Review Article

Interleukin-1 Family Cytokines in Liver Diseases

Figure 6

IL-33–ILC2 beiges white adipose tissue to protect against obesity via heat generation and energy expenditure. IL-33–ILC2–IL-13/IL-5 is also critical for transformation of white adipocytes into thermogenic beige adipocytes. In response to IL-33, ILC2 in white adipose tissue produces methionine-enkephalin peptide (MetEnk) as well as pro-allergic IL-13 and IL-5. IL-13 and IL-5 induce recruitment and activation of eosinophils and cell conversion of Mø into M2 Mø. MetEnk, combined with M2 Mø and eosinophils, contributes to beiging of white adipocytes, which leads to protection against obesity and the related disease T2D via heat generation and energy consumption. ILC2: group 2 innate lymphoid cells; MetEnk: methionine-enkephalin peptide; Mø: macrophages; T2D: type 2 diabetes mellitus.