Selective JAK-Inhibitors in Spondyloarthritis.

Q4 Medicine
Mediterranean Journal of Rheumatology Pub Date : 2024-03-30 eCollection Date: 2024-03-01 DOI:10.31138/mjr.311023.sji
Konstantinos D Vassilakis, Konstantina Magiouf, Stefan Siebert, George E Fragoulis
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引用次数: 0

Abstract

As our research interest and knowledge increases in the field of Spondyloarthritis, new aspects also emerge as regards to their therapeutic approach. JAK inhibitors (JAKi) are a relatively new treatment option, aiming molecules in the JAK-STAT pathway, which has a leading role in the pathophysiology of both Psoriatic Arthritis and Axial Spondyloarthritis. JAKi exhibit different selectivity towards the four different members of the JAK family (namely JAK1, JAK2, JAK3, and TYK2), possibly reflecting different efficacy and safety profile. Although knowledge is more consolidated for rheumatoid arthritis in which JAKi are being used for more than 10 years, data are still accumulating for PsA/SpA. In this review we aim to present and assess current knowledge about the efficacy of JAKi (with a focus on selective JAKi) in the treatment of patients with SpA and evaluate their safety profile as some concerns may arise around this therapeutic option.

脊柱关节炎中的选择性 JAK 抑制剂
随着我们在脊柱关节炎领域的研究兴趣和知识的增长,其治疗方法也出现了新的方面。JAK抑制剂(JAKi)是一种相对较新的治疗方法,其目标分子是JAK-STAT通路,该通路在银屑病关节炎和轴性脊柱关节炎的病理生理学中起着主导作用。JAKi 对 JAK 家族的四个不同成员(即 JAK1、JAK2、JAK3 和 TYK2)表现出不同的选择性,可能反映出不同的疗效和安全性。JAKi在类风湿关节炎中的应用已超过10年,虽然对类风湿关节炎的了解更加深入,但PsA/SpA方面的数据仍在不断积累。在本综述中,我们旨在介绍和评估目前有关 JAKi(重点是选择性 JAKi)治疗 SpA 患者疗效的知识,并评估其安全性,因为这种治疗方法可能会引起一些担忧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
42
审稿时长
8 weeks
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