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JAK-2 as a novel mediator of the profibrotic effects of transforming growth factor β in systemic sclerosis
Clara Dees1, Michal Tomcik, Katrin Palumbo-Zerr
1University of Erlangen-Nuremberg, Erlangen, Germany.
Objective:
To investigate whether JAK-2 contributes to the pathologic activation of fibroblasts in patients with systemic sclerosis (SSc) and to evaluate the antifibrotic potential of JAK-2 inhibition for the treatment of SSc.
Methods:
Activation of JAK-2 in human skin and in experimental fibrosis was determined by immunohistochemical analysis. JAK-2 signaling was inhibited by the selective JAK-2 inhibitor TG101209 or by small interfering RNA. Bleomycin-induced dermal fibrosis in mice and TSK-1 mice were used to evaluate the antifibrotic potential of specific JAK-2 inhibition in vivo.
Results:
Increased activation of JAK-2 was detected in the skin of patients with SSc, particularly in fibroblasts. The activation of JAK-2 was dependent on transforming growth factor β (TGFβ) and persisted in cultured SSc fibroblasts. Inhibition of JAK-2 reduced basal collagen synthesis selectively in SSc fibroblasts but not in resting healthy dermal fibroblasts. Moreover, inhibition of JAK-2 prevented the stimulatory effects of TGFβ on fibroblasts. Treatment with TG101209 not only prevented bleomycin-induced fibrosis but also effectively reduced skin fibrosis in TSK-1 mice.
Conclusion:
We demonstrated that JAK-2 is activated in a TGFβ-dependent manner in SSc. Considering the potent antifibrotic effects of JAK-2 inhibition, our study might have direct translational implications, because inhibitors of JAK-2 are currently being evaluated in clinical trials for myeloproliferative disorders and would also be available for evaluation in patients with SSc.
Insights
Janus kinase 2 (JAK-2) is activated in systemic sclerosis (SSc) skin fibroblasts. Inhibiting JAK-2 shows potent antifibrotic effects, suggesting its potential as a novel therapeutic target for SSc treatment.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Systemic sclerosis (SSc) is characterized by pathologic fibroblast activation.
- The role of Janus kinase 2 (JAK-2) in SSc pathogenesis is not fully understood.
Purpose of the Study:
- To investigate JAK-2 activation in SSc fibroblasts.
- To evaluate the antifibrotic potential of JAK-2 inhibition in SSc treatment.
Main Methods:
- Immunohistochemical analysis of JAK-2 activation in human SSc skin and experimental fibrosis models.
- Inhibition of JAK-2 signaling using TG101209 or small interfering RNA.
- Evaluation of antifibrotic effects in bleomycin-induced and TSK-1 mouse models of fibrosis.
Main Results:
- Increased JAK-2 activation was observed in SSc skin fibroblasts, dependent on transforming growth factor β (TGFβ).
- JAK-2 inhibition selectively reduced collagen synthesis in SSc fibroblasts and blocked TGFβ-induced fibroblast activation.
- TG101209 treatment prevented and reduced dermal fibrosis in mouse models.
Conclusions:
- JAK-2 is activated in a TGFβ-dependent manner in SSc.
- JAK-2 inhibition demonstrates significant antifibrotic effects.
- JAK-2 inhibitors may offer a promising therapeutic strategy for SSc.
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