Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritis

Abstract Rheumatoid arthritis (RA) is a complex autoimmune disease characterized by hyperactive immune cells within the joints, which leads to inflammation, bone degeneration, and chronic pain. For several decades, frontline immunomodulators such as the anti‐tumor necrosis factor (TNF) biologics ada...

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Main Authors: Robert Freeze, Kelly W. Yang, Timothy Haystead, Philip Hughes, Scott Scarneo
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Pharmacology Research & Perspectives
Subjects:
Online Access:https://doi.org/10.1002/prp2.1124
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author Robert Freeze
Kelly W. Yang
Timothy Haystead
Philip Hughes
Scott Scarneo
author_facet Robert Freeze
Kelly W. Yang
Timothy Haystead
Philip Hughes
Scott Scarneo
author_sort Robert Freeze
collection DOAJ
description Abstract Rheumatoid arthritis (RA) is a complex autoimmune disease characterized by hyperactive immune cells within the joints, which leads to inflammation, bone degeneration, and chronic pain. For several decades, frontline immunomodulators such as the anti‐tumor necrosis factor (TNF) biologics adalimumab (Humira), etanercept (Enbrel), and infliximab (Remicade) have successfully managed disease progression for many patients. However, over time, patients become refractory to these treatments requiring chronic disease to be managed with conventional and more problematic disease modifying antirheumatic drugs such as methotrexate and hydroxychloroquine, and corticosteroids. Due to the large proportion of patients who continue to fail on frontline biologic therapies, there remains an unmet need to derive novel alternative targets with improved efficacy and safety profiles to treat RA. Recent advances in the field have defined novel targets that play important roles in RA pathology, including the Janus activated kinase (JAK) and transforming growth factor beta activated kinase‐1 (TAK1). Although three inhibitors of the JAK signaling pathway have been approved for the treatment of moderately to severely active RA in patients who failed on one or more anti‐TNFs, at present, no FDA approved TAK1 treatments exist. Our recent discovery of a highly potent and selective, orally bioavailable TAK1 inhibitor has provided insight into the therapeutic potential of this protein kinase as a novel target for RA. Here, we show the distinct cytokine signaling of tofacitnib (Xeljanz; JAK1/3 inhibitor) compared to HS‐276 (TAK1 inhibitor) in lipopolysaccharide (LPS) challenged THP‐1 cells. Furthermore, in the collagen induced arthritis pre‐clinical mouse model of RA, both tofacintib and HS‐276 attenuated disease activity score and inflammatory cytokines in the serum. Overall, our results delineate the distinct cytokine signaling of JAK1/3 and TAK1 targeted therapies in vitro and in vivo and suggest that selective TAK1 inhibitors may provide superior therapeutic relief in RA with fewer adverse events.
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spelling doaj.art-7a457dbbab1640ecab5641b20178e6cc2023-08-14T10:06:45ZengWileyPharmacology Research & Perspectives2052-17072023-08-01114n/an/a10.1002/prp2.1124Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritisRobert Freeze0Kelly W. Yang1Timothy Haystead2Philip Hughes3Scott Scarneo4EydisBio, Inc. Durham North Carolina USADepartment of Pharmacology and Cancer Biology Duke University School of Medicine Durham North Carolina USAEydisBio, Inc. Durham North Carolina USAEydisBio, Inc. Durham North Carolina USAEydisBio, Inc. Durham North Carolina USAAbstract Rheumatoid arthritis (RA) is a complex autoimmune disease characterized by hyperactive immune cells within the joints, which leads to inflammation, bone degeneration, and chronic pain. For several decades, frontline immunomodulators such as the anti‐tumor necrosis factor (TNF) biologics adalimumab (Humira), etanercept (Enbrel), and infliximab (Remicade) have successfully managed disease progression for many patients. However, over time, patients become refractory to these treatments requiring chronic disease to be managed with conventional and more problematic disease modifying antirheumatic drugs such as methotrexate and hydroxychloroquine, and corticosteroids. Due to the large proportion of patients who continue to fail on frontline biologic therapies, there remains an unmet need to derive novel alternative targets with improved efficacy and safety profiles to treat RA. Recent advances in the field have defined novel targets that play important roles in RA pathology, including the Janus activated kinase (JAK) and transforming growth factor beta activated kinase‐1 (TAK1). Although three inhibitors of the JAK signaling pathway have been approved for the treatment of moderately to severely active RA in patients who failed on one or more anti‐TNFs, at present, no FDA approved TAK1 treatments exist. Our recent discovery of a highly potent and selective, orally bioavailable TAK1 inhibitor has provided insight into the therapeutic potential of this protein kinase as a novel target for RA. Here, we show the distinct cytokine signaling of tofacitnib (Xeljanz; JAK1/3 inhibitor) compared to HS‐276 (TAK1 inhibitor) in lipopolysaccharide (LPS) challenged THP‐1 cells. Furthermore, in the collagen induced arthritis pre‐clinical mouse model of RA, both tofacintib and HS‐276 attenuated disease activity score and inflammatory cytokines in the serum. Overall, our results delineate the distinct cytokine signaling of JAK1/3 and TAK1 targeted therapies in vitro and in vivo and suggest that selective TAK1 inhibitors may provide superior therapeutic relief in RA with fewer adverse events.https://doi.org/10.1002/prp2.1124inflammationrheumatoid arthritissmall moleculeTAK1therapeuticsTNF
spellingShingle Robert Freeze
Kelly W. Yang
Timothy Haystead
Philip Hughes
Scott Scarneo
Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritis
Pharmacology Research & Perspectives
inflammation
rheumatoid arthritis
small molecule
TAK1
therapeutics
TNF
title Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritis
title_full Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritis
title_fullStr Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritis
title_full_unstemmed Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritis
title_short Delineation of the distinct inflammatory signaling roles of TAK1 and JAK1/3 in the CIA model of rheumatoid arthritis
title_sort delineation of the distinct inflammatory signaling roles of tak1 and jak1 3 in the cia model of rheumatoid arthritis
topic inflammation
rheumatoid arthritis
small molecule
TAK1
therapeutics
TNF
url https://doi.org/10.1002/prp2.1124
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