JAK2 mutants (e.g., JAK2V617F) and their importance as drug targets in myeloproliferative neoplasms.

JAK-STAT Pub Date : 2013-07-01 Epub Date: 2013-05-14 DOI:10.4161/jkst.25025
Karoline Gäbler, Iris Behrmann, Claude Haan
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引用次数: 40

Abstract

The Janus kinase 2 (JAK2) mutant V617F and other JAK mutants are found in patients with myeloproliferative neoplasms and leukemias. Due to their involvement in neoplasia and inflammatory disorders, Janus kinases are promising targets for kinase inhibitor therapy. Several small-molecule compounds are evaluated in clinical trials for myelofibrosis, and ruxolitinib (INCB018424, Jakafi®) was the first Janus kinase inhibitor to receive clinical approval. In this review we provide an overview of JAK2V617F signaling and its inhibition by small-molecule kinase inhibitors. In addition, myeloproliferative neoplasms are discussed regarding the role of JAK2V617F and other mutant proteins of possible relevance. We further give an overview about treatment options with special emphasis on possible combination therapies.

Abstract Image

Abstract Image

Abstract Image

JAK2突变体(例如JAK2V617F)及其在骨髓增生性肿瘤中作为药物靶点的重要性。
Janus激酶2(JAK2)突变体V617F和其他JAK突变体在骨髓增生性肿瘤和白血病患者中发现。由于Janus激酶参与肿瘤和炎症性疾病,它们是激酶抑制剂治疗的有前途的靶点。一些小分子化合物在骨髓纤维化的临床试验中进行了评估,鲁索利替尼(INCB018424,Jakafi®)是第一个获得临床批准的Janus激酶抑制剂。在这篇综述中,我们概述了JAK2V617F信号传导及其通过小分子激酶抑制剂的抑制作用。此外,还讨论了JAK2V617F和其他可能相关的突变蛋白的作用。我们进一步概述了治疗方案,特别强调了可能的联合疗法。
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