Therapeutic Potential of Janus Kinase Inhibitors for the Management of Interstitial Lung Disease

Drug Des Devel Ther. 2022 Apr 2:16:991-998. doi: 10.2147/DDDT.S353494. eCollection 2022.

Abstract

Interstitial lung disease (ILD) refers to a heterogeneous group of diseases characterized by lung fibroblast proliferation, interstitial inflammation, and fibrosis-induced lung damage. The Janus kinase/signal transducer and activator of transcription (JAK/STAT) pathway is known to be activated by pro-fibrotic/pro-inflammatory cytokines such as IL-6 and IL-13, whose levels are elevated in ILD. The overexpression of growth factors such as transforming growth factor β1 in ILD activates the JAK/STAT pathway through classical or non-classical pathways, promotes macrophage activation, increases the release of pro-inflammatory and pro-fibrosis factors, and facilitates fibroblast differentiation into myofibroblasts. These findings implicate that the JAK/STAT pathway plays an important role in the course of ILD. Recent evidence also suggests that JAK inhibition alleviates excessive inflammation and pulmonary fibrosis. Accordingly, the JAK inhibitors may serve as promising drugs for the treatment of JAK/STAT-induced ILD.

Keywords: JAK inhibitor; Janus kinase; animal model; interstitial lung disease; signal transducers and activators of transcription.

Publication types

  • Review

MeSH terms

  • Fibrosis
  • Humans
  • Inflammation
  • Janus Kinase 1 / metabolism
  • Janus Kinase 2 / metabolism
  • Janus Kinase Inhibitors* / pharmacology
  • Janus Kinase Inhibitors* / therapeutic use
  • Janus Kinases
  • Lung Diseases, Interstitial* / drug therapy
  • Pulmonary Fibrosis* / drug therapy
  • STAT Transcription Factors / metabolism
  • Signal Transduction

Substances

  • Janus Kinase Inhibitors
  • STAT Transcription Factors
  • Janus Kinase 1
  • Janus Kinase 2
  • Janus Kinases

Grants and funding

This work was supported by grants from the National Natural Science Foundation (81871292) and the Key Research and Development (R&D) Projects of Shanxi Province (201803D31136).