Department of Dermatology and Department of Pediatrics, University of California, San Diego, and Rady Children's Hospital, San Diego, California.
Department of Dermatology and Department of Pediatrics, University of California, San Diego, and Rady Children's Hospital, San Diego, California.
J Am Acad Dermatol. 2018 Mar;78(3 Suppl 1):S53-S62. doi: 10.1016/j.jaad.2017.12.019. Epub 2017 Dec 15.
The Janus kinase-signal transducer and activator of transcription pathway is a conserved master regulator of immunity and myeloproliferation. Advanced understanding of this pathway has led to development of targeted inhibitors of Janus kinases (Jakinibs). As a class, JAK inhibitors effectively treat a multitude of hematologic and inflammatory diseases. Given such success, use of JAK inhibitors for mitigation of atopic dermatitis is under active investigation. Herein, we review the evolving data on the safety and efficacy of JAK inhibitors in treatment of atopic dermatitis. Although it is still early in the study of JAK inhibitors for atopic dermatitis, evidence identifies JAK inhibitors as effective alternatives to conventional therapies. Nonetheless, multiple large safety and efficacy trials are needed before widespread use of JAK inhibitors can be advocated for atopic dermatitis.
Janus 激酶-信号转导子和转录激活因子通路是免疫和髓系增殖的保守主调控因子。对该通路的深入了解导致了 Janus 激酶(JAKinibs)的靶向抑制剂的开发。作为一类药物,JAK 抑制剂可有效治疗多种血液学和炎症性疾病。鉴于这一成功,人们正在积极研究 JAK 抑制剂在缓解特应性皮炎中的应用。本文综述了 JAK 抑制剂治疗特应性皮炎的安全性和有效性的最新数据。尽管 JAK 抑制剂治疗特应性皮炎的研究仍处于早期阶段,但有证据表明 JAK 抑制剂是传统疗法的有效替代方法。然而,在广泛提倡 JAK 抑制剂用于特应性皮炎之前,还需要进行多项大型安全性和疗效试验。