Targeting JAK/STAT pathway in Takayasu’s arteritis - Sorbonne Université
Journal Articles Annals of the Rheumatic Diseases Year : 2020

Targeting JAK/STAT pathway in Takayasu’s arteritis

Abstract

Objective: Takayasu's arteritis (TAK) is a large vessel vasculitis with important infiltration of proinflammatory T cells in the aorta and its main branches, but its aetiology is still unknown. Our work aims to explore the involvement of Janus Kinase/Signal Transducers and Activators of Transcription (JAK/STAT) signalling pathway in proinflammatory T cells differentiation and disease activity of TAK. Methods: We analysed transcriptome and interferons gene signatures of fluorescence-activated cell sorting (FACS-sorted) CD4+ and CD8+ T cells from healthy donors (HD) and in 25 TAK (median age of 37.6 years including 21 active TAK with National Institutes of Health (NIH) score >1). Then we tested, in vitro and in vivo, the effects of JAK inhibitors (JAKinibs) in TAK. Results: Transcriptome analysis showed 248 and 432 significantly dysregulated genes for CD4+ and CD8+ samples between HD and TAK, respectively. Among dysregulated genes, we highlighted a great enrichment for pathways linked to type I and type II interferons, JAK/STAT and cytokines/chemokines-related signalling in TAK. We confirmed by Real Time Reverse Transcription Polymerase Chain Reaction (RT-qPCR) the upregulation of type I interferons gene signature in TAK as compared with HD. JAKinibs induced both in vitro and in vivo a significant reduction of CD25 expression by CD4+ and CD8+ T cells, a significant decrease of type 1 helper T cells (Th1) and Th17 cells and an increase of Tregs cells in TAK. JAKinibs also decreased C reactive protein level, NIH score and corticosteroid dose in TAK patients. Conclusions: JAK/STAT signalling pathway is critical in the pathogenesis of TAK and JAKinibs may be a promising therapy.
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Dates and versions

hal-02997929 , version 1 (10-11-2020)

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Paul Régnier, Alexandre Le Joncour, Anna Maciejewski-Duval, Anne-Claire Desbois, Cloé Comarmond, et al.. Targeting JAK/STAT pathway in Takayasu’s arteritis. Annals of the Rheumatic Diseases, 2020, 79 (7), pp.951-959. ⟨10.1136/annrheumdis-2019-216900⟩. ⟨hal-02997929⟩
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