|
|
Research progress of Janus kinase inhibitors in the treatment of atopic dermatitis |
YANG Liting WU Liming |
Department of Dermatology, Nanjing Medical University, Affiliated Hangzhou First People’s Hospital, Zhejiang Province, Hangzhou 310006, China |
|
|
Abstract Atopic dermatitis is a chronic inflammatory skin disease related to impaired epidermal barrier function and immune function imbalance. Its pathogenesis is closely related to the Janus kinase (JAK)-signal transduction and activator of transcription (STAT) signaling pathway. According to blocking the JAK-STAT signaling pathway mediated by interleukin (IL)-4, IL-13, IL-31 and other related cytokines, it affects the expression of downstream genes, thereby treating atopic dermatitis. This article reviews recent studies on the involvement of JAK-STAT signaling pathway in the pathogenesis of atopic dermatitis and the application of JAK inhibitors in atopic dermatitis.
|
|
|
|
|
[1] Napolitano M,Megna M,Patruno C,et al. Adult atopic dermatitis:a review [J]. G Ital Dermatol Venereol,2016,151(4):403-411.
[2] Simpson E,Udkoff J,Borok J,et al. Atopic dermatitis:emerging therapies [J]. Semin Cutan Med Surg,2017,36(3):124-130.
[3] Villarino AV,Kanno Y,O’Shea JJ. Mechanisms and consequences of Jak-STAT signaling in the immune system [J]. Nat Immunol,2017,18(4):374-384.
[4] Weidinger S,Beck LA,Bieber T,et al. Atopic dermatitis [J]. Nat Rev Dis Primers,2018,4(1):1.
[5] Guttman-Yassky E,Silverberg JI,Nemoto O,et al. Baricitinib in adult patients with moderate-to-severe atopic dermatitis:a phase 2 parallel,double-blinded,randomized placebo-controlled multiple-dose study [J]. J Am Acad Dermatol,2019,80(4):913-921.
[6] Wolk K,Witte E,Witte K,et al. Biology of interleukin-22 [J]. Semin Immunopathol,2010,32(1):17-31.
[7] Seltmann J,Roesner LM,Wittmann M,et al. IL-33 impacts on the skin barrier by downregulating the expression of filaggrin [J]. J Allergy Clin Immunol,2015,135(6):1659-1661.
[8] Sehra S,Yao Y,Howell MD,et al. IL-4 regulates skin homeostasis and the predisposition toward allergic skin inflammation [J]. J Immunol,2010,184(6):3186-3190.
[9] Ong PY,Ohtake T,Brandt C,et al. Endogenous antimicrobial peptides and skin infections in atopic dermatitis [J]. N Engl J Med,2002,347(15):1151-1160.
[10] Totté JE,van der Feltz WT,Hennekam M,et al. Prevalence and odds of Staphylococcus aureus carriage in atopic dermatitis:a systematic review and meta-analysis [J]. Br J Dermatol,2016,175(4):687-695.
[11] Schwartz DM,Kanno Y,Villarino A,et al. JAK inhibition as a therapeutic strategy for immune and inflammatory diseases [J]. Nat Rev Drug Discov,2017,16(12):843-862.
[12] Gandhi NA,Bennett BL,Graham NM,et al. Targeting key proximal drivers of type 2 inflammation in disease [J]. Nat Rev Drug Discov,2016,15(1):35-50.
[13] Welsch K,Holstein J,Laurence A,et al. Targeting JAK/STAT signalling in inflammatory skin diseases with small molecule inhibitors [J]. Eur J Immunol,2017,47(1):1096-1107.
[14] Honda T,Miyachi Y,Kabashima K. Regulatory T cells in cutaneous immune responses [J]. J Dermatol Sci,2011, 63(2):75-82.
[15] Zhang Y,Zhou B. Functions of thymic stromal lymphopoietin in immunity and disease [J]. Immunol Res,2012,52(3):211-223.
[16] Alten R,Mischkewitz M,Stefanski AL,et al. Janus kinase inhibitors:State of the art in clinical use and future perspectives [J]. Z Rheumatol,2020,79(3):241-254.
[17] Levy LL,Urban J,King BA. Treatment of Recalcitrant Atopic Dermatitis with the Oral Janu Kinase Inhibitor Tofacitinib Citrate [J]. J Am Acad Dermatol,2015,73(3):395-399.
[18] Guttman-Yassky E,Tha?觭i D,Pangan AL,et al. Upadacitinib in adults with moderate to severe atopic dermatitis:16-week results from a randomized,placebo-controlled trial [J]. J Allergy Clin Immunol,2020,145(3):877-884.
[19] Silverberg JI,Simpson EL,Thyssen JP,et al. Efficacy and Safety of Abrocitinib in Patients With Moderate-to-Severe Atopic Dermatitis:A Randomized Clinical Trial [J]. JAMA Dermatol,2020.
[20] Bissonnette R,Maari C,Forman S,et al. The oral Janus kinase/spleen tyrosine kinase inhibito ASN002 demonstrates efficacy and improves associated systemic inflammation in patients with moderate-to-severe atopic dermatitis:results from a randomized double-blind placebo-controlled study [J]. Br J Dermatol,2019,181(4):733-742.
[21] Cosgrove SB,Cleaver DM,King VL,et al. Long-term compassionate use of oclacitinib in dogs with atopic and allergic skin disease:safety,efficacy and quality of life [J]. Vet Dermatol,2015,26(3):171-179.
[22] Olivry T,DeBoer DJ,Favrot C,et al. Treatment of canine atopic dermatitis:2015 updated guidelines from the International Committee on Allergic Diseases of Animals (ICADA) [J]. BMC Vet Res,2015,11:210.
[23] Haugh IM,Watson IT,Alan Menter M. Successful treatment of atopic dermatitis with the JAK1 inhibitor oclacitinib [J]. Proc(Bayl Univ Med Cent),2018,31(5):524-525.
[24] Bissonnette R,Papp KA,Poulin Y,et al. Topical tofacitinib for atopic dermatitis:a phase Ⅱa randomized trial [J]. Br J Dermatol,2016,175(5):902-911.
[25] Jin W,Huang W,Chen L,et al. Topical Application of JAK1/JAK2 Inhibitor Momelotinib Exhibits Significant Anti-Inflammatory Responses in DNCB-Induced Atopic Dermatitis Model Mice [J]. Int J Mol Sci,2018,19(12):3973.
[26] Kim BS,Howell MD,Sun K,et al. Treatment of atopic dermatitis with ruxolitinib cream (JAK1/JAK2 inhibitor) or triamcinolone cream [J]. J Allergy Clin Immunol,2020, 145(2):572-582.
[27] Nakagawa H,Nemoto O,Igarashi A,et al. Long-term safety and efficacy of delgocitinib ointment,a topical Janus kinase inhibitor,in adult patients with atopic dermatitis [J]. J Dermatol,2020,47(2):114-120.
[28] Tanaka Y,Ishii T,Cai Z,et al. Efficacy and safety of baricitinib in Japanese patients with active rheumatoid arthritis:A 52-week,randomized,single-blind,extension study [J]. Mod Rheumatol,2018,28(1):20-29.
[29] Winthrop KL,Park SH,Gul A,et al. Tuberculosis and other opportunistic infections in tofacitinib-treated patients with rheumatoid arthritis [J]. Ann Rheum Dis,2016, 75(6):1133-1138.
[30] Winthrop KL. The emerging safety profile of JAK inhibitors in rheumatic disease [J]. Nat Rev Rheumatol,2017,13(4):234-243. |
|
|
|