1. Lung-restricted inhibition of Janus kinase 1 is effective in rodent models of asthma.
- Author
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Dengler HS, Wu X, Peng I, Rinderknecht CH, Kwon Y, Suto E, Kohli PB, Liimatta M, Barrett K, Lloyd J, Cain G, Briggs M, Addo S, Salmon G, Ubhayakar S, Deshmukh G, Shahidi-Latham SK, Quiason-Huynh CM, Jackman J, Liu J, Ray NC, Goodacre SC, Johnson A, McKenzie BS, Lee WP, Zak M, Kenny JR, and Ghilardi N
- Subjects
- Administration, Inhalation, Allergens, Animals, Asthma pathology, Dexamethasone pharmacology, Dexamethasone therapeutic use, Disease Models, Animal, Eosinophils drug effects, Eosinophils metabolism, Eosinophils pathology, Guinea Pigs, Inflammation pathology, Janus Kinase 1 metabolism, Lung drug effects, Lung pathology, Ovalbumin, Protein Kinase Inhibitors administration & dosage, Protein Kinase Inhibitors chemistry, Protein Kinase Inhibitors pharmacokinetics, Signal Transduction, Treatment Outcome, Asthma drug therapy, Asthma enzymology, Janus Kinase 1 antagonists & inhibitors, Lung enzymology, Protein Kinase Inhibitors therapeutic use
- Abstract
Preclinical and clinical evidence indicates that a subset of asthma is driven by type 2 cytokines such as interleukin-4 (IL-4), IL-5, IL-9, and IL-13. Additional evidence predicts pathogenic roles for IL-6 and type I and type II interferons. Because each of these cytokines depends on Janus kinase 1 (JAK1) for signal transduction, and because many of the asthma-related effects of these cytokines manifest in the lung, we hypothesized that lung-restricted JAK1 inhibition may confer therapeutic benefit. To test this idea, we synthesized iJak-381, an inhalable small molecule specifically designed for local JAK1 inhibition in the lung. In pharmacodynamic models, iJak-381 suppressed signal transducer and activator of transcription 6 activation by IL-13. Furthermore, iJak-381 suppressed ovalbumin-induced lung inflammation in both murine and guinea pig asthma models and improved allergen-induced airway hyperresponsiveness in mice. In a model driven by human allergens, iJak-381 had a more potent suppressive effect on neutrophil-driven inflammation compared to systemic corticosteroid administration. The inhibitor iJak-381 reduced lung pathology, without affecting systemic Jak1 activity in rodents. Our data show that local inhibition of Jak1 in the lung can suppress lung inflammation without systemic Jak inhibition in rodents, suggesting that this strategy might be effective for treating asthma., (Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.)
- Published
- 2018
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