Evidence map›Paper›PMID 40413183›Full record

ArticleNature communications2025

Efficacy of JAK1/2 inhibition in murine myeloproliferative neoplasms is not mediated by targeting oncogenic signaling.

Sivahari Prasad Gorantla, Michael Rassner, Kirstyn Anne Crossley, Tony Andreas Müller, Teresa Poggio, Shifa Khaja Saleem, Helen Kleinfelder, Sudheer Madan Mohan Gambheer, Cornelia Endres, Sabina Schaberg and 13 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

23 authors.

Sivahari Prasad Gorantla *Faculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Michael Rassner *Faculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Kirstyn Anne CrossleyFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Tony Andreas MüllerFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Teresa PoggioFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-2560-8488
Shifa Khaja SaleemFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Helen KleinfelderFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Sudheer Madan Mohan GambheerFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Cornelia EndresFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Sabina SchabergFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Dominik SchmidtFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-7744-1248
Gerin PrinceDepartment of Hematology and Oncology, University Medical Center Schleswig-Holstein, and University Cancer Center Schleswig-Holstein, Lübeck, Germany.ORCID http://orcid.org/0009-0005-0438-7972
Irene Gonzalez-MenendezDepartment of Pathology and Neuropathology, University Hospital Tübingen & Comprehensive Cancer Center Tübingen, Tübingen, Germany.
Detlef BentropInstitute of Physiology, Albert-Ludwigs-Universität Freiburg, Freiburg, Germany.
Rainer TrittlerInstitute of Pharmaceutical Sciences, Albert-Ludwigs-Universität Freiburg, Freiburg, Germany.
Svetlana RylovaFaculty of Medicine, Department of Nuclear Medicine, University Medical Center Freiburg, Freiburg, Germany.
Dietmar PfeiferFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Geoffroy AndrieuxGerman Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0002-5389-9481
Leticia Quintanilla-MartinezDepartment of Pathology and Neuropathology, University Hospital Tübingen & Comprehensive Cancer Center Tübingen, Tübingen, Germany.
Anna Lena IllertFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Nikolas von BubnoffDepartment of Hematology and Oncology, University Medical Center Schleswig-Holstein, and University Cancer Center Schleswig-Holstein, Lübeck, Germany.ORCID http://orcid.org/0000-0001-9593-8947
Robert ZeiserFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany.
Justus DuysterFaculty of Medicine, Clinic for Internal Medicine I, Hematology, Oncology and Stem cell transplantation, University Medical Center Freiburg, Freiburg, Germany. justus.duyster@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0001-7325-7753

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) 3554/1-3Deutsche Forschungsgemeinschaft (German Research Foundation) SFB-1479, Project ID: 441891347
6 · The paper itself

Abstract

Ruxolitinib is a potent JAK1/JAK2 inhibitor, approved for the treatment of primary myelofibrosis (PMF) patients based on the concept of inhibition of oncogenic signaling. However, the effect of ruxolitinib on JAK2-V617F allelic burden is modest, suggesting that inhibition of JAK2-V617F signaling-driven clone expansion is not the main mechanism of action. We evaluate whether ruxolitinib mainly blocks the proliferation of the malignant clone or exerts its effects also by targeting non-malignant cells. Therefore, we develop two JAK2-V617F-driven myeloproliferative neoplasm (MPN) mouse models harboring ruxolitinib resistance mutations. Mice carrying ruxolitinib-resistant JAK2-V617F-driven MPN respond to ruxolitinib treatment similar to mice with ruxolitinib-sensitive JAK2-V617F MPN with respect to reduction of spleen size, leukocyte count and pro-inflammatory cytokines in the serum. Ruxolitinib reduces pro-inflammatory cytokines in both stromal cells and non-malignant hematopoietic cells. Using a rigorous ruxolitinib resistance mutation approach, we can prove that ruxolitinib acts independent of oncogenic JAK2-V617F signaling and reduces the main features of MPN disease such as spleen size and leukocyte counts. Our findings characterize the mechanism of action for ruxolitinib in MPN.

Indexed as

Janus Kinase 1Janus Kinase 2Myeloproliferative DisordersProtein Kinase InhibitorsPyrazolesAnimalsCell ProliferationCytokinesDisease Models, AnimalDrug Resistance, NeoplasmFemaleHumansMiceMice, Inbred C57BLMutationNitrilesCytokinesJak1 protein, mouseJak2 protein, mouseJanus Kinase 1Janus Kinase 2NitrilesProtein Kinase InhibitorsPyrazolesPyrimidinesruxolitinib

Identifiers

PMID40413183
PMCPMC12103521

What OpenQuestion holds

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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.