1. JAK inhibitors: Ten years after
- Author
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Francesca Romana Spinelli, John J. O'Shea, Françoise Meylan, and Massimo Gadina
- Subjects
0301 basic medicine ,autoimmunity ,covid-19 ,cytokines ,janus kinase ,kinase inhibitors ,autoimmune diseases ,cytokine release syndrome ,humans ,hypersensitivity ,janus kinase inhibitors ,janus kinases ,sars-cov-2 ,signal transduction ,Coronavirus disease 2019 (COVID-19) ,Immunology ,Context (language use) ,Biology ,medicine.disease_cause ,Bioinformatics ,Autoimmune Diseases ,Autoimmunity ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Hypersensitivity ,medicine ,Humans ,Janus Kinase Inhibitors ,Immunology and Allergy ,Janus Kinases ,Cytokine Signal Transduction ,SARS-CoV-2 ,medicine.disease ,COVID-19 Drug Treatment ,Cytokine release syndrome ,030104 developmental biology ,Cytokines ,Cytokine Release Syndrome ,Janus kinase ,Cytokine storm ,Signal Transduction ,030215 immunology - Abstract
The European Journal of Immunology was launched 50 years ago, coinciding with the discovery of many cytokines and growth factors and the emergence of an entirely new field of research. Ultimately, our knowledge about the biological activity of these factors allowed us to better understand how the immune system functions in the context of inflammatory and autoimmune diseases leading to the development of targeted biologic therapies. The study of cytokine signal transduction led to the discovery of Janus kinases (JAK), and the consideration of therapeutically targeting JAKs to treat immune and inflammatory diseases. This year also marks the tenth anniversary of the approval of the first JAK inhibitor (jakinib) and now there are a total of nine approved jakinibs for treatment of rheumatologic, dermatologic, gastrointestinal, and neoplastic indications and most recently COVID-19. Here, we summarized the discoveries that led to development of first-generation jakinibs, discussed some of the newer, possibly more selective jakinibs, as well as jakinibs that also target other kinases. We also illustrated the rationale behind the application of these drugs in the treatment of COVID-19 cytokine storm. In this review, we will discuss the clinical success of jakinibs, the gaps in our understanding of their biological activities as well as challenges in regard to their clinical application.
- Published
- 2021
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