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How serotonin may help drive long-term allergic inflammation through overlooked immune cells

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New insights into how serotonin shapes allergy-associated immune cells
Schematic of the glycolytic pathway and inhibition with 2-deoxyglucose (2DG). Credit: Allergy (2026). DOI: 10.1111/all.70399

Researchers at Karolinska Institutet have uncovered how serotonin-related metabolism helps regulate an understudied immune cell involved in allergic inflammation. The study, published in the journal Allergy, adds to knowledge about how allergic immune responses may be maintained over time.

Allergic diseases such as asthma are caused by complex immune reactions in the body. While much research has focused on a few well-known immune cells such as type 2 helper T cells (Th2) and innate lymphoid cells (ILC2s), others have received far less attention. In a new study, researchers at Karolinska Institutet examined type 2 cytotoxic T cells (Tc2), a type of immune cell increasingly linked to allergic disease.

Metabolism supports allergic inflammation

Tc2 cells are part of the immune system’s type 2 response and can contribute to inflammation in allergies. The researchers found that these cells rely on specific metabolic pathways, including pathways related to serotonin, to sustain their inflammatory activity.

“Our study shows that Tc2 cells depend on lipid metabolism as well as the breakdown of serotonin to function,” says Chris Tibbitt, researcher at the Department of Medicine, Huddinge, Karolinska Institutet.

“These new findings highlight that Tc2 cells have distinct biological requirements that may influence how allergic inflammation develops and persists.”

Early findings with future relevance

In collaboration with the BAMSE cohort, the study also observed altered Tc2 responses and lower prevalence of allergic sensitization in individuals who had been prescribed selective serotonin reuptake inhibitors, SSRIs. According to the researchers, these preliminary observations need further investigation.

“Tc2 cells remain far less studied than other allergy-associated immune cells, despite growing evidence of their role in diseases like asthma,” says Tibbitt. “By learning more about how these cells are regulated, we can improve our understanding of allergic inflammation.”

The findings are at an early stage and have no immediate medical application. However, the researchers believe that increased knowledge about Tc2 cells may, over time, contribute to improved ways of identifying or targeting harmful type 2 inflammation in allergic disease.

Publication details

Sabrina de Souza Ferreira et al, Serotonin Degradation and Lipid Metabolism Regulate Human Tc2 Cell Effector Functions, Allergy (2026). DOI: 10.1111/all.70399

Journal information:
Allergy


Key medical concepts

Lipid Metabolism

Clinical categories

Allergy and immunology

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Lisa Lock

Lisa Lock

BA art history, MA material culture. Former museum editor, paramedic, and transplant coordinator. Editing for Science X since 2021.

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Andrew Zinin

Andrew Zinin

Master’s in physics with research experience. Long-time science news enthusiast. Plays key role in Science X’s editorial success.

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Citation:
How serotonin may help drive long-term allergic inflammation through overlooked immune cells (2026, July 2)
retrieved 2 July 2026
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