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Prevention of Organ Allograft Rejection by a Specific Janus Kinase 3 Inhibitor
Paul S. Changelian,1*Mark E. Flanagan,1Douglas J. Ball,2Craig R. Kent,1Kelly S. Magnuson,1William H. Martin,1Bonnie J. Rizzuti,1Perry S. Sawyer,1Bret D. Perry,1William H. Brissette,1Sandra P. McCurdy,1Elizabeth M. Kudlacz,1Maryrose J. Conklyn,1Eileen A. Elliott,1Erika R. Koslov,1Michael B. Fisher,3Timothy J. Strelevitz,3Kwansik Yoon,3David A. Whipple,1Jianmin Sun,1Michael J. Munchhof,1John L. Doty,1Jeffrey M. Casavant,1Todd A. Blumenkopf,1Michael Hines,1Matthew F. Brown,1Brett M. Lillie,1Chakrapani Subramanyam,1Chang Shang-Poa,1Anthony J. Milici,1Gretchen E. Beckius,1James D. Moyer,1Chunyan Su,1Thasia G. Woodworth,1Anderson S. Gaweco,1Chan R. Beals,1Bruce H. Littman,1Douglas A. Fisher,1James F. Smith,1Panayiotis Zagouras,4Holly A. Magna,4Mary J. Saltarelli,4Kimberly S. Johnson,4Linda F. Nelms,2Shelley G. Des Etages,4Lisa S. Hayes,4Thomas T. Kawabata,2Deborah Finco-Kent,2Deanna L. Baker,2Michael Larson,5Ming-Sing Si,5Ricardo Paniagua,5John Higgins,6Bari Holm,5Bruce Reitz,5Yong-Jie Zhou,7Randall E. Morris,5John J. O'Shea,7Dominic C. Borie5*
Because of its requirement for signaling by multiple cytokines,Janus kinase 3 (JAK3) is an excellent target for clinical immunosuppression.We report the development of a specific, orally active inhibitorof JAK3, CP-690,550, that significantly prolongedsurvival ina murine model of heart transplantation and in cynomolgus monkeysreceiving kidney transplants. CP-690,550 treatment was not associatedwithhypertension, hyperlipidemia, or lymphoproliferative disease.On the basis of these preclinical results, we believe JAK3 blockadeby CP-690,550 has potential for therapeutically desirable immunosuppressionin human organ transplantation andin other clinical settings.
1 Immunology Group, Department of Antibacterials and Immunology, Pfizer Global Researchand Development, Groton, CT 06340, USA. 2 Department of Drug Safety Evaluation, Pfizer Global Researchand Development, Groton, CT 06340, USA. 3 Department of Pharmacokinetics, Dynamics, and Metabolism, Pfizer Global Researchand Development, Groton, CT 06340, USA. 4 Department of Genomic and Proteomic Sciences, Pfizer Global Researchand Development, Groton, CT 06340, USA. 5 Transplantation Immunology Laboratory, Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. 6 Pathology, Stanford University School of Medicine, Stanford, CA 94305, USA. 7 Molecular Immunology and Inflammation Branch, National Institutes of Health, Bethesda, MD 20892, USA.
* To whom correspondence should be addressed. E-mail: paul_s_changelian{at}groton.pfizer.com (P.S.C.); dborie{at}stanford.edu (D.C.B.)
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