Evidence map›Paper›PMID 33671049›Full record

ReviewInternational journal of molecular sciences2021

Thromboembolic Adverse Drug Reactions in Janus Kinase (JAK) Inhibitors: Does the Inhibitor Specificity Play a Role?

Przemysław J Kotyla, Małgorzata Engelmann, Joanna Giemza-Stokłosa, Bartosz Wnuk, Md Asiful Islam

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Efficacy and Safety of Curcumin andFrontiers in immunology · 2022
    Pooled it
  4. Review
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  9. Review
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  16. Cell-cell communication: new insights and clinical implications.Signal transduction and targeted therapy · 2024
    Review
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  20. Article
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

5 authors at 4 institutions in 2 countries.

Przemysław J KotylaDepartment of Internal Medicine, Rheumatology and Clinical Immunology, Faculty in Katowice, Medical University of Silesia, 40-635 Katowice, Poland.ORCID 0000-0001-8376-6527
Małgorzata EngelmannDepartment of Physiotherapy in Internal Medicine, Academy of Physical Education in Katowice, 40-065 Katowice, Poland.
Joanna Giemza-StokłosaDepartment of Neurology, Regional Hospital in Oświęcim, 32-600 Oświęcim, Poland.
Bartosz WnukDepartment of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-635 Katowice, Poland.ORCID 0000-0002-2574-6955
Md Asiful IslamDepartment of Haematology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, 16150 Kelantan, Malaysia.ORCID 0000-0001-5937-6473
Medical University of Silesia · PLAcademy of Fine Arts in Katowice · PLState School of Higher Education in Oświęcim · PLUniversiti Sains Malaysia · MY

Funding

Śląski Uniwersytet Medyczny not specified
6 · The paper itself

Abstract

Recent advances in immunology enabled the characterization of several signal transmitting pathways responsible for proper cytokine and chemokine signaling. Among them, Janus kinases (JAKs) are essential components of receptor activation systems. The discovery of JAK kinases enabled the synthesis of JAK kinase inhibitors (JAKi or Jakinibs), which have proven to be efficacious in the treatment of hematologic malignancies and several rheumatological disorders and continue to be investigated in many clinical indications. Blocking multiple cytokines belonging to several cytokine families with a single small molecule may, however, create a potential risk for the patients. Recently, a higher risk of thromboembolic complications, namely, deep vein thrombosis and pulmonary embolism, has been recognized as the main concern during treatment with Jakinibs. At present, it is not entirely clear whether this increased risk is related to direct cytokine blockade, the presence of concomitant diseases in treated patients or other unknown circumstances that work together to increase the risk of this side effect. In this review, we discuss data on the risk of thromboembolic side effects, with special emphasis on the mechanism that may be responsible for this increased risk. Many indirect data indicate that higher thromboembolic risk may be related to the specificity of JAK inhibitor action, such that preferentially blocking one signaling pathway upsets the balance between pro and anti-thrombotic activities.

Indexed as

AnimalsArthritis, RheumatoidDrug-Related Side Effects and Adverse ReactionsHumansJanus Kinase InhibitorsJanus KinasesNeoplasmsSignal TransductionThromboembolismJanus Kinase InhibitorsJanus Kinasesdeep vein thrombosisJAK kinase inhibitorJAK/STAT pathwayprothrombotic effectvenous thromboembolism

Identifiers

PMID33671049
PMCPMC7957632
OpenAlexW3135568200

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.