Mahajan Sudipta, Hogan James K, Shlyakhter Dina, Oh Luke, Salituro Francesco G, Farmer Luc, Hoock Thomas C
Departments of Integrated Biology and Chemistry, Vertex Pharmaceuticals, Boston, Massachusetts (S.M., J.K.H., D.S., L.F., T.C.H.); Sage Therapeutics, Cambridge, Massachusetts (F.G.S.); and Mallinckrodt Pharmaceuticals, Ellicott City, Maryland (L.O.).
Departments of Integrated Biology and Chemistry, Vertex Pharmaceuticals, Boston, Massachusetts (S.M., J.K.H., D.S., L.F., T.C.H.); Sage Therapeutics, Cambridge, Massachusetts (F.G.S.); and Mallinckrodt Pharmaceuticals, Ellicott City, Maryland (L.O.)
J Pharmacol Exp Ther. 2015 May;353(2):405-14. doi: 10.1124/jpet.114.221176. Epub 2015 Mar 11.
Cytokines, growth factors, and other chemical messengers rely on a class of intracellular nonreceptor tyrosine kinases known as Janus kinases (JAKs) to rapidly transduce intracellular signals. A number of these cytokines are critical for lymphocyte development and mediating immune responses. JAK3 is of particular interest due to its importance in immune function and its expression, which is largely confined to lymphocytes, thus limiting the potential impact of JAK3 inhibition on nonimmune physiology. The aim of this study was to evaluate the potency and selectivity of the investigational JAK3 inhibitor VX-509 (decernotinib) [(R)-2-((2-(1H-pyrrolo[2,3-b]pyridin-3-yl)pyrimidin-4-yl)amino)-2-methyl-N-(2,2,2-trifluoroethyl)butanamide] against JAK3 kinase activity and inhibition of JAK3-mediated signaling in vitro and JAK3-dependent physiologic processes in vivo. These results demonstrate that VX-509 potently inhibits JAK3 in enzyme assays (Ki = 2.5 nM + 0.7 nM) and cellular assays dependent on JAK3 activity (IC50 range, 50-170 nM), with limited or no measurable potency against other JAK isotypes or non-JAK kinases. VX-509 also showed activity in two animal models of aberrant immune function. VX-509 treatment resulted in dose-dependent reduction in ankle swelling and paw weight and improved paw histopathology scores in the rat collagen-induced arthritis model. In a mouse model of oxazolone-induced delayed-type hypersensitivity, VX-509 reduced the T cell-mediated inflammatory response in skin. These findings demonstrate that VX-509 is a selective and potent inhibitor of JAK3 in vitro and modulates proinflammatory response in models of immune-mediated diseases, such as collagen-induced arthritis and delayed-type hypersensitivity. The data support evaluation of VX-509 for treatment of patients with autoimmune and inflammatory diseases such as rheumatoid arthritis.
细胞因子、生长因子及其他化学信使依赖一类称为Janus激酶(JAKs)的细胞内非受体酪氨酸激酶来快速转导细胞内信号。其中许多细胞因子对淋巴细胞发育和介导免疫反应至关重要。JAK3因其在免疫功能中的重要性及其表达情况(主要局限于淋巴细胞)而备受关注,这限制了JAK3抑制对非免疫生理学的潜在影响。本研究的目的是评估研究性JAK3抑制剂VX - 509(decernotinib)[(R)-2 - ((2 - (1H - 吡咯并[2,3 - b]吡啶 - 3 - 基)嘧啶 - 4 - 基)氨基)-2 - 甲基 - N - (2,2,2 - 三氟乙基)丁酰胺]对JAK3激酶活性的效力和选择性,以及在体外对JAK3介导的信号传导和体内JAK3依赖性生理过程的抑制作用。这些结果表明,VX - 509在酶分析(Ki = 2.5 nM + 0.7 nM)和依赖JAK3活性的细胞分析(IC50范围为50 - 170 nM)中能有效抑制JAK3,而对其他JAK亚型或非JAK激酶的效力有限或无明显效力。VX - 509在两种异常免疫功能的动物模型中也显示出活性。在大鼠胶原诱导的关节炎模型中,VX - 509治疗导致踝关节肿胀和爪重量呈剂量依赖性降低,并改善了爪组织病理学评分。在恶唑酮诱导的迟发型超敏反应小鼠模型中,VX - 509降低了皮肤中T细胞介导的炎症反应。这些发现表明,VX - 509在体外是一种选择性且有效的JAK3抑制剂,并能调节免疫介导疾病模型(如胶原诱导的关节炎和迟发型超敏反应)中的促炎反应。这些数据支持对VX - 509用于治疗类风湿关节炎等自身免疫性和炎性疾病患者进行评估。