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Published on: April 16, 2018
Prevention of organ allograft rejection by a specific Janus kinase 3 inhibitor
Paul S Changelian1, Mark E Flanagan, Douglas J Ball
1Immunology Group, Department of Antibacterials and Immunology, Pfizer Global Researchand Development, Groton, CT 06340, USA. paul_s_changelian@groton.pfizer.com
Abstract:
Because of its requirement for signaling by multiple cytokines, Janus kinase 3 (JAK3) is an excellent target for clinical immunosuppression. We report the development of a specific, orally active inhibitor of JAK3, CP-690,550, that significantly prolonged survival in a murine model of heart transplantation and in cynomolgus monkeys receiving kidney transplants. CP-690,550 treatment was not associated with hypertension, hyperlipidemia, or lymphoproliferative disease. On the basis of these preclinical results, we believe JAK3 blockade by CP-690,550 has potential for therapeutically desirable immunosuppression in human organ transplantation and in other clinical settings.
Insights
Janus kinase 3 (JAK3) inhibition with CP-690,550 shows promise for immunosuppression. This JAK3 inhibitor prolonged transplant survival in preclinical models without adverse effects, suggesting potential for human organ transplantation.
Area of Science:
- Immunology
- Pharmacology
- Transplantation Science
Background:
- Janus kinase 3 (JAK3) is crucial for cytokine signaling, making it a key target for immunosuppression.
- JAK3 plays a vital role in immune responses relevant to transplantation.
Purpose of the Study:
- To develop and evaluate a specific, orally active inhibitor of JAK3, named CP-690,550.
- To assess the efficacy and safety of CP-690,550 in preclinical transplantation models.
Main Methods:
- Development of a selective JAK3 inhibitor, CP-690,550.
- Evaluation of CP-690,550 in a murine heart transplantation model.
- Assessment of CP-690,550 in kidney transplantation models in cynomolgus monkeys.
Main Results:
- CP-690,550 significantly prolonged survival in both murine heart and primate kidney transplant models.
- Treatment with CP-690,550 did not lead to hypertension, hyperlipidemia, or lymphoproliferative disease.
- The drug demonstrated a favorable safety profile in preclinical studies.
Conclusions:
- JAK3 blockade with CP-690,550 offers a potential therapeutic strategy for immunosuppression in organ transplantation.
- CP-690,550 exhibits potential for broader clinical applications requiring immunosuppression.
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