Evidence map›Paper›PMID 21383241›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2011

Modulation of innate and adaptive immune responses by tofacitinib (CP-690,550).

Kamran Ghoreschi, Michael I Jesson, Xiong Li, Jamie L Lee, Sarbani Ghosh, Jason W Alsup, James D Warner, Masao Tanaka, Scott M Steward-Tharp, Massimo Gadina and 10 more

2 registry-linked trialsOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 287 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
287citing papers in PubMed, 2 pooled it
20.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02535689 phase1completednot on this mapstarted 2015, after this paper: background citation

Safety of Tofacitinib, an Oral Janus Kinase Inhibitor, in Systemic Lupus Erythematosus; a Phase Ib Clinical Trial and Associated Mechanistic Studies

TypeinterventionalSponsorNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)Ran2015 to 2018Enrolled34ConditionsSystemic Lupus ErythematosusArmsTofacitinib, Placebo
NCT03736161 phase3completednot on this mapstarted 2017, after this paper: background citation

Safety and Efficacy of Tofacitinib vs Methotrexate in the Treatment of Psoriatic Arthritis

TypeinterventionalSponsorGlobe Pharmaceuticals LimitedRan2017 to 2019Enrolled61ConditionsPsoriatic ArthritisArmsGroup A- Tofacitinib, Group B- Methotrexate
3 · Its place in the literature

Who cites it

287 citing papers in PubMed, 2 syntheses or guidelines pooled it, 630 citations in OpenAlex.

  1. Pooled it
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  15. JAK/STAT inhibition reprograms T cell activation and metabolism in inflammatory arthritis patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  16. Article
  17. Review
  18. Afatinib exerts an inhibitory effect on T cell-mediated cytotoxicity.Cancer immunology, immunotherapy : CII · 2026
    Article
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  20. Article

227 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 5 institutions in 1 country.

Kamran GhoreschiMolecular Immunology and Inflammation Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD 20892, USA. ghoreschik@mail.nih.gov
Michael I Jesson
Xiong Li
Jamie L Lee
Sarbani Ghosh
Jason W Alsup
James D Warner
Masao Tanaka
Scott M Steward-Tharp
Massimo Gadina
Craig J Thomas
John C Minnerly
Chad E Storer
Timothy P LaBranche
Zaher A Radi
Martin E Dowty
Richard D Head
Debra M Meyer
Nandini Kishore
John J O'Shea
Pfizer (United States) · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USNational Human Genome Research Institute · USNational Institutes of Health · USOffice of Science · US

Funding

NIH Chemical Genomics CenterZIBHG200319 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI AUSTIN, CHRISTOPHER P · 2010 to 2011
$55.9M
Stat transcription factors in immunoregulation and autoimmune diseaseZIAAR041159 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI O'SHEA, JOHN · 2009 to 2025
$49.3M
Translational Immunology research: a support for clinical immunological researchZICAR041181 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GADINA, MASSIMO · 2009 to 2025
$31.5M
Animal care: supporting research on pathogenesis and treatment of autoimmunityZIGAR041168 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI WOO, JOSEPH · 2009 to 2025
$25.2M
Flow cytometry support to research in immune, skin, muscle and bone diseasesZICAR041169 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI DELL'ORSO, STEFANIA · 2009 to 2025
$20.4M
Applying Bioinformatics to Research in Immune, Muscle, and Bone DiseasesZIHAR041173 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GADINA, MASSIMO · 2009 to 2020
$11.0M
Targeting Janus kinases in the treatment of autoimmune diseaseZIAAR041106 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI O'SHEA, JOHN · 2009 to 2024
$4.8M
Intramural NIH HHS Z99 AR999999
6 · The paper itself

Abstract

Inhibitors of the JAK family of nonreceptor tyrosine kinases have demonstrated clinical efficacy in rheumatoid arthritis and other inflammatory disorders; however, the precise mechanisms by which JAK inhibition improves inflammatory immune responses remain unclear. In this study, we examined the mode of action of tofacitinib (CP-690,550) on JAK/STAT signaling pathways involved in adaptive and innate immune responses. To determine the extent of inhibition of specific JAK/STAT-dependent pathways, we analyzed cytokine stimulation of mouse and human T cells in vitro. We also investigated the consequences of CP-690,550 treatment on Th cell differentiation of naive murine CD4(+) T cells. CP-690,550 inhibited IL-4-dependent Th2 cell differentiation and interestingly also interfered with Th17 cell differentiation. Expression of IL-23 receptor and the Th17 cytokines IL-17A, IL-17F, and IL-22 were blocked when naive Th cells were stimulated with IL-6 and IL-23. In contrast, IL-17A production was enhanced when Th17 cells were differentiated in the presence of TGF-β. Moreover, CP-690,550 also prevented the activation of STAT1, induction of T-bet, and subsequent generation of Th1 cells. In a model of established arthritis, CP-690,550 rapidly improved disease by inhibiting the production of inflammatory mediators and suppressing STAT1-dependent genes in joint tissue. Furthermore, efficacy in this disease model correlated with the inhibition of both JAK1 and JAK3 signaling pathways. CP-690,550 also modulated innate responses to LPS in vivo through a mechanism likely involving the inhibition of STAT1 signaling. Thus, CP-690,550 may improve autoimmune diseases and prevent transplant rejection by suppressing the differentiation of pathogenic Th1 and Th17 cells as well as innate immune cell signaling.

Indexed as

Adaptive ImmunityImmunity, InnateAnimalsArthritis, ExperimentalAvian ProteinsCells, CulturedChickensCollagen Type IIHumansJanus Kinase 3MAP Kinase Signaling SystemMiceMice, 129 StrainMice, Inbred C57BLMice, Inbred DBAMice, KnockoutAvian ProteinsCollagen Type IIJak3 protein, mouseJanus Kinase 3PiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinib

Identifiers

PMID21383241
PMCPMC3108067
OpenAlexW2121219094

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.