Evidence map›Paper›PMID 39247195›Full record

ReviewFrontiers in immunology2024

JAK inhibitors to treat STAT3 gain-of-function: a single-center report and literature review.

Faranaz Atschekzei, Stephan Traidl, Julia Carlens, Katharina Schütz, Sandra von Hardenberg, Abdulwahab Elsayed, Diana Ernst, Linus Risser, Thea Thiele, Theresa Graalmann and 4 more

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Bridging Rare to Common Diseases: Precision Medicine and the Transforming Landscape of Pediatric Allergy and Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. A case report of ADMIO type 1 caused by aFrontiers in immunology · 2026
    Article
  9. Refractory ITP: revisiting definitions, diagnostics, and management paradigms.Hematology. American Society of Hematology. Education Program · 2025
    Review
  10. Article
  11. Review
  12. Tregopathy in focus.Frontiers in immunology · 2025
    Article
  13. Article
  14. 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

14 authors.

Faranaz Atschekzei *Department of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Stephan Traidl *Cluster of Excellence RESIST (EXC 2155), Hannover Medical School, Hannover, Germany.
Julia Carlens *Department of Pediatric Pneumology, Allergy and Neonatology, Hannover Medical School, Hannover, Germany.
Katharina SchützDepartment of Pediatric Pneumology, Allergy and Neonatology, Hannover Medical School, Hannover, Germany.
Sandra von HardenbergDepartment of Human Genetics, Hannover Medical School, Hannover, Germany.
Abdulwahab ElsayedDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Diana ErnstDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Linus RisserDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Thea ThieleDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Theresa GraalmannDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Juliana RaabInstitute for Diagnostic and Interventional Radiology, Hannover Medical University, Hannover, Germany.
Ulrich BaumannDepartment of Pediatric Pneumology, Allergy and Neonatology, Hannover Medical School, Hannover, Germany.
Torsten WitteDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Georgios SogkasDepartment of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The signal transducer and activator of transcription 3 (STAT3) gain-of-function (GOF) syndrome (STAT3-GOF) is an inborn error of immunity (IEI) characterized by diverse manifestations of immune dysregulation that necessitate systemic immunomodulatory treatment. The blockade of the interleukin-6 receptor and/or the inhibition of the Janus kinases has been commonly employed to treat diverse STAT3-GOF-associated manifestations. However, evidence on long-term treatment outcome, especially in the case of adult patients, is scarce. Methods: Clinical data, including laboratory findings and medical imaging, were collected from all seven patients, diagnosed with STAT3-GOF, who have been treated at the Hannover University School, focusing on those who received a Janus kinase (JAK) inhibitor (JAKi). Previously published cases of STAT3-GOF patients who received a JAKi were evaluated, focusing on reported treatment efficacy with respect to diverse STAT3-GOF-associated manifestations of immune dysregulation and safety. Results: Five out of seven patients diagnosed with STAT3-GOF were treated with a JAKi, each for a different indication. Including these patients, outcomes of JAKi treatment have been reported for a total of 41 patients. Treatment with a JAKi led to improvement of diverse autoimmune, inflammatory, or lymphoproliferative manifestations of STAT3-GOF and a therapeutic benefit could be documented for all except two patients. Considering all reported manifestations of immune dysregulation in each patient, complete remission was achieved in 10/41 (24.4%) treated patients. Conclusions: JAKi treatment improved diverse manifestations of immune dysregulation in the majority of STAT3-GOF patients, representing a promising therapeutic approach. Long-term follow-up data are needed to evaluate possible risks of prolonged treatment with a JAKi.

Indexed as

Gain of Function MutationJanus Kinase InhibitorsSTAT3 Transcription FactorAdolescentAdultChildChild, PreschoolFemaleHumansMaleTreatment OutcomeJanus Kinase InhibitorsSTAT3 protein, humanSTAT3 Transcription Factorantiphospholipid syndromearthritisbaricitinibJAK inhibitorsruxolitinibSTAT3 gain-of-functiontofacitinibtrachyonychia

Identifiers

PMID39247195
PMCPMC11377292

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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.