Evidence map›Paper›PMID 41155460›Full record

ReviewInternational journal of molecular sciences2025

IL-31/33 Axis in Atopic Dermatitis.

Julia Łacwik, Krzysztof Kraik, Julia Laska, Maciej Tota, Łukasz Sędek, Krzysztof Gomułka

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Single-cell transcriptomic analysis identifies a MIF-driven keratinocyte-macrophage-Th2 axis as a key inflammatory circuit in atopic dermatitis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  4. Article
  5. Aeroallergens in Atopic Dermatitis and Chronic Urticaria.Current allergy and asthma reports · 2026
    Review
  6. Keratinocytes: pleiotropic orchestrators of cutaneous immunity and Inflammation - Emerging therapeutic paradigms in dermatological pathologies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Julia ŁacwikStudent Research Group of Microbiology and Immunology, Department of Microbiology and Immunology in Zabrze, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.ORCID 0009-0008-6622-5989
Krzysztof KraikStudent Research Group of Allergology and Internal Medicine, Clinical Department of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wrocław, Poland.ORCID 0009-0002-0987-4225
Julia LaskaStudent Research Group of Microbiology and Immunology, Department of Microbiology and Immunology in Zabrze, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.
Maciej TotaStudent Research Group of Allergology and Internal Medicine, Clinical Department of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wrocław, Poland.ORCID 0000-0002-5298-6479
Łukasz SędekDepartment of Microbiology and Immunology in Zabrze, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.ORCID 0000-0001-9384-914X
Krzysztof GomułkaClinical Department of Allergology and Internal Medicine, Wroclaw Medical University, 50-556 Wrocław, Poland.ORCID 0000-0002-7218-2961

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atopic dermatitis (AD) is a chronic inflammatory skin disorder characterized by impaired epidermal barrier function, immune dysregulation (e.g., Th2 polarization), genetic factors (e.g., filaggrin mutations), environmental triggers and microbial dysbiosis, leading to pruritus and eczematous lesions. In this review, we present the synergistic "IL-31/IL-33 axis." IL-33, released by damaged keratinocytes, acts as an alarmin, initiating inflammation via ST2 receptors and promoting Th2 cytokine production (IL-4, IL-5, IL-13). This upregulates IL-31, primarily from Th2 cells, which directly activates sensory neurons to induce pruritus and impairs keratinocyte differentiation. Together, IL-31 and IL-33 exacerbate the itch-scratch feedback loop, barrier disruption, and inflammation. Elevated levels of IL-31 and IL-33 correlate with disease severity. Targeting the IL-31/IL-33 axis represents an emerging therapeutic option, e.g., nemolizumab (anti-IL-31RA) significantly reduces pruritus and AD symptoms in clinical trials. However, anti-IL-33/ST2 agents (e.g., etokimab, tozorakimab) demonstrate variable efficacy, highlighting complexity in targeting IL-33. Future research should prioritize biomarker-driven patient stratification to optimize the clinical application of these novel antibody-based therapies.

Indexed as

Dermatitis, AtopicInterleukin-33InterleukinsAnimalsFilaggrin ProteinsHumansInterleukin-1 Receptor-Like 1 ProteinKeratinocytesPruritusSignal TransductionTh2 CellsFilaggrin ProteinsFLG protein, humanIL1RL1 protein, humanIL31 protein, humanIL33 protein, humanInterleukin-1 Receptor-Like 1 ProteinInterleukin-33InterleukinsADatopic dermatitisbiologicaltherapyIL-31IL-31/IL-33 axisIL-33

Identifiers

PMID41155460
PMCPMC12564740

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.