Multiple pathways of ILC2 inhibition. ILC2s are stimulated by epithelial cytokines (IL-33, thymic stromal lymphopoietin [TSLP], and IL-25) and lipid mediators (cysteinyl leukotrienes [CysLTs] and PGD2) to produce IL-4, IL-5, IL-9, and IL-13, resulting in type 2 inflammation. Treg cells inhibit ILC2 activation through ICOS/ICOS ligand (ICOSL) interactions, as well as through production of IL-10 and TGF-β. Inhibition of the transcription factors Id2 and Id3 in Treg cells results in increased numbers of ILC2s. Other mechanisms promoting ILC2 suppression include cytokines (type 1 interferons and TH1 cytokines), lipid mediators (prostaglandin I2
[PGI2] and lipoxin A4
[LXA4]), and corticosteroids.