Janus kinase inhibitor

From Wikipedia, the free encyclopedia
Jump to: navigation, search

Janus kinase inhibitors also known as JAK inhibitors are a type of medication that functions by inhibiting the activity of one or more of the Janus kinase family of enzymes (JAK1, JAK2, JAK3, TYK2), thereby interfering with the JAK-STAT signaling pathway. These inhibitors have therapeutic application in the treatment of cancer and inflammatory diseases.[1][2]

Mechanism of action[edit]

Cytokines play key roles in controlling cell growth and the immune response. Many cytokines function by binding to and activating type I and type II cytokine receptors. These receptors in turn rely on the Janus kinase (JAK) family of enzymes for signal transduction. Hence drugs that inhibit the activity of these Janus kinases block cytokine signalling.[2]

More specifically, Janus kinases phosphorylate activated cytokine receptors. These phosphorylated receptor in turn recruit STAT transcription factors which modulate gene transcription.

The first JAK inhibitor to reach clinical trials was tofacitinib. Tofacitinib is a specific inhibitor of JAK3 (IC50 = 2 nM) thereby blocking the activity of IL-2, IL-4, IL-15 and IL-21. Hence Th2 cell differentiation is blocked and therefore tofacitinib is effective in treating allergic diseases. Tofacitinib to a lesser extent also inhibits JAK1 (IC50 = 100 nM) and JAK2 (IC50 = 20 nM) which in turn blocks IFN-γ and IL-6 signalling and consequently Th1 cell differentiation.[2]

Examples[edit]

Approved[edit]

In clinical trials[edit]

References[edit]

  1. ^ Pesu M, Laurence A, Kishore N, Zwillich SH, Chan G, O'Shea JJ (June 2008). "Therapeutic targeting of Janus kinases". Immunol. Rev. 223: 132–42. doi:10.1111/j.1600-065X.2008.00644.x. PMC 2634846. PMID 18613833. 
  2. ^ a b c Kontzias A, Kotlyar A, Laurence A, Changelian P, O'Shea JJ (August 2012). "Jakinibs: a new class of kinase inhibitors in cancer and autoimmune disease". Curr Opin Pharmacol 12 (4): 464–70. doi:10.1016/j.coph.2012.06.008. PMC 3419278. PMID 22819198. 
  3. ^ Vaddi K, Sarlis NJ, Gupta V (November 2012). "Ruxolitinib, an oral JAK1 and JAK2 inhibitor, in myelofibrosis". Expert Opin Pharmacother 13 (16): 2397–407. doi:10.1517/14656566.2012.732998. PMID 23051187. 
  4. ^ "Ruxolitinib (Jakafi) for myelofibrosis". Med Lett Drugs Ther 54 (1387): 27–8. April 2012. PMID 22469651. 
  5. ^ Ostojic A, Vrhovac R, Verstovsek S (November 2011). "Ruxolitinib for the treatment of myelofibrosis". Drugs Today 47 (11): 817–27. doi:10.1358/dot.2011.47.11.1708829. PMID 22146225. 
  6. ^ Mesa RA, Yasothan U, Kirkpatrick P (February 2012). "Ruxolitinib". Nat Rev Drug Discov 11 (2): 103–4. doi:10.1038/nrd3652. PMID 22293561. 
  7. ^ Zerbini CA, Lomonte AB (May 2012). "Tofacitinib for the treatment of rheumatoid arthritis". Expert Rev Clin Immunol 8 (4): 319–31. doi:10.1586/eci.12.19. PMID 22607178. 
  8. ^ "Incyte Earns $19M Milestone from Lilly on Start of Phase IIb Trial with RA Candidate". Genetic Engineering & Biotechnology News. 2010-10-20. 
  9. ^ "Safety and Efficacy Study of CYT387 in Primary Myelofibrosis (PMF) or Post-polycythemia Vera (PV) or Post-essential Thrombocythemia (ET)". ClinicalTrials.gov. U.S. National Institutes of Health. 2012-03-09. 
  10. ^ Pardanani A, Lasho T, Smith G, Burns CJ, Fantino E, Tefferi A (August 2009). "CYT387, a selective JAK1/JAK2 inhibitor: in vitro assessment of kinase selectivity and preclinical studies using cell lines and primary cells from polycythemia vera patients". Leukemia 23 (8): 1441–5. doi:10.1038/leu.2009.50. PMID 19295546. 
  11. ^ Shabbir M, Stuart R (March 2010). "Lestaurtinib, a multitargeted tyrosine kinase inhibitor: from bench to bedside". Expert Opin Investig Drugs 19 (3): 427–36. doi:10.1517/13543781003598862. PMID 20141349. 
  12. ^ Hart S, Goh KC, Novotny-Diermayr V, Hu CY, Hentze H, Tan YC, Madan B, Amalini C, Loh YK, Ong LC, William AD, Lee A, Poulsen A, Jayaraman R, Ong KH, Ethirajulu K, Dymock BW, Wood JW (November 2011). "SB1518, a novel macrocyclic pyrimidine-based JAK2 inhibitor for the treatment of myeloid and lymphoid malignancies". Leukemia 25 (11): 1751–9. doi:10.1038/leu.2011.148. PMID 21691275. 
  13. ^ "A Phase 1/2 Study of Oral SB1518 in Subjects With Chronic Idiopathic Myelofibrosis". ClinicalTrials.gov. U.S. National Institutes of Health. 2012-04-19. 
  14. ^ Pardanani A, Gotlib JR, Jamieson C, Cortes JE, Talpaz M, Stone RM, Silverman MH, Gilliland DG, Shorr J, Tefferi A (March 2011). "Safety and efficacy of TG101348, a selective JAK2 inhibitor, in myelofibrosis". J. Clin. Oncol. 29 (7): 789–96. doi:10.1200/JCO.2010.32.8021. PMID 21220608. Lay summaryNCI Cancer Bulletin.