Pediatric rheumatology

Transcriptional Profiling of Tofacitinib Treatment in Juvenile Idiopathic Arthritis: Implications for Treatment Response Prediction

Arthritis Care Res (Hoboken)Published Mechanistic study

Authors' conclusion

Tofacitinib treatment in JIA down-regulated genes in interferon and IL-7 signaling pathways regardless of effectiveness. Furthermore, baseline up-regulation of MAPK signaling may predict poor response to tofacitinib treatment in JIA.

Study context

Population
Patients with active juvenile idiopathic arthritis (JIA) treated with open-label tofacitinib60 analysed at week 18
Participants
67 patients
Comparison
Week 18 vs baseline gene expression; Poor responders (PRs) vs treatment responders (TRs) at baseline
Outcome
Changes in gene expression following tofacitinib treatment (week 18 vs baseline)
Follow-up
Week 18
Methodological detailsopen-label tofacitinib, whole-blood transcriptional profiling, differential gene expression and gene ontology overrepresentation analyses
  • Open-label tofacitinib
  • Whole-blood transcriptional profiling
  • Differential gene expression and gene ontology overrepresentation analyses

Main finding

As reported in the abstract

Differential gene expression, week 18 vs baseline, all patients
Genes with significant differential expression (week 18 to baseline)
883

Further findings

Baseline differential expression, PRs vs TRs

Genes with differential expression
663
Up-regulated: activation of MAPK activity
P = 9.40 × 10-5
Up-regulated: myeloid cell development
P = 8.13 × 10-5
Up-regulated: activation of GTPase activity
P = 0.00015
Up-regulated: organelle transport along microtubules
P = 0.00021

Original publication

Transcriptional Profiling of Tofacitinib Treatment in Juvenile Idiopathic Arthritis: Implications for Treatment Response Prediction. Arthritis Care Res (Hoboken). Published 27 November 2024. doi:10.1002/acr.25459

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