Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategies

AbstractRecent studies have demonstrated that Janus kinase (JAK) plays a crucial role in signal transduction by directly affecting various cytokine receptors involved in inflammatory diseases such as atopic dermatitis (AD). Large-scale clinical trials on AD utilizing JAK inhibitors and biologic reag...

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Main Authors: Toshiaki Kogame, Gyohei Egawa, Kenji Kabashima
Format: Article
Language:English
Published: Taylor & Francis Group 2023-07-01
Series:Immunological Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/25785826.2023.2214324
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author Toshiaki Kogame
Gyohei Egawa
Kenji Kabashima
author_facet Toshiaki Kogame
Gyohei Egawa
Kenji Kabashima
author_sort Toshiaki Kogame
collection DOAJ
description AbstractRecent studies have demonstrated that Janus kinase (JAK) plays a crucial role in signal transduction by directly affecting various cytokine receptors involved in inflammatory diseases such as atopic dermatitis (AD). Large-scale clinical trials on AD utilizing JAK inhibitors and biologic reagents, such as dupilumab, which targets the IL-4Rα receptor subunit of the Th2 cytokines IL-4 and IL-13, have yielded highly favorable results in comparison to traditional therapies. This indicates that therapeutic strategies based on molecular biology are efficacious in clinical settings. However, in September 2021, the U.S. Food and Drug Administration (FDA) indicated that tofacitinib, a JAK inhibitor, may carry various risks, including severe heart disease. Similar concerns have been raised for other JAK inhibitors, and further safety evaluations are underway. Thus, human biology involving JAKs appeared more complicated than we expected. In this article, we provide an overview of the molecular mechanisms of AD and examine the molecular targeting drugs for AD from the perspective of JAK-related biology.
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spelling doaj.art-bdc856648a6840d4902b10c87c20431e2023-08-01T12:02:18ZengTaylor & Francis GroupImmunological Medicine2578-58262023-07-0146311212010.1080/25785826.2023.2214324Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategiesToshiaki Kogame0Gyohei Egawa1Kenji Kabashima2Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, JapanAbstractRecent studies have demonstrated that Janus kinase (JAK) plays a crucial role in signal transduction by directly affecting various cytokine receptors involved in inflammatory diseases such as atopic dermatitis (AD). Large-scale clinical trials on AD utilizing JAK inhibitors and biologic reagents, such as dupilumab, which targets the IL-4Rα receptor subunit of the Th2 cytokines IL-4 and IL-13, have yielded highly favorable results in comparison to traditional therapies. This indicates that therapeutic strategies based on molecular biology are efficacious in clinical settings. However, in September 2021, the U.S. Food and Drug Administration (FDA) indicated that tofacitinib, a JAK inhibitor, may carry various risks, including severe heart disease. Similar concerns have been raised for other JAK inhibitors, and further safety evaluations are underway. Thus, human biology involving JAKs appeared more complicated than we expected. In this article, we provide an overview of the molecular mechanisms of AD and examine the molecular targeting drugs for AD from the perspective of JAK-related biology.https://www.tandfonline.com/doi/10.1080/25785826.2023.2214324Janus kinaseJAKatopic dermatitisJAK inhibitorJAKinibs
spellingShingle Toshiaki Kogame
Gyohei Egawa
Kenji Kabashima
Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategies
Immunological Medicine
Janus kinase
JAK
atopic dermatitis
JAK inhibitor
JAKinibs
title Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategies
title_full Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategies
title_fullStr Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategies
title_full_unstemmed Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategies
title_short Exploring the role of Janus kinase (JAK) in atopic dermatitis: a review of molecular mechanisms and therapeutic strategies
title_sort exploring the role of janus kinase jak in atopic dermatitis a review of molecular mechanisms and therapeutic strategies
topic Janus kinase
JAK
atopic dermatitis
JAK inhibitor
JAKinibs
url https://www.tandfonline.com/doi/10.1080/25785826.2023.2214324
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