Rheumatoid arthritis

Janus kinase inhibitors alter NK cell phenotypes and inhibit their antitumour capacity

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

JAKi have a phenotypic and functional impact on NK cell activation and impair their antitumour activity, with a variable impact depending on the JAKi.

Study context

Population
RA patients treated with tofacitinib (TOFA), baricitinib (BARI) or MTX; sorted NK cells from healthy donors
Participants
28 RA patients
Comparison
Janus kinase inhibitors (JAKi) vs MTX ex vivo and vs dimethyl sulphoxide (DMSO) in vitro
Outcome
NK cell phenotype (CD69, CD57, NKp30) and function (CD107a, IFN-γ/TNF, cytotoxicity) under JAKi
Methodological detailsex vivo phenotyping, in vitro, three concentrations including therapeutic concentration
  • Ex vivo phenotyping
  • In vitro
  • Three concentrations including therapeutic concentration

Main finding

As reported in the abstract

NKp30-stimulated NK cells with TOFA: reduced CD107a
P < 0.01
NKp30-stimulated NK cells with TOFA: reduced IFN-γ/TNF expression
P < 0.05
NK cells exposed to TOFA co-cultured with A549 and SU-DHL-4: reduced CD107a
P < 0.05
NK cells exposed to TOFA co-cultured with A549 and SU-DHL-4: altered cytotoxicity
P < 0.05

Original publication

Janus kinase inhibitors alter NK cell phenotypes and inhibit their antitumour capacity. Rheumatology (Oxford). Published 30 December 2022. doi:10.1093/rheumatology/keac710

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