RT Journal Article SR Electronic T1 Influence of Janus Kinase Inhibition on Interleukin 6-mediated Induction of Acute-phase Serum Amyloid A in Rheumatoid Synovium JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 2309 OP 2317 DO 10.3899/jrheum.101362 VO 38 IS 11 A1 KIYOSHI MIGITA A1 TOMOHIRO KOGA A1 ATSUMASA KOMORI A1 TAKAFUMI TORIGOSHI A1 YUMI MAEDA A1 YASUMORI IZUMI A1 JUNJI SATO A1 YUKA JIUCHI A1 TAIICHIRO MIYASHITA A1 SATOSHI YAMASAKI A1 ATSUSHI KAWAKAMI A1 MINORU NAKAMURA A1 SATORU MOTOKAWA A1 HIROMI ISHIBASHI YR 2011 UL http://www.jrheum.org/content/38/11/2309.abstract AB Objective. Inhibition of intracellular signal transduction is considered to be a therapeutic target for chronic inflammation. The new Janus kinase (JAK)3 inhibitor CP690,550 has shown efficacy in the treatment of rheumatoid arthritis (RA). We investigated the influence of JAK/STAT inhibition using CP690,550 on the induction of acute-phase serum amyloid A (SAA), which is triggered by interleukin 6 (IL-6) stimulation in rheumatoid fibroblast-like synoviocytes (RA-FLS). Methods. IL-6-stimulated gene expression of the acute-phase serum amyloid A genes (A-SAA; encoded by SAA1+SAA2) and SAA4 was analyzed by reverse transcriptase-polymerase chain reaction. The intracellular signaling pathway mediating the effects of CP690,550 on IL-6-stimulated JAK/STAT activation was assessed by measuring the phosphorylation levels using Western blots. Results. IL-6 trans-signaling induced A-SAA messenger RNA (mRNA) expression in RA-FLS. By contrast IL-6 stimulation did not affect SAA4 mRNA expression, which is expressed constitutively in RA-FLS. IL-6 stimulation elicited rapid phosphorylation of JAK2 and STAT3, which was blunted by CP690,550. CP690,550 abrogated IL-6-mediated A-SAA mRNA expression in RA-FLS. Similarly, CP690,550 inhibited IL-6-mediated A-SAA mRNA expression in human hepatocytes. Conclusion. Our data indicated that CP690,550 blocked IL-6-induced JAK2/STAT3 activation, as well as the induction of A-SAA. Inhibition of IL-6-mediated proinflammatory signaling pathways by CP690,550 may represent a new antiinflammatory therapeutic strategy for RA and AA amyloidosis.