Table 4.
Drugs indicated for immune-mediated disorders that could be potentially repurposed in systemic vasculitis
Associated genomic region | Target gene | Drug | Type | Indication | Potential clinical application |
2q33.2 | CTLA4 | Abatacept | Fusion proteins | RA, PsA, JIA | AAV EGPA+ |
3p21.31 | LTK | Fostamatinib | Small molecule | Chronic immune thrombocytopenia | BD IgAV |
4p16.2 | GAK | Fostamatinib | Small molecule | Chronic immune thrombocytopenia | BD TAK |
IDUA | Chondroitin sulfate | Small molecule | Primary osteoarthritis | ||
5q31.1 | C1QA/C1QB | Daclizumab | mAb | MS | EGPA+EGPA BD KD TAK |
CTSL | Fostamatinib | Small molecule | Chronic immune thrombocytopenia | ||
IL13 | Tralokinumab | mAb | Atopic dermatitis | ||
IL5 | Mepolizumab | mAb | EGPA, Asthma, Hypereosinophilic syndrome | ||
Reslizumab | mAb | Asthma | |||
5q33.3 | IL12B | Ustekinumab | mAb | Ps, PsA, CD, UC | BD EGPA+TAK |
Tildrakizumab | mAb | Ps | |||
Risankizumab | mAb | Ps, PsA, CD | |||
6q26 | MAP3K4 | Fostamatinib | Small molecule | Chronic immune thrombocytopenia | EGPA- GCA |
6q23.3 | TNFAIP3 | Mesalazine | Small molecule | UC | MPO-AAV BD |
Sulfasalazine | Small molecule | UC, RA | |||
8p21.2 | PTK2B | Leflunomide | Small molecule | RA | EGPA+TAK |
Fostamatinib | Small molecule | Chronic immune thrombocytopenia |
AAV, ANCA-associated vasculitis; BD, Behçet’s Disease; CD, Crohn’s disease; EGPA+, ANCA-positive EGPA; EGPA-, ANCA-negative EGPA; EGPA, eosinophilic granulomatosis with polyangiitis; GCA, giant cell arteritis; IgAV, IgA vasculitis; JIA, juvenile idiopathic arthritis; KD, Kawasaki’s disease; MS, multiple sclerosis; Ps, psoriasis; PsA, psoriatic arthritis; RA, rheumatoid arthritis; TAK, Takayasu’s arteritis; UC, ulcerative Colitis.