In vitro pharmacological effects of peficitinib on lymphocyte activation: a potential treatment for systemic sclerosis with JAK inhibitors.


Journal

Rheumatology (Oxford, England)
ISSN: 1462-0332
Titre abrégé: Rheumatology (Oxford)
Pays: England
ID NLM: 100883501

Informations de publication

Date de publication:
01 08 2020
Historique:
received: 08 07 2019
revised: 06 10 2019
pubmed: 26 11 2019
medline: 20 1 2021
entrez: 26 11 2019
Statut: ppublish

Résumé

Peficitinib, a novel Janus kinase (JAK) inhibitor, demonstrated promising results in treating RA in phase 3 clinical trials. This in vitro study was undertaken to characterize the pharmacological properties of peficitinib and investigate the involvement of JAK and signal transducer and activator of transcription (STAT) pathways in the pathological processes of SSc, which is also an autoimmune disease. Phosphorylation levels of STAT molecules were assessed in peripheral blood mononuclear cells collected from patients with RA or SSc and healthy subjects, and in skin specimens obtained from 19 patients with SSc. In vitro inhibition of STAT phosphorylation and cytokine/chemokine production by peficitinib, tofacitinib and baricitinib were also characterized. Higher spontaneous STAT1 or STAT3 phosphorylation was observed in peripheral T-cells and monocytes from patients with RA and SSc compared with healthy subjects. In skin sections from patients with SSc, phosphorylated STAT3-positive cells were found in almost all cases, irrespective of disease subtype or patient characteristics. Conversely, phosphorylated STAT1-positive cells were observed only in samples from untreated patients with diffuse disease of short duration. Peficitinib inhibited STAT phosphorylation induced by various cytokines, with comparable efficacy to tofacitinib and baricitinib. Peficitinib also suppressed cytokine and chemokine production by peripheral blood mononuclear cells and skin fibroblasts. Our results suggest that JAK/STAT pathways are constitutively activated in SSc and RA, and that the JAK inhibitor may represent a novel therapeutic option for SSc.

Identifiants

pubmed: 31764973
pii: 5640529
doi: 10.1093/rheumatology/kez526
pmc: PMC7382595
doi:

Substances chimiques

Janus Kinase Inhibitors 0
STAT Transcription Factors 0
Niacinamide 25X51I8RD4
peficitinib HPH1166CKX
Adamantane PJY633525U

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1957-1968

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the British Society for Rheumatology.

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Auteurs

Yukihiro Kitanaga (Y)

Drug Discovery Research, Astellas Pharma, Inc., Tsukuba, Ibaraki.
First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Emiko Imamura (E)

Drug Discovery Research, Astellas Pharma, Inc., Tsukuba, Ibaraki.

Yutaka Nakahara (Y)

Drug Discovery Research, Astellas Pharma, Inc., Tsukuba, Ibaraki.

Hidehiko Fukahori (H)

Drug Discovery Research, Astellas Pharma, Inc., Tsukuba, Ibaraki.

Yasutomo Fujii (Y)

Drug Discovery Research, Astellas Pharma, Inc., Tsukuba, Ibaraki.

Satoshi Kubo (S)

First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Shingo Nakayamada (S)

First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Yoshiya Tanaka (Y)

First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

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Classifications MeSH