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. 2023 Oct 27;43(10):BSR20231331. doi: 10.1042/BSR20231331

Table 1. The mechanisms of action and therapeutic studies of Treg cells in lung diseases.

Disease Type of Treg cells Main way Main profile Outcome Reference
Asthma CD4+ Treg cells, Foxp3+ Treg cells TGF-β, IL-10, DLL4-Notch signalling pathway ↓ ILC2, Th1 cells, Th2 cells, Th17 cells, Granulocytes Inhibition [153,158–162]
ARDS Foxp3+ Treg cells TGF-β, IL-10 ↓ Lung pyroptosis, Th17 cells Inhibition [168,170,171,175]
IPF CD4+Foxp3+ Treg cells TGF-β ↑ TGF-β1 Early: Promotion [174,181]
↓ Th17 cells, CXCL10, Fibrosis Late stage: Inhibition
COPD Foxp3+ Treg cells TGF-β, IL-10 ↓ HIF-1α, TNF-α, IL-1β, IL-17A, RORγt Inhibition [13,34,169,184]
CF Foxp3+ Treg cells TGF-β, IL-10 ↓ IL-6, IL-8, IL-17A Inhibition [186,193]
Lung cancer CD4+Foxp3+ Treg cells, CD25+ Treg cells TGF-β, IL-10 ↑ HIF-1α, CTLA4, CD39, GITR, B7H1, IFN-γ, CXCL13 Promotion [17,199,202–204,208–210,212–215]
↓ CD8+ T cells, NK cells, IL-2
Bronchitis Nrp-1+ Treg cells TGF-β, IL-10 ↑ IL-35, Glentiy-1 Inhibition [161,235,236,322–325]
↓ IL-17, TIM-3, Macrophages, MHC class II molecules
Pneumonia Foxp3+CD39+ Treg cells TGF-β, IL-10, IL-35 ↑ EGF, BLIMP1 Inhibition [240,243,245,247,252,258]
↓ CD4+ and CD8+ T cells, B cells, DCs, NK cells, Neutrophils, Eosinophils
Pulmonary embolus CD4+Foxp3+ Treg cells TGF-β ↑ SPARC, Monocytes Inhibition [264]

Abbreviations: ARDS, acute respiratory distress syndrome; BCL6, B-cell lymphoma 6; BLIMP1, B-lymphocyte-induced maturation protein 1; CF, cystic fibrosis; COPD, chronic obstructive pulmonary disease; CTLA4, cytotoxic T-lymphocyte-associated protein 4; CXCL10, C-X-C motif chemokine ligand 10; CXCL13, C-X-C motif chemokine ligand 13; DC, dendritic cells; DLL4, delta-like 4; EGF, epidermal growth factor; GITR, glucocorticoid-induced tumour necrosis factor receptor; HIF-1α, hypoxia-inducible factor 1α; IFN-γ, interferon-γ; IL-1β, interleukin-1β; IL-10, interleukin-10; IL-17A, interleukin 17A; IL-35, interleukin-35; ILC2, Type 2 innate lymphocytes; IPF, idiopathic pulmonary fibrosis; MHC, major histocompatibility complex; NK, natural killer; SPARC, scalable processor architecture; TGF-β, transforming growth factor β; Th1, Type 1 T helper; Th2, Type 2 T helper; Th17, Type 17 T helper; TIM-3, T-cell immunoglobulin and mucin domain-containing protein 3; TNF-α, tumor necrosis factor alpha.