Evidence map›Paper›PMID 33411696›Full record

ArticleJCI insight2021

A STAT3 inhibitor ameliorates CNS autoimmunity by restoring Teff:Treg balance.

Saba I Aqel, Xiaozhi Yang, Emma E Kraus, Jinhua Song, Marissa F Farinas, Erin Y Zhao, Wei Pei, Amy E Lovett-Racke, Michael K Racke, Chenglong Li and 1 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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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

11 authors at 3 institutions in 1 country.

Saba I AqelDepartment of Neurology, Ohio State University (OSU) Wexner Medical Center, Columbus, Ohio, USA.
Xiaozhi YangDivision of Medicinal Chemistry, College of Pharmacy, OSU, Columbus, Ohio, USA.
Emma E KrausDepartment of Neurology, Ohio State University (OSU) Wexner Medical Center, Columbus, Ohio, USA.
Jinhua SongDivision of Medicinal Chemistry, College of Pharmacy, OSU, Columbus, Ohio, USA.
Marissa F FarinasNeuroscience program, College of Arts and Sciences, OSU, Columbus, Ohio, USA.
Erin Y ZhaoDepartment of Neurology, Ohio State University (OSU) Wexner Medical Center, Columbus, Ohio, USA.
Wei PeiDepartment of Neurology, Ohio State University (OSU) Wexner Medical Center, Columbus, Ohio, USA.
Amy E Lovett-RackeDepartment of Microbial Infection and Immunity, OSU Wexner Medical Center, Columbus, Ohio, USA.
Michael K RackeDepartment of Neurology, Ohio State University (OSU) Wexner Medical Center, Columbus, Ohio, USA.
Chenglong LiDivision of Medicinal Chemistry, College of Pharmacy, OSU, Columbus, Ohio, USA.
Yuhong YangDepartment of Neurology, Ohio State University (OSU) Wexner Medical Center, Columbus, Ohio, USA.
The Ohio State University Wexner Medical Center · USUniversity of Florida · USThe Ohio State University · US

Funding

Small molecule in vivo probe development targeting the IL-6/STAT3 pathway for potential multiple sclerosis therapyR01NS088437 · NINDS · UNIVERSITY OF FLORIDA · PI LI, CHENGLONG, YANG, YUHONG · 2015 to 2017
$1.3M
NINDS NIH HHS R01 NS088437
6 · The paper itself

Abstract

Reestablishing an appropriate balance between T effector cells (Teff) and Tregs is essential for correcting autoimmunity. Multiple sclerosis (MS) is an immune-mediated chronic CNS disease characterized by neuroinflammation, demyelination, and neuronal degeneration, in which the Teff:Treg balance is skewed toward pathogenic Teffs Th1 and Th17 cells. STAT3 is a key regulator of Teff:Treg balance. Using the structure-based design, we have developed a potentially novel small-molecule prodrug LLL12b that specifically inhibits STAT3 and suppresses Th17 differentiation and expansion. Moreover, LLL12b regulates the fate decision between Th17 and Tregs in an inflammatory environment, shifting Th17:Treg balance toward Tregs and favoring the resolution of inflammation. Therapeutic administration of LLL12b after disease onset significantly suppresses disease progression in adoptively transferred, chronic, and relapsing-remitting experimental autoimmune encephalomyelitis. Disease relapses were also significantly suppressed by LLL12b given during the remission phase. Additionally, LLL12b shifts Th17:Treg balance of CD4+ T cells from MS patients toward Tregs and increases Teff sensitivity to Treg-mediated suppression. These data suggest that selective inhibition of STAT3 by the small molecule LLL12b recalibrates the effector and regulatory arms of CD4+ T responses, representing a potentially clinically translatable therapeutic strategy for MS.

Indexed as

AutoimmunityAnimalsAnthraquinonesCD4-Positive T-LymphocytesCell DifferentiationDemyelinating DiseasesEncephalomyelitis, Autoimmune, ExperimentalFemaleHumansMaleMiceMice, Inbred C57BLMultiple SclerosisSTAT3 Transcription FactorSulfonamidesTh17 CellsAnthraquinonesLLL12 compoundSTAT3 protein, humanSTAT3 Transcription FactorSulfonamidesAutoimmune diseasesAutoimmunityDemyelinating disordersDrug therapyTherapeutics

Identifiers

PMID33411696
PMCPMC7934926
OpenAlexW3120797083

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.