Cited by 431NF-κB Signaling PathwaysProtein Kinase Regulation and GTPase SignalingNatural Compounds in Disease Treatment

Kinase inhibition in autoimmunity and inflammation

Open access
Zarrin, Ali A., Bao, Katherine, Lupardus, Patrick, Vucic, Domagoj·2021·Nature Reviews Drug Discovery

Abstract

Despite recent advances in the treatment of autoimmune and inflammatory diseases, unmet medical needs in some areas still exist. One of the main therapeutic approaches to alleviate dysregulated inflammation has been to target the activity of kinases that regulate production of inflammatory mediators. Small-molecule kinase inhibitors have the potential for broad efficacy, convenience and tissue penetrance, and thus often offer important advantages over biologics. However, designing kinase inhibitors with target selectivity and minimal off-target effects can be challenging. Nevertheless, immense progress has been made in advancing kinase inhibitors with desirable drug-like properties into the clinic, including inhibitors of JAKs, IRAK4, RIPKs, BTK, SYK and TPL2. This Review will address the latest discoveries around kinase inhibitors with an emphasis on clinically validated autoimmunity and inflammatory pathways.

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  • IRAK4's scaffolding role in Toll-like receptor signalling around the myddosome is established.

    “Particularly for IRAK4, its scaffolding role in Toll-like receptor (TLR) signalling around the myddosome is established165,172”

    From PROTAC targeted protein degraders: the past is prologue (2022) · cites this paper as [165]

  • The role of IRAK4 in inflammatory conditions, as well as in B cell lymphomas, is well established, and several inhibitors are currently in clinical trials in autoimmune indications.

    “but the role of IRAK4 in inflammatory conditions, as well as in B cell lymphomas, is well established, and several inhibitors are currently in clinical trials in autoimmune indications165,171.”

    From PROTAC targeted protein degraders: the past is prologue (2022) · cites this paper as [165]

  • BTK is a well-established target in inflammation, as well as in oncology, with approved drugs in the clinic.

    “BTK is a well-established target in inflammation, as well as in oncology, with approved drugs in the clinic164,165”

    From PROTAC targeted protein degraders: the past is prologue (2022) · cites this paper as [165]

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Authors
Zarrin, A. A., Bao, K., Lupardus, P., & Vucic, D.
Affiliations
  • Trex (United States) (US)
  • Genentech (US)
  • Synthekine (US)
Corresponding author
Zarrin, Ali A.
Venue
Nature Reviews Drug Discovery
Published
2020-10-19
Volume
20
Issue
1
Pages
39-63
ISSN
  • 1474-1776 (ISSN-L)
  • 1474-1784
OpenAlex
W3093133909
Cited by
431
References
269
Citations by year
2026: 47 · 2025: 80 · 2024: 96 · 2023: 72 · 2022: 85 · 2021: 50 · 2020: 1
FWCI
5.46
Type
journal article
Language
en
Open access
Locations
  • Nature Reviews Drug Discovery (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
  • Health Sciences › Medicine › Complementary and alternative medicine › Natural Compounds in Disease Treatment
Keywords
kinase inhibitors, autoimmunity, inflammation, small-molecule kinase inhibitors, JAK inhibitors, IRAK4, BTK inhibitors, SYK inhibitors, inflammatory mediators, off-target effects, target selectivity, unmet medical needs
MeSH terms
Animals, Autoimmune Diseases, Humans, Inflammation, Protein Kinases, Autoimmunity, Protein Kinase Inhibitors

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