JAK inhibitors in lichen planus: a review of pathogenesis and treatments

Lichen planus (LP) is an auto-inflammatory skin disorder identified by a presence of T-cell lymphocytes at the dermal-epidermal junction. It is hypothesized that the INF–γ/CXCL10 axis fulfills a major role in the onset and persistence of chronic inflammation in LP. Since Janus kinases (JAKs) are inv...

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Main Authors: Ali Motamed-Sanaye, Yasaman Fatemeh Khazaee, Motahareh Shokrgozar, Maryam Alishahi, Najmeh Ahramiyanpour, Maliheh Amani
Format: Article
Language:English
Published: Taylor & Francis Group 2022-11-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2022.2116926
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author Ali Motamed-Sanaye
Yasaman Fatemeh Khazaee
Motahareh Shokrgozar
Maryam Alishahi
Najmeh Ahramiyanpour
Maliheh Amani
author_facet Ali Motamed-Sanaye
Yasaman Fatemeh Khazaee
Motahareh Shokrgozar
Maryam Alishahi
Najmeh Ahramiyanpour
Maliheh Amani
author_sort Ali Motamed-Sanaye
collection DOAJ
description Lichen planus (LP) is an auto-inflammatory skin disorder identified by a presence of T-cell lymphocytes at the dermal-epidermal junction. It is hypothesized that the INF–γ/CXCL10 axis fulfills a major role in the onset and persistence of chronic inflammation in LP. Since Janus kinases (JAKs) are involved in the transduction of INF–γ signals, they may be good targets for LP treatment. Several case reports and case series described the safety and efficacy of upadacitinib (2 articles), tofacitinib (6 articles), baricitinib (4 articles), and Ruxolitinib (1 Article) in the treatment of LP variants. The predominant variants that JAK inhibitors improved were lichen planopilaris, nail LP, and erosive LP. Considering the role of the JAK pathway in LP pathogenesis and the evidence provided by these reports, it seems JAK inhibitors would be effective therapeutic agents for LP treatment. Hence, these agents should be trialed and evaluated further.
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spelling doaj.art-0f2b906a477e4887bb872dd70be1c4552023-09-15T14:28:52ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-11-013383098310310.1080/09546634.2022.21169262116926JAK inhibitors in lichen planus: a review of pathogenesis and treatmentsAli Motamed-Sanaye0Yasaman Fatemeh Khazaee1Motahareh Shokrgozar2Maryam Alishahi3Najmeh Ahramiyanpour4Maliheh Amani5Infectious Diseases Research Center, student research committee, Faculty of Medicine, Gonabad University of Medical SciencesDepartment of Pediatrics, Faculty of Medicine, Gonabad University of Medical SciencesFaculty of Medicine, Gonabad University of Medical SciencesFaculty of Medicine, Gonabad University of Medical SciencesDepartment of Dermatology, Afzalipour Hospital, Afzalipour Faculty of Medicine, Kerman University of Medical SciencesDepartment of Dermatology, Faculty of Medicine, Gonabad University of Medical SciencesLichen planus (LP) is an auto-inflammatory skin disorder identified by a presence of T-cell lymphocytes at the dermal-epidermal junction. It is hypothesized that the INF–γ/CXCL10 axis fulfills a major role in the onset and persistence of chronic inflammation in LP. Since Janus kinases (JAKs) are involved in the transduction of INF–γ signals, they may be good targets for LP treatment. Several case reports and case series described the safety and efficacy of upadacitinib (2 articles), tofacitinib (6 articles), baricitinib (4 articles), and Ruxolitinib (1 Article) in the treatment of LP variants. The predominant variants that JAK inhibitors improved were lichen planopilaris, nail LP, and erosive LP. Considering the role of the JAK pathway in LP pathogenesis and the evidence provided by these reports, it seems JAK inhibitors would be effective therapeutic agents for LP treatment. Hence, these agents should be trialed and evaluated further.http://dx.doi.org/10.1080/09546634.2022.2116926lichen planusjak inhibitorsjak pathwaytofacitinibbarcitinibupadacitinibruxolitinib
spellingShingle Ali Motamed-Sanaye
Yasaman Fatemeh Khazaee
Motahareh Shokrgozar
Maryam Alishahi
Najmeh Ahramiyanpour
Maliheh Amani
JAK inhibitors in lichen planus: a review of pathogenesis and treatments
Journal of Dermatological Treatment
lichen planus
jak inhibitors
jak pathway
tofacitinib
barcitinib
upadacitinib
ruxolitinib
title JAK inhibitors in lichen planus: a review of pathogenesis and treatments
title_full JAK inhibitors in lichen planus: a review of pathogenesis and treatments
title_fullStr JAK inhibitors in lichen planus: a review of pathogenesis and treatments
title_full_unstemmed JAK inhibitors in lichen planus: a review of pathogenesis and treatments
title_short JAK inhibitors in lichen planus: a review of pathogenesis and treatments
title_sort jak inhibitors in lichen planus a review of pathogenesis and treatments
topic lichen planus
jak inhibitors
jak pathway
tofacitinib
barcitinib
upadacitinib
ruxolitinib
url http://dx.doi.org/10.1080/09546634.2022.2116926
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