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Nayak, BB; Bärnthaler, T; Rajesh, R; Teppan, J; Gogg, T; Douschan, P; Kneidinger, N; van, der, Does, AM; Hiemstra, P; Heinemann, A; Böhm, E.
Brepocitinib, a selective TYK2/JAK1 inhibitor, mitigates neutrophilic inflammation and glucocorticoid receptor-β expression in COPD.
Am J Physiol Lung Cell Mol Physiol. 2026;
Doi: 10.1152/ajplung.00237.2025
PubMed
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- Führende Autor*innen der Med Uni Graz
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Böhm Eva
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Nayak Barsha Baisakhi
- Co-Autor*innen der Med Uni Graz
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Bärnthaler Thomas
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Douschan Philipp
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Gogg Theresa
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Heinemann Akos
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Kneidinger Nikolaus
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Rajesh Rishi
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Teppan Julia
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- Abstract:
- Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder characterized by neutrophil-dominant, corticosteroid-refractory airway inflammation involving the IL-23/IL-17A axis. IL-23 primarily activates the Janus kinase/signal transducer and activator of transcription (JAK-STAT) pathway through TYK2 and JAK2, whereas IL-17A and other pro-inflammatory cytokines can activate JAK1. However, the contribution of these JAK-dependent pathways to neutrophil-driven inflammation in COPD remains incompletely understood. In this study we investigated how the IL-23/IL-17A axis modulates neutrophil function and evaluated the therapeutic potential of the dual TYK2/JAK1 inhibitor brepocitinib in COPD. Gene expression and flow cytometric analyses revealed increased TYK2 and JAK1 expression and phosphorylation in sputum cells and neutrophils from COPD patients and smokers. IL-23 and IL-17A enhanced neutrophil activation and stimulated IL-8 release from bronchial epithelial cells, effects that were abrogated by brepocitinib. Neutrophils from COPD patients and smokers also exhibited elevated GRβ expression, a mechanism associated with corticosteroid resistance, which was recapitulated by IL-23/IL-17A stimulation and reversed by brepocitinib. In vivo, brepocitinib suppressed neutrophil recruitment induced by IL-23 or LPS in acute inflammation models. Overall, these findings demonstrate that TYK2/JAK1 inhibition mitigates IL-23/IL-17A-induced neutrophil-driven inflammation and GRβ upregulation in COPD. This highlights the JAK/STAT pathway as a promising therapeutic target to overcome severe airway inflammation and restore GRα/GRβ balance in neutrophils.