2020
DOI: 10.1080/25785826.2020.1751908
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New insights into IFN-γ in rheumatoid arthritis: role in the era of JAK inhibitors

Abstract: The treatment of rheumatoid arthritis (RA) is now entering a new era, the era of Janus kinase (JAK) inhibitors. JAK inhibitors target multiple cytokines including IL-6 and exhibit a beneficial treatment effect in patients with RA and inadequate response to conventional synthetic or biologic disease-modifying anti-rheumatic drugs. Since the treatment effect of JAK inhibitors is promising even for patients refractory to anti-IL-6 therapy, it needs to be considered how multiple cytokines play roles in the pathoge… Show more

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Cited by 63 publications
(39 citation statements)
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“…While our results are open to interpretation, we hypothesize that testing a combinatorial use of IFNγ at a suboptimal dose with an engineered GBP-5 protein in preclinical models of RA may shed light on 2 synergistic approaches in controlling disease severity and progression. This is timely and clinically relevant given the fact that adverse events, such as opportunistic infections from JAK inhibitors, are partly due to their ability to inhibit IFNγ and its functions (32)(33)(34).…”
Section: Discussionmentioning
confidence: 99%
“…While our results are open to interpretation, we hypothesize that testing a combinatorial use of IFNγ at a suboptimal dose with an engineered GBP-5 protein in preclinical models of RA may shed light on 2 synergistic approaches in controlling disease severity and progression. This is timely and clinically relevant given the fact that adverse events, such as opportunistic infections from JAK inhibitors, are partly due to their ability to inhibit IFNγ and its functions (32)(33)(34).…”
Section: Discussionmentioning
confidence: 99%
“…The signaling of BTN2A has been proved to reduce the expression of various cytokines, including IL‐2 and IFN‐γ 39 . It was described that elevation of IL‐2 and IFN‐γ involved in pathogenesis of RA 40,41 . In this study, we found carriers of rs558555834 (−96A) or −1180A‐939C‐871 T‐336 T‐139 T‐96A and −1180 T‐939 T‐871C‐336 T‐139C‐96A haplotypes were significantly increased in RA patients, which might compromise CD209 signaling properties.…”
Section: Discussionmentioning
confidence: 99%
“…Rheumatoid arthritis (RA), an autoimmune disorder, was always accompanied by the activation of monocytes/ macrophage. Since synovial inflammation is a hallmark of RA, the understanding of synovial biology and pathophysiology may be the best way to approach the pathogenesis of RA which has not yet been fully elucidated [21]. Studies have found that excessive proliferation and inflammatory response and inactive apoptosis can aggravate RA injury, and the main injury mechanism is related to proliferation and apoptosis of synoviocytes, inflammatory reaction, etc.…”
Section: Discussionmentioning
confidence: 99%