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A Comprehensive Overview of Globally Approved JAK Inhibitors
Ahmed M Shawky1, Faisal A Almalki2, Ashraf N Abdalla3,4
1Science and Technology Unit (STU), Umm Al-Qura University, Makkah 21955, Saudi Arabia.
Abstract:
Janus kinase (JAK) is a family of cytoplasmic non-receptor tyrosine kinases that includes four members, namely JAK1, JAK2, JAK3, and TYK2. The JAKs transduce cytokine signaling through the JAK-STAT pathway, which regulates the transcription of several genes involved in inflammatory, immune, and cancer conditions. Targeting the JAK family kinases with small-molecule inhibitors has proved to be effective in the treatment of different types of diseases. In the current review, eleven of the JAK inhibitors that received approval for clinical use have been discussed. These drugs are abrocitinib, baricitinib, delgocitinib, fedratinib, filgotinib, oclacitinib, pacritinib, peficitinib, ruxolitinib, tofacitinib, and upadacitinib. The aim of the current review was to provide an integrated overview of the chemical and pharmacological data of the globally approved JAK inhibitors. The synthetic routes of the eleven drugs were described. In addition, their inhibitory activities against different kinases and their pharmacological uses have also been explained. Moreover, their crystal structures with different kinases were summarized, with a primary focus on their binding modes and interactions. The proposed metabolic pathways and metabolites of these drugs were also illustrated. To sum up, the data in the current review could help in the design of new JAK inhibitors with potential therapeutic benefits in inflammatory and autoimmune diseases.
Insights
This review details eleven approved Janus kinase (JAK) inhibitors, exploring their chemistry, pharmacology, and clinical uses. The findings aid in developing new JAK inhibitors for inflammatory and autoimmune diseases.
Area of Science:
- Biochemistry
- Pharmacology
- Medicinal Chemistry
Background:
- Janus kinases (JAKs) are critical cytoplasmic tyrosine kinases regulating cytokine signaling via the JAK-STAT pathway.
- Dysregulation of JAK-STAT signaling is implicated in inflammatory, immune, and cancer conditions.
- Small-molecule JAK inhibitors offer therapeutic potential for various diseases.
Purpose of the Study:
- To provide a comprehensive overview of eleven globally approved JAK inhibitors.
- To integrate chemical, pharmacological, and structural data for these drugs.
- To facilitate the design of novel JAK inhibitors for therapeutic applications.
Main Methods:
- Review of chemical synthesis routes for eleven approved JAK inhibitors.
- Analysis of inhibitory activities against various kinases and pharmacological applications.
- Summarization of crystal structures, binding modes, and interactions with kinases.
- Illustration of proposed metabolic pathways and metabolites.
Main Results:
- Detailed descriptions of synthetic pathways for eleven JAK inhibitors.
- Explanation of kinase inhibitory profiles and clinical uses.
- Elucidation of structural interactions and binding modes.
- Identification of metabolic pathways and key metabolites.
Conclusions:
- The integrated data on approved JAK inhibitors can guide the development of new therapeutic agents.
- This review highlights the potential of JAK inhibitors in treating inflammatory and autoimmune diseases.
- Understanding JAK inhibitor mechanisms and properties is crucial for future drug design.
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