1. Therapeutic inhibition of the JAK-STAT pathway in the treatment of inflammatory bowel disease.
- Author
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Chen, Zihan, Jiang, Ping, Su, Dan, Zhao, Yu, and Zhang, Mingming
- Subjects
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JAK-STAT pathway , *INFLAMMATORY bowel diseases , *PATIENT experience , *ULCERATIVE colitis , *IMMUNOREGULATION - Abstract
Inflammatory bowel disease (IBD) encompasses a group of non-specific chronic intestinal inflammatory conditions of unclear etiology. The current treatment and long-term management primarily involve biologics. Nevertheless, some patients experience treatment failure or intolerance to biologics [1], making these patients a primary focus of IBD research. The Janus kinase (JAK)-Signal Transducers and Activator of Transcription (STAT) signal transduction pathway is crucial to the regulation of immune and inflammatory responses [2], and plays an important role in the pathogenesis of IBD. JAK inhibitors alleviate IBD by suppressing the transmission of JAK-STAT signaling pathway. As the first small-molecule oral inhibitor for IBD, JAK inhibitors greatly improved the treatment of IBD and have demonstrated significant efficacy, with tofacitinib and upadacitinib being approved for the treatment of ulcerative colitis (UC) [3]. JAK inhibitors can effectively alleviate intestinal inflammation in IBD patients who have failed to receive biologics, which may bring new treatment opportunities for refractory IBD patients. This review aims to elucidate the crucial roles of JAK-STAT signal transduction pathway in IBD pathogenesis, examine its role in various cell types within IBD, and explore the research progress of JAK inhibitors as therapeutic agents, paving the road for new IBD treatment strategies. [Display omitted] • The JAK-STAT signaling pathway regulates IBD through immune and inflammatory responses. • STAT1, STAT3 and STAT4 are dysregulated in both UC and CD patients. • STAT5 may promote the risk of CD in adults, and abnormal activation of STAT6 is mainly found in patients with UC. • STATs in IECs and macrophages may inhibit IBD, while T cell-specific STAT may promote intestinal inflammation. • JAK inhibitors have good efficacy in patients with moderate to severe UC and CD, especially tofacitinib and upadacitinib. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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