Human TSLPR (encoded by CRLF2) is a 371-amino-acid transmembrane protein comprising:
Extracellular domain (ECD): Contains two fibronectin type III-like domains and a WSXWS-like motif essential for ligand binding and receptor stability .
Transmembrane domain: A 20-amino-acid hydrophobic segment anchoring the receptor to the cell membrane .
Cytoplasmic domain: Includes a membrane-proximal Box 1 motif critical for JAK kinase association and downstream signaling .
TSLPR forms a heterodimeric receptor complex with IL-7 receptor α-chain (IL-7Rα) to bind thymic stromal lymphopoietin (TSLP) . Structural studies reveal a unique T-shaped ternary assembly where TSLP bridges TSLPR and IL-7Rα via electrostatic interactions .
TSLPR signaling is pivotal in orchestrating type 2 immune responses:
Dendritic cell activation: TSLP primes dendritic cells to drive Th2 polarization via OX40L and CCL17 production .
T-cell modulation: Activated human CD4+ T cells express TSLPR, which enhances IL-2 sensitivity and STAT5 phosphorylation .
Mast cell/basophil activation: Amplifies IL-4, IL-5, and IL-13 secretion .
Parameter | TSLP:TSLPR Interaction | TSLPR:IL-7Rα Recruitment |
---|---|---|
Affinity (K<sub>D</sub>) | 32 nM | 29 nM |
Association rate (k<sub>a</sub>) | 1.7 × 10<sup>5</sup> M<sup>-1</sup>s<sup>-1</sup> | 1.23 × 10<sup>5</sup> M<sup>-1</sup>s<sup>-1</sup> |
Dissociation rate (k<sub>d</sub>) | 5.2 × 10<sup>-3</sup> s<sup>-1</sup> | 3.6 × 10<sup>-3</sup> s<sup>-1</sup> |
Data derived from bio-layer interferometry .
Asthma: Bronchial epithelial TSLP upregulates TSLPR on dendritic cells, driving Th2 inflammation .
Atopic dermatitis: Keratinocyte-derived TSLP activates pruritogenic neurons and mast cells via TSLPR .
Colon cancer: TSLPR signaling directly inhibits tumor cell proliferation and induces apoptosis via STAT3 suppression .
Therapeutic target: Neutralizing TSLPR antibodies are under investigation for allergic and autoimmune diseases .
LPS-stimulated monocytes upregulate TSLPR, correlating with enhanced CCL17 and IL-10 production in Gram-negative sepsis .
Biomarker potential: Elevated TSLPR mRNA in monocytes predicts severe asthma exacerbations .
Drug development: Avi-tagged recombinant TSLPR proteins enable high-throughput screening for antagonists .
Human TSLPR functions as a heterodimeric receptor complex consisting of two subunits: the TSLPR subunit (a member of the hemopoietin family) and the IL-7Rα chain. While classified as a hematopoietin receptor based on structural homology, the TSLPR subunit contains notable differences from canonical hematopoietin receptors. This heterodimeric structure is essential for proper TSLP signaling in both humans and mice, as neither subunit alone is sufficient for complete functionality .
The functional TSLPR is expressed across diverse cell populations in humans. Among hematopoietic cells, TSLPR is found on T cells, B cells, NK cells, monocytes, basophils, eosinophils, and dendritic cells (DCs). Some non-hematopoietic cell lineages, particularly epithelial cells, also express TSLPR. Importantly, TSLPR and IL-7Rα are principally coexpressed on monocytes and dendritic cell populations and to a much lesser extent on various lymphoid cells, which explains why human TSLP functions mainly on myeloid cells rather than lymphoid cells .
Lipopolysaccharide (LPS), a TLR4 agonist, significantly upregulates TSLPR expression in a subset of human CD14+ monocytes. This TSLPR expression occurs in an NF-κB- and p38-dependent manner. Specifically, a subset of peripheral blood CD14+CD1c+ cells expresses the highest levels of TSLPR upon LPS stimulation. This finding has translational relevance, as monocytes isolated from patients with Gram-negative sepsis demonstrate higher expression of TSLPR and CD127 mRNAs compared to healthy control subjects .
To analyze TSLPR signaling in human cells, researchers should focus on JAK-STAT pathway activation. Unlike IL-7 signaling (which utilizes JAK-1 and JAK-3), TSLP signaling in humans employs the TSLPR subunit to bind and utilize JAK-2 in concert with IL-7Rα-associated JAK-1. In human peripheral blood-derived CD11c+ DCs, TSLP stimulation activates STATs 1, 3, 4, 5, and 6, as well as JAKs 1 and 2. Methodologically, phosphorylation analysis of these signaling molecules using phospho-specific antibodies and Western blotting or flow cytometry provides effective readouts of TSLPR activation. This differs slightly from mouse DCs, where STAT6 phosphorylation is not observed, highlighting an important species difference to consider in experimental design .
