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. Author manuscript; available in PMC: 2019 Sep 1.
Published in final edited form as: Mucosal Immunol. 2019 Jan 21;12(2):299–311. doi: 10.1038/s41385-018-0130-4

Table 2. Potential ILC2 targets as novel therapies for chronic lung diseases.

Class of target molecule Drug Key results References
Molecules that activate ILC2s
IL-25/IL-25R Anti-IL-25 and anti-IL-25R Pre-clinical. Inhibition of inflammation and airway hyperresponsiveness in experimental models of lung inflammation 183185
IL-33/IL-33R (ST2) Anti-ST2 antibody
GSK3772847
RG6149/AMG282)

Anti-IL-33
ANB020
Antibodies that inhibit IL-33 signaling are in clinical development 186
TSLP/TSLPR anti-TSLP
Tezepelumab
Administration reduced lung inflammation and airways bronchoconstriction in mild asthma, and lowered rates of asthma exacerbations in patients with uncontrolled asthma 155, 187
IL-9/IL-9R Anti-IL-9 and anti-IL-9R
MEDI-528
Humanized IL-9 antagonist that inhibits features of asthma in pre-clinical experimental models. No available data in humans 188
Prostaglandin pathway CRTH2 antagonists
OC000459 (Timapiprant)
BI 671800
AZD1981
Fevipiprant
Compounds have entered clinical trials. Notably, Fevipiprant treatment of patients on inhaled corticosteroids improved Forced Expiratory Volume and reduced sputum eosinophilia 189192
Anti-huCRTH2 antibody Pre-clinical humanized anti-huCRTH2 antibody causes depletion of CRTH2-expressing cells 193
Leukotriene pathway Montelukast and Zafirlukast are cysteinyl leukotriene receptor antagonists ILC2 expression of type-2 cytokines is partially inhibited by Montelukast in vitro 182, 194
Arginase 2(S)-amino-6-boronohexonic acid (ABH) or S-(2-boronoethyl)-L-cysteine (BEC) Efficacy in pre-clinical experimental asthma models. Arginase inhibitors are in clinical trials as a cancer therapeutics. 195198
Beta-2 adrenergic receptor Beta-2 adrenergic receptor agonists ILC2 express β2AR and inactivating β2AR resulted in lower helminth burden and more ILC2s, eosinophils, and type 2 cytokine production in mice. 135
Transcription factors
GATA3 Antisense DNAzyme molecule (SB010) that cleaves GATA3 mRNA Administration of SB010 in a small clinical trial resulted in improved lung function and reduced eosinophilia following allergen provocation 199201
ILC2-derived cytokines
IL-4 Anti-IL-4 receptor alpha (IL-4R) antibody
Dupilumab
The anti-IL-4 receptor alpha (IL-4R) antibody (Dupilumab) that inhibits signaling by both IL-4 and IL-13 has proven efficacious in patients with asthma and atopic dermatitis 202, 203
IL-5 Anti-IL-5 antibody
Mepolizumab
Has proven beneficial in the treatment of people with uncontrolled severe eosinophilic asthma 204207
IL-13 Anti-IL-13 antibody
Lebrikizumab
Tralokinumab
Limited improvements in lung function in periostin-high and eosinophilic patients, but failed to reduce asthma exacerbations 208, 209