Evidence map›Paper›PMID 34630419›Full record

ArticleFrontiers in immunology2021

Tofacitinib Suppresses Several JAK-STAT Pathways in Rheumatoid Arthritis

Maaria Palmroth, Krista Kuuliala, Ritva Peltomaa, Anniina Virtanen, Antti Kuuliala, Antti Kurttila, Anna Kinnunen, Marjatta Leirisalo-Repo, Olli Silvennoinen, Pia Isomäki

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
6.3field-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

49 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
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  5. 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
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  7. Role of the STAT3 Signaling Pathway in Cell Proliferation and Inflammation in Psoriasis and Approaches for Targeted Therapies: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
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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

10 authors at 5 institutions in 1 country.

Maaria PalmrothMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Krista KuulialaDepartment of Bacteriology and Immunology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Ritva PeltomaaDepartment of Rheumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Anniina VirtanenMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Antti KuulialaDepartment of Bacteriology and Immunology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Antti KurttilaMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Anna KinnunenCentre for Rheumatic Diseases, Tampere University Hospital, Tampere, Finland.
Marjatta Leirisalo-RepoDepartment of Rheumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Olli SilvennoinenMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Pia IsomäkiMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Tampere University · FIHelsinki University Hospital · FITampere University · FIUniversity of Helsinki · FIPirkanmaa Hospital District · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Current knowledge on the actions of tofacitinib on cytokine signaling pathways in rheumatoid arthritis (RA) is based on Methods: Sixteen patients with active RA, despite treatment with conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), received tofacitinib 5 mg twice daily for three months. Levels of constitutive and cytokine-induced phosphorylated STATs in peripheral blood monocytes, T cells and B cells were measured by flow cytometry at baseline and three-month visits. mRNA expression of JAKs, STATs and suppressors of cytokine signaling (SOCS) were measured from peripheral blood mononuclear cells (PBMCs) by quantitative PCR. Association of baseline signaling profile with treatment response was also investigated. Results: Tofacitinib, in csDMARDs background, decreased median disease activity score (DAS28) from 4.4 to 2.6 (p < 0.001). Tofacitinib treatment significantly decreased cytokine-induced phosphorylation of all JAK-STAT pathways studied. However, the magnitude of the inhibitory effect depended on the cytokine and cell type studied, varying from 10% to 73% inhibition following 3-month treatment with tofacitinib. In general, strongest inhibition by tofacitinib was observed with STAT phosphorylations induced by cytokines signaling through the common-γ-chain cytokine receptor in T cells, while lowest inhibition was demonstrated for IL-10 -induced STAT3 phosphorylation in monocytes. Constitutive STAT1, STAT3, STAT4 and STAT5 phosphorylation in monocytes and/or T cells was also downregulated by tofacitinib. Tofacitinib treatment downregulated the expression of several JAK-STAT pathway components in PBMCs, SOCSs showing the strongest downregulation. Baseline STAT phosphorylation levels in T cells and monocytes and SOCS3 expression in PBMCs correlated with treatment response. Conclusions: Tofacitinib suppresses multiple JAK-STAT pathways in cytokine and cell population specific manner in RA patients

Indexed as

AdultAgedAntirheumatic AgentsArthritis, RheumatoidCytokinesFemaleHumansJanus Kinase InhibitorsJanus KinasesLeukocytes, MononuclearMaleMiddle AgedPhosphorylationPiperidinesProspective StudiesPyrimidinesAntirheumatic AgentsCytokinesJanus Kinase InhibitorsJanus KinasesPiperidinesPyrimidinesSOCS3 protein, humanSTAT Transcription FactorsSuppressor of Cytokine Signaling 3 ProteintofacitinibB cellscytokinesJAK inhibitormonocytesrheumatoid arthritisT cells

Identifiers

PMID34630419
PMCPMC8498592
OpenAlexW3204231006

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.