Type 3 innate lymphoid cells dominate the ILC compartment in endstage lung disease - Report - MDSpire

Type 3 innate lymphoid cells dominate the ILC compartment in endstage lung disease

  • By

  • Olga Halle

  • Jan-Niklas Falke

  • Claudia Kessemeier

  • Khatuna Lobjanidze

  • Emily Fuchshuber

  • Sean Brüske

  • Svenja Gaedcke

  • Marina Schumacher

  • Londa Dähne

  • Jonas Knaup

  • Maresa Borghorst

  • Sophia Pallenberg

  • Melanie Albrecht

  • Adan Chari Jirmo

  • Jana Bergmann

  • Michelle Paulsen

  • Danny Jonigk

  • Peter Braubach

  • Anna-Maria Dittrich

  • June 10, 2026

  • 0 min

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Type 3 Innate Lymphoid Cells Predominate in the ILC Population of Advanced Lung Disease

Overview

This study characterizes the predominance of type 3 innate lymphoid cells (ILCs) in the lungs and lymph nodes of patients with advanced lung diseases, revealing significant differences compared to healthy tissue. Type 3 ILCs contribute to a pro-inflammatory environment, while type 2 ILCs are more prevalent in the peripheral blood of stable cystic fibrosis patients receiving CFTR modulator therapy.

Background

Innate lymphoid cells (ILCs) are crucial in immune responses and chronic inflammation, particularly in lung diseases. Understanding the distribution and function of ILCs in endstage lung diseases such as cystic fibrosis, COPD, and pulmonary fibrosis is essential for developing targeted therapies. This research highlights the role of ILCs in sustaining inflammation and their potential as therapeutic targets.

Data Highlights

ConditionILC TypeDominance
Cystic FibrosisType 2Increased in PB
COPD/EmphysemaType 3Predominant in lungs
Pulmonary FibrosisType 3Predominant in lungs

Key Findings

  • Type 3 ILCs dominate the ILC population in lungs and lymph nodes of patients with advanced lung diseases.
  • Type 1 ILCs are the major population in healthy lung tissue.
  • Type 2 ILCs are increased in the peripheral blood of clinically stable cystic fibrosis patients.
  • ILC composition changes persist in cystic fibrosis patients receiving CFTR modulator therapy for up to 24 months.
  • Type 3 ILCs contribute to a pro-inflammatory cytokine environment in endstage lung disease.

Clinical Implications

The findings suggest that type 3 ILCs play a significant role in the inflammatory processes of advanced lung diseases, indicating a need for targeted therapies that address this ILC subtype. Additionally, the persistence of altered ILC populations in cystic fibrosis patients despite treatment highlights the complexity of managing chronic lung inflammation.

Conclusion

This study underscores the importance of ILCs in the pathogenesis of advanced lung diseases and suggests that targeting these cells may offer new therapeutic avenues. Further research is needed to explore the implications of ILC dynamics in chronic lung disease management.

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  9. A phase 2a trial of the IL-33 monoclonal antibody tozorakimab in patients with COPD: FRONTIER-4 - PubMed

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