Tyk2 Targeting in Immune-Mediated Inflammatory Diseases

The Janus kinase (Jak)/signal transducer and activating protein (STAT) pathways mediate the intracellular signaling of cytokines in a wide spectrum of cellular processes. They participate in physiologic and inflammatory cascades and have become a major focus of research, yielding novel therapies for...

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Main Authors: Lluís Rusiñol, Luis Puig
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/4/3391
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author Lluís Rusiñol
Luis Puig
author_facet Lluís Rusiñol
Luis Puig
author_sort Lluís Rusiñol
collection DOAJ
description The Janus kinase (Jak)/signal transducer and activating protein (STAT) pathways mediate the intracellular signaling of cytokines in a wide spectrum of cellular processes. They participate in physiologic and inflammatory cascades and have become a major focus of research, yielding novel therapies for immune-mediated inflammatory diseases (IMID). Genetic linkage has related dysfunction of Tyrosine kinase 2 (Tyk2)—the first member of the Jak family that was described—to protection from psoriasis. Furthermore, Tyk2 dysfunction has been related to IMID prevention, without increasing the risk of serious infections; thus, Tyk2 inhibition has been established as a promising therapeutic target, with multiple Tyk2 inhibitors under development. Most of them are orthosteric inhibitors, impeding adenosine triphosphate (ATP) binding to the JH1 catalytic domain—which is highly conserved across tyrosine kinases—and are not completely selective. Deucravacitinib is an allosteric inhibitor that binds to the pseudokinase JH2 (regulatory) domain of Tyk2; this unique mechanism determines greater selectivity and a reduced risk of adverse events. In September 2022, deucravacitinib became the first Tyk2 inhibitor approved for the treatment of moderate-to-severe psoriasis. A bright future can be expected for Tyk2 inhibitors, with newer drugs and more indications to come.
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spelling doaj.art-32fb284bda684845bc7f2e10e31466c52023-11-16T20:59:23ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-02-01244339110.3390/ijms24043391Tyk2 Targeting in Immune-Mediated Inflammatory DiseasesLluís Rusiñol0Luis Puig1Department of Dermatology IIB Sant Pau, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, 08041 Barcelona, SpainDepartment of Dermatology IIB Sant Pau, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, 08041 Barcelona, SpainThe Janus kinase (Jak)/signal transducer and activating protein (STAT) pathways mediate the intracellular signaling of cytokines in a wide spectrum of cellular processes. They participate in physiologic and inflammatory cascades and have become a major focus of research, yielding novel therapies for immune-mediated inflammatory diseases (IMID). Genetic linkage has related dysfunction of Tyrosine kinase 2 (Tyk2)—the first member of the Jak family that was described—to protection from psoriasis. Furthermore, Tyk2 dysfunction has been related to IMID prevention, without increasing the risk of serious infections; thus, Tyk2 inhibition has been established as a promising therapeutic target, with multiple Tyk2 inhibitors under development. Most of them are orthosteric inhibitors, impeding adenosine triphosphate (ATP) binding to the JH1 catalytic domain—which is highly conserved across tyrosine kinases—and are not completely selective. Deucravacitinib is an allosteric inhibitor that binds to the pseudokinase JH2 (regulatory) domain of Tyk2; this unique mechanism determines greater selectivity and a reduced risk of adverse events. In September 2022, deucravacitinib became the first Tyk2 inhibitor approved for the treatment of moderate-to-severe psoriasis. A bright future can be expected for Tyk2 inhibitors, with newer drugs and more indications to come.https://www.mdpi.com/1422-0067/24/4/3391inflammatory diseasespsoriasistreatment
spellingShingle Lluís Rusiñol
Luis Puig
Tyk2 Targeting in Immune-Mediated Inflammatory Diseases
International Journal of Molecular Sciences
inflammatory diseases
psoriasis
treatment
title Tyk2 Targeting in Immune-Mediated Inflammatory Diseases
title_full Tyk2 Targeting in Immune-Mediated Inflammatory Diseases
title_fullStr Tyk2 Targeting in Immune-Mediated Inflammatory Diseases
title_full_unstemmed Tyk2 Targeting in Immune-Mediated Inflammatory Diseases
title_short Tyk2 Targeting in Immune-Mediated Inflammatory Diseases
title_sort tyk2 targeting in immune mediated inflammatory diseases
topic inflammatory diseases
psoriasis
treatment
url https://www.mdpi.com/1422-0067/24/4/3391
work_keys_str_mv AT lluisrusinol tyk2targetinginimmunemediatedinflammatorydiseases
AT luispuig tyk2targetinginimmunemediatedinflammatorydiseases