RE: Therapeutic Potential of Janus Kinase Inhibitors for the Management of Interstitial Lung Disease1 Apr 2022 22:54
C79. Great posts as us usual from you sir, you can clog up the board all day long as far as I am concerned. Always a pleasure to read.
Worthwhile having a quick butchers at below as an overview of competitors current inhibitors.
www.verywellhealth.com/jak-inhibitors-4706526
Look at the second second generation Rinvoq ( Upradactinib) looks good in what it can treat. then look up side effects.
https://www.drugs.com/mtm/upadacitinib.html
' Upadacitinib is a second generation Janus kinase inhibitor that is selective for the JAK1 subtype of this enzyme over the JAK2 (74-fold), JAK3 (58-fold) and tyrosine kinase 2 subtypes.' No Tyk2 inhibition!
With regards to an effective treatment in an indication whether psoriasis , RA. SLE or whatever indication and importantly the dosages which are administered, it is limited by the amount of toxicity leading to adverse side effects. These are just not limited to infection which is very much associated with JAK2 and especially Jak3 but also other life threatening conditions.
Now bare in mind, and I am sure you are aware that the greater the selectivity of an inhibitor the lesser the adverse effects that will be encountered, hence this enables higher dosages to be administered in treating an indication , enabling far more dosage than may be required.
Worthy of mention is that over 30 times dosage treatment were completed in an effort to reach am MTD with no indication of this being the limit.
I will further add
'Upon receptor activation, Tyk2, in combination with either JAK1 or JAK2, phosphorylates the intracellular receptor domains, which in turn recruit specific STAT proteins. The STATs subsequently are phosphorylated, causing disassociation from the receptor and the formation of STAT dimers that translocate into the nucleus and trigger gene transcription processes leading to an inflammatory response. Studies in Tyk2-deficient mice have suggested that Tyk2 is required for IL-23, IL-12, and Type I interferon signaling, but not IL-6 and IL-10 responses.'
In another report stated that in mice that IL-6 and IL-10 is not dependant on Tyk2
Now recently and very importantly is added the below:-
157 In humans, only two patients lacking the Tyk2 protein have been reported, and only one of these patients was thoroughly studied for defective cytokine responses.158 These studies indicated a potentially broader role of Tyk2 signaling in humans versus mouse since IL-6 and IL-10 pathways also were found to be Tyk2-dependent.
Although in investigation murine is used as has a much faster metabolism and cell replication rate, we are not mice.
Regards and the crate is opened
I believe we are on to a winner.