JAK inhibition in PD-1 immunotherapy and tumor microenvironment

Ziyuan Liu1, Jiaqi Liu2, Hongyu Chu3

  • 1Department of Orthopedics, The Second Hospital of Jilin University, Changchun, Jilin, China.

Insights

Combining Janus kinase (JAK) inhibitors with PD-1 blockade may overcome cancer therapy resistance. This approach targets chronic inflammation and immunosuppressive tumor microenvironments (TME) to improve patient outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Immune checkpoint inhibitors targeting the PD-1/PD-L1 axis have transformed cancer treatment.
  • Therapeutic response durability is often limited by chronic inflammation and immunosuppressive tumor microenvironments (TME).
  • The Janus kinase/signal transducer and activator of transcription (JAK/STAT) pathway integrates cytokine signals that drive resistance to cancer therapies.

Purpose of the Study:

  • To elucidate the role of JAK/STAT signaling in shaping the tumor immune microenvironment (TME) in hematologic and solid tumors.
  • To explore the rationale for repurposing JAK inhibitors as adjuvants to cancer immunotherapy.
  • To review evidence supporting the combination of JAK inhibition and PD-1 blockade for overcoming resistance to immune checkpoint inhibitors.

Main Methods:

  • Comprehensive review of preclinical and clinical evidence.
  • Analysis of molecular crosstalk between JAK/STAT signaling and immune cells within the TME.
  • Examination of the impact of JAK/STAT aberrant activation on malignant progression and immune evasion.

Main Results:

  • Aberrant JAK/STAT activation promotes cancer progression, upregulates PD-L1, and creates an immunosuppressive TME by recruiting myeloid-derived suppressor cells (MDSCs) and polarizing macrophages.
  • JAK/STAT signaling plays a multifaceted role in the immune architecture of tumors.
  • Combining JAK inhibitors with PD-1 blockade shows promise in preclinical and clinical studies.

Conclusions:

  • JAK/STAT signaling is a critical regulator of the tumor immune microenvironment and a key driver of resistance to immunotherapy.
  • Repurposing JAK inhibitors alongside PD-1 blockade offers a promising strategy to disrupt inflammatory feedback loops and reprogram the TME.
  • This synergistic approach holds potential for improving outcomes in patients with refractory malignancies.

Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
2.6K
The JAK-STAT Signaling Pathway01:20

The JAK-STAT Signaling Pathway

Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
14.3K
The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
8.3K
The Tumor Microenvironment02:17

The Tumor Microenvironment

3.2K
PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
6.5K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.2K