TY - JOUR
T1 - Janus kinase 2 inhibitors in myeloproliferative disorders
AU - Lucia, Eugenio
AU - Recchia, Anna Grazia
AU - Gentile, Massimo
AU - Bossio, Sabrina
AU - Vigna, Ernesto
AU - Mazzone, Carla
AU - Madeo, Antonio
AU - Morabito, Lucio
AU - Gigliotti, Vincenzo
AU - Stefano, Laura De
AU - Caruso, Nadia
AU - Servillo, Pasquale
AU - Franzese, Stefania
AU - Bisconte, Maria Grazia
AU - Gentile, Carlo
AU - Morabito, Fortunato
PY - 2011/1
Y1 - 2011/1
N2 - Importance of the field: JAK2 is an obligatory kinase for the proliferation and differentiation of erythroid cells and megakaryocytes thus representing a relevant therapeutic target for agents that specifically inhibit its activity particularly in myeloproliferative disorders (MPD) harboring JAK2 V617F mutations. Areas covered in this review: We discuss the physiopathology of the JAK2 signaling pathway and review clinical trials of JAK2 inhibitors for the treatment of MPD using papers and meeting abstracts published up to September 2010. What the reader will gain: This review helps in understanding the potential role of JAK2 inhibitors in MPD clinical trials and provides a comprehensive review regarding their efficacy and safety in these disorders. Take home message: JAK2 inhibitors may prove to be useful only for suppressing disease manifestations. However, unlike drugs such as IFN which are capable of eliminating the malignant clone, JAK2 inhibitors are unable to eradicate the disease. In fact, results to date indicate that although these inhibitors reduce splenomegaly and alleviate constitutional symptoms irrespective of JAK2 mutational status, most have only a modest impact on the JAK2V617F allele burden. Considering the relevant risk of serious complications in patients undergoing splenectomy, these drugs could find a suitable indication in patients with myelofibrosis awaiting bone marrow transplantation.
AB - Importance of the field: JAK2 is an obligatory kinase for the proliferation and differentiation of erythroid cells and megakaryocytes thus representing a relevant therapeutic target for agents that specifically inhibit its activity particularly in myeloproliferative disorders (MPD) harboring JAK2 V617F mutations. Areas covered in this review: We discuss the physiopathology of the JAK2 signaling pathway and review clinical trials of JAK2 inhibitors for the treatment of MPD using papers and meeting abstracts published up to September 2010. What the reader will gain: This review helps in understanding the potential role of JAK2 inhibitors in MPD clinical trials and provides a comprehensive review regarding their efficacy and safety in these disorders. Take home message: JAK2 inhibitors may prove to be useful only for suppressing disease manifestations. However, unlike drugs such as IFN which are capable of eliminating the malignant clone, JAK2 inhibitors are unable to eradicate the disease. In fact, results to date indicate that although these inhibitors reduce splenomegaly and alleviate constitutional symptoms irrespective of JAK2 mutational status, most have only a modest impact on the JAK2V617F allele burden. Considering the relevant risk of serious complications in patients undergoing splenectomy, these drugs could find a suitable indication in patients with myelofibrosis awaiting bone marrow transplantation.
KW - essential thrombocythemia
KW - JAK2
KW - JAK2 inhibitors
KW - myelofibrosis
KW - Philadelphia chromosome-negative myeloproliferative neoplasms
KW - polycythemia vera
KW - therapy
UR - http://www.scopus.com/inward/record.url?scp=78650265071&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78650265071&partnerID=8YFLogxK
U2 - 10.1517/13543784.2011.538382
DO - 10.1517/13543784.2011.538382
M3 - Article
C2 - 21128825
AN - SCOPUS:78650265071
VL - 20
SP - 41
EP - 59
JO - Expert Opinion on Investigational Drugs
JF - Expert Opinion on Investigational Drugs
SN - 1354-3784
IS - 1
ER -