Table 2:
Pharmacological approaches to STAT inhibition
| Molecule | Effect | Target(s) | Indication (Clinical Trial Phase) | Ref |
|---|---|---|---|---|
| JAK | ||||
| Ruxolitinib | Direct inhibition of JAKs | JAK1, JAK2 | Approved for treatment of polycythemiavera and myelofibrosis (MF) | (Verstovsek et al., 2010) |
| Tofacitinib | Direct inhibition of JAKs | JAK1, JAK3 | Treatment of Rheumatoid Arthritis (RA) and ulcerative colitis | (Kremer et al., 2009) |
| Baricitinib | Direct inhibition of JAKs | JAK1, JAK2 | Treatment of RA | (Taylor et al., 2017) |
| VX-509 | Direct inhibition of JAK3 | JAK3 | Treatment of RA | (Genovese et al., 2016) |
| Fedratinib | Direct inhibition of JAK2 | JAK2 | Treatment of MF | (Harrison et al., 2017) |
| Upadacitinib | Direