4.5 Review

New small molecules in dermatology: for the autoimmunity, inflammation and beyond

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JAK-inhibitors in dermatology - small molecules, big impact? Overview of the mechanism of action, previous study results and potential adverse effects

Benjamin Klein et al.

Summary: JAK inhibitors have shown promising results in treating various chronic inflammatory skin diseases through their ability to target proinflammatory cytokines released via the JAK-STAT pathway. Recent approvals of JAK inhibitors like Baricitinib, Upadacitinib, and Abrocitinib offer new systemic therapeutic options for moderate to severe atopic dermatitis patients. While these small molecules have demonstrated effectiveness, potential side effects and necessary laboratory examinations should be carefully considered.

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Adverse events associated with JAK inhibitors in 126,815 reports from the WHO pharmacovigilance database

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Aikaterini Tsiogka et al.

Summary: In recent years, the understanding of the pathogenesis of atopic dermatitis (AD) has expanded, leading to the development of novel therapeutic molecules that target the core inflammatory components of the disease. The Janus kinase (JAK)/signal transducer and activation of transcription (STAT) pathway is involved in intracellular signal transduction and gene transcription regulation. The activation of T-helper (Th)-2 and Th22 immune responses plays a pivotal role in the immunopathogenesis of AD, followed by a variable degree of Th1 and Th17 activation. JAK inhibitors have emerged as a potential treatment option for AD due to their ability to inhibit the signal transduction of inflammatory cytokines.

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Translational autoimmunity in pemphigus and the role of novel Bruton tyrosine kinase inhibitors

Piyu Parth Naik

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Proof of concept for the clinical effects of oral rilzabrutinib, the first Bruton tyrosine kinase inhibitor for pemphigus vulgaris: the phase II BELIEVE study

D. F. Murrell et al.

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BRITISH JOURNAL OF DERMATOLOGY (2021)

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A phase 2a randomized, placebo-controlled study to evaluate the efficacy and safety of the oral Janus kinase inhibitors ritlecitinib and brepocitinib in alopecia areata: 24-week results

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JAK inhibitors in the treatment of atopic dermatitis

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