JAK out of the Box; The Rationale behind Janus Kinase Inhibitors in the COVID-19 setting, and their potential in
Rahma Menshawey1, Esraa Menshawey1, Ayman H K Alserr2
1Research Department, Students' and Interns' Research Program (Research Accessibility Team), Cairo University Kasr al Ainy Faculty of Medicine.
Abstract:
The adaptive use of Janus kinase (JAK)-inhibitors has been suggested by rheumatology experts in the management of COVID-19. We recount the rationale behind their use in this setting, and the current evidence for and against their use in this review. JAK-inhibitors role in COVID-19 infection appears to be multifaceted, including preventing viral endocytosis and dampening the effect of excessive chemokines. This drug class may be able to achieve these effects at already preapproved dosages. Concerns arise regarding reactivation of latent viral infections and the feasibility of their use in those with severe disease. Most interestingly, JAK-Inhibitors may also have an additional advantage for diabetic and obese populations, where the dysregulation of JAK-signal transducer and activator of transcription pathway may be responsible for their increased risk of poor outcomes. Targeting this pathway may provide a therapeutic advantage for these patient groups.
Insights
Janus kinase (JAK)-inhibitors show promise in managing COVID-19 by inhibiting viral entry and reducing inflammation. Further research is needed to address safety concerns and explore benefits for specific patient groups.
Area of Science:
- Immunology
- Virology
- Pharmacology
Background:
- Rheumatology experts propose Janus kinase (JAK)-inhibitors for COVID-19 management.
- JAK-inhibitors' role in COVID-19 is multifaceted, potentially blocking viral entry and mitigating cytokine storms.
Purpose of the Study:
- To review the rationale and current evidence for using JAK-inhibitors in COVID-19.
- To explore potential benefits and risks associated with JAK-inhibitor therapy in COVID-19 patients.
Main Methods:
- Literature review of existing studies and expert opinions on JAK-inhibitor use in COVID-19.
- Analysis of the proposed mechanisms of action for JAK-inhibitors in viral infections.
Main Results:
- JAK-inhibitors may prevent viral endocytosis and reduce excessive chemokine signaling at approved doses.
- Concerns include potential reactivation of latent infections and feasibility in severe COVID-19.
- JAK-inhibitors might benefit diabetic and obese patients by targeting dysregulated JAK-STAT pathways.
Conclusions:
- JAK-inhibitors present a potential therapeutic strategy for COVID-19, with multifaceted effects.
- Further investigation is warranted to optimize their use and address safety concerns, especially in vulnerable populations.
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