Article ; Online: Tofacitinib-Induced Modulation of Intestinal Adaptive and Innate Immunity and Factors Driving Cellular and Systemic Pharmacokinetics.
Cellular and molecular gastroenterology and hepatology
2021 Volume 13, Issue 2, Page(s) 383–404
Abstract: Objective: By interfering with multiple cytokines, human Janus kinase inhibitors (JAKis) are of growing importance in the treatment of malignant and inflammatory conditions. Although tofacitinib has demonstrated efficacy as the first-in-class JAKi in ... ...
Abstract | Objective: By interfering with multiple cytokines, human Janus kinase inhibitors (JAKis) are of growing importance in the treatment of malignant and inflammatory conditions. Although tofacitinib has demonstrated efficacy as the first-in-class JAKi in ulcerative colitis many aspects concerning its mode of action and pharmacokinetics remain unresolved. Design: We studied tofacitinib's impact on various primary human innate and adaptive immune cells. In-depth in vivo studies were performed in dextran sodium sulfate-induced colitis in mice. Immune populations were characterized by flow cytometry and critical transcription factors and effector cytokines were analyzed. Pharmacokinetics of tofacitinib was studied by liquid chromatography-tandem mass spectrometry. Results: Tofacitinib inhibited proliferation in CD4 Conclusions: We provide a detailed analysis of the cell-specific immune-suppressive effects of the JAKis tofacitinib on innate and adaptive immunity and reveal that intestinal inflammation critically impacts tofacitinib's pharmacokinetics in mice. Furthermore, we describe an unappreciated mechanism-namely induction of equilibrative nucleoside transporters-enhancing baseline cellular uptake that can be inhibited pharmaceutically. |
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MeSH term(s) | Animals ; CD8-Positive T-Lymphocytes ; Immunity, Innate ; Mice ; Piperidines/pharmacology ; Pyrimidines/pharmacology |
Chemical Substances | Piperidines ; Pyrimidines ; tofacitinib (87LA6FU830) |
Language | English |
Publishing date | 2021-10-06 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2819778-1 |
ISSN | 2352-345X ; 2352-345X |
ISSN (online) | 2352-345X |
ISSN | 2352-345X |
DOI | 10.1016/j.jcmgh.2021.09.004 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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