in Treg and/or Th17 cell development [195]

SOCS-5

Inhibitor of cytokine signalling pathways [193]

None known

Preferentially expressed in Th1 cells and prevents Th2 cell development [196]

Its over-expression in T cells enhances airway inflammation and AHR [197]

miRNA-16, miRNA-21, miRNA-126

Up-regulated in lung tissue after allergen challenge in mouse models of asthma [198, 199]

Anti-miRNA-126 antagomir (small synthetic RNA molecule with modified backbone for degradation prevention) [199]

Prevents allergen-induced airway hyperreactivity and reduces allergic inflammation

-