To study functional heterogeneity of TSLPR+ monocytes, researchers should implement a multi-parameter approach combining:
Flow cytometric analysis of surface markers (particularly CD14, CD16, CD1c, and TSLPR) to identify specific subpopulations
Functional assays measuring cytokine/chemokine production (especially CCL17 and IL-10)
Transcriptomic analysis to evaluate differential gene expression profiles
Phenotypic, functional, and transcriptomic analyses have revealed specific features of TSLPR+ monocytes, including higher CCL17 and IL-10 production and increased expression of genes with important immune functions (e.g., GAS6, ALOX15B, FCGR2B, LAIR1). The discovery that TSLPR+ monocytes express higher levels of the dendritic cell marker CD1c emphasizes the importance of comprehensive multi-parameter analysis to identify and characterize these cell subsets accurately .
Genetic association studies represent a powerful approach to investigate TSLPR's role in human disease. Researchers should consider:
SNP analysis focusing on the TSLPR gene and its signaling partners
Genotype-phenotype correlation studies
Reporter gene assays to assess functional impacts of genetic variants
A comprehensive genetic study illustrated that variants in the TSLP/TSLPR axis are associated with coronary artery disease (CAD). The g.19646A>G variant in TSLPR was significantly associated with CAD across multiple cohorts, with an adjusted P-value of 2.04 × 10^-6 and an odds ratio of 1.20 (95% CI: 1.11–1.29). The study examined 3,628 CAD cases and 3,776 controls, suggesting that TSLPR genetic variation contributes to CAD pathogenesis .
Variant | Population | Cases/Controls | Adjusted P-value | OR (95% CI) |
---|---|---|---|---|
TSLPR, g.19646A>G A | Combined | 3,628/3,776 | 2.04 × 10^-6 | 1.20 (1.11–1.29) |
Humanized mouse models provide critical insights into human TSLPR function in vivo. Researchers should consider:
Creating chimeric mice expressing human TSLP and/or TSLPR
Reconstituting immunodeficient mice with human hematopoietic stem cells
Analyzing species-specific responses to overcome cross-reactivity limitations
One effective approach involves developing chimeric mice capable of producing human TSLP. This model allows researchers to study the effects of human TSLP on human B-cell development and human B-cell precursor acute lymphoblastic leukemias (BCP-ALLs). A key methodological consideration is that many mouse and human cytokines are not cross-reactive, making standard mouse models suboptimal for studying human hematopoietic or leukemic cells. The chimeric approach addresses this limitation by providing the correct cytokine environment for human cells in vivo .
When studying TSLPR expression in human monocytes, researchers should implement several critical controls:
Unstimulated monocytes to establish baseline expression
Time-course analysis to capture dynamic expression changes
Signaling pathway inhibitors (particularly NF-κB and p38 inhibitors) to confirm mechanism
Comparison of CD14+CD1c+ and CD14+CD1c- populations
Healthy donor controls compared to relevant disease states
Research has demonstrated that TSLPR expression in human monocytes is heterogeneous and can be induced by LPS stimulation in an NF-κB- and p38-dependent manner. The significance of these controls is highlighted by findings that TSLPR expression enriches a functionally distinct population of CD14+CD1c+ cells with specific immunological properties, including enhanced CCL17 and IL-10 production .
Designing experiments to distinguish between TSLPR and IL-7R signaling requires careful consideration of:
Receptor-specific blocking antibodies targeting either TSLPR or IL-7Rα
Selective JAK inhibitors (JAK1/JAK2 for TSLP vs. JAK1/JAK3 for IL-7)
STAT phosphorylation profiling (TSLP activates STATs 1,3,4,5,6 in human DCs)
Genetic approaches using receptor subunit-specific knockdown/knockout
Differential gene expression analysis following selective stimulation
These approaches are necessary because TSLP and IL-7 share the IL-7Rα chain but utilize different JAK combinations and induce partially overlapping but distinct STAT activation patterns. In human peripheral blood-derived CD11c+ DCs, TSLP stimulation activates STATs 1,3,4,5,6 and JAKs 1 and 2, while IL-7 signaling involves JAK-1 and JAK-3 .
Genetic variation in the TSLPR pathway significantly contributes to coronary artery disease (CAD) risk. A comprehensive genetic study across multiple cohorts identified that the g.19646A>G A variant in TSLPR is significantly associated with CAD (adjusted P-value = 2.04 × 10^-6, OR = 1.20, 95% CI: 1.11–1.29). This finding was consistent across discovery, validation, and replication cohorts, with a combined analysis of 3,628 CAD cases and 3,776 controls providing robust statistical power .
The mechanism likely involves TSLP/TSLPR-mediated inflammatory processes. Additional significant genetic associations were found with rs3806933 T in TSLP (P = 4.35 × 10^-5, OR = 1.18) and rs6897932 T in IL7R (P = 1.13 × 10^-7, OR = 1.31), suggesting multiple components of this signaling axis contribute to CAD pathogenesis. Functional studies demonstrated that rs3806933 T increases TSLP expression, with a significant association between rs3806933 genotypes and plasma TSLP levels in CAD patients .
For developing TSLPR-targeted therapies, researchers should consider:
Receptor antagonism approaches:
Monoclonal antibodies targeting the TSLPR/IL-7Rα complex
Small molecule inhibitors of the TSLPR signaling interface
Downstream signaling inhibition:
Selective JAK1/JAK2 inhibitors
STAT3/STAT5 inhibitors
Cell-specific targeting strategies:
Focusing on CD14+CD1c+ TSLPR+ monocytes in inflammatory conditions
Dendritic cell-directed approaches
Genetic screening to identify responsive patient populations:
Genotyping key variants (e.g., g.19646A>G in TSLPR)
Correlation with TSLP plasma levels
These approaches are supported by research demonstrating TSLPR's role in various inflammatory and cardiovascular conditions. The finding that TSLPR is primarily expressed on monocytes and dendritic cells in humans, with less expression on lymphoid cells, suggests myeloid cell-focused therapeutic strategies may be most effective .
Reconciling differences in TSLPR signaling between mouse and human systems requires careful consideration of:
Differential receptor expression patterns:
Naïve mouse CD8+ T cells express TSLPR, while expression is low/absent on naïve human CD8+ T cells
Expression increases on human CD8+ T cells after activation
Species-specific STAT activation:
Human DCs show STAT 1,3,4,5,6 activation
Mouse DCs lack STAT6 phosphorylation
Methodological approaches:
Use of species-specific reagents
Development of humanized mouse models
Parallel validation in both species
These differences highlight the challenges in translating findings between species. Researchers should validate key observations in human primary cells whenever possible and consider humanized mouse models for in vivo studies to overcome these limitations .
Measuring TSLPR expression in clinical samples presents several significant challenges:
Low baseline expression in many cell types
Dynamic regulation requiring standardized sample handling
Cell-type specific expression patterns requiring multiparameter analysis
Limited detection sensitivity of conventional methods
These challenges are exemplified by findings that only 70.5% of CAD patients had detectable plasma TSLP concentrations (median 12.03 pg/mL, range 1.28–187.04 pg/mL). Additionally, TSLPR expression is highly regulated and can be induced by stimuli like LPS in specific cell subsets. Researchers must consider timing of sample collection, processing protocols, and appropriate controls when designing clinical studies involving TSLPR expression analysis .
Thymic stromal lymphopoietin (TSLP) is a cytokine that plays a crucial role in the immune system, particularly in the development and progression of allergic diseases and asthma. TSLP is primarily produced by epithelial cells and acts as a potent activator of the immune system. The receptor for TSLP, known as the thymic stromal lymphopoietin receptor (TSLPR), is a key component in the signaling pathway of this cytokine.
TSLP was first identified in the conditioned medium from a murine thymic stromal cell line as a growth factor for B and T cells. The human homolog of TSLP was later discovered using computational methods to screen human genomic databases for sequences similar to mouse TSLP . TSLP exerts its biological effects by binding to a high-affinity heteromeric receptor complex composed of the TSLP receptor chain and the interleukin-7 receptor alpha chain (IL-7Rα) .
TSLP is primarily expressed by epithelial cells, including those in the lungs, intestines, and skin. It can also be produced by dendritic cells, mast cells, and other immune cells . TSLP plays a critical role in initiating and maintaining type 2 immune responses, which are associated with allergic diseases and asthma. The binding of TSLP to its receptor complex activates downstream signaling pathways that lead to the production of pro-inflammatory cytokines and chemokines .
There are two main isoforms of TSLP: the long form (lfTSLP) and the short form (sfTSLP). The long form is upregulated in inflammatory conditions, while the short form is expressed under steady-state conditions and plays a homeostatic role . The expression of TSLP is regulated by various factors, including cytokines, microbial products, and environmental stimuli.
TSLP has been implicated in a variety of allergic diseases, such as atopic dermatitis, bronchial asthma, and eosinophilic esophagitis. It is also involved in chronic inflammatory disorders, autoimmune diseases, and certain cancers . The broad pathophysiologic profile of TSLP has made it a target for therapeutic interventions. Tezepelumab, a human monoclonal antibody that inhibits TSLP, has shown efficacy in treating severe uncontrolled asthma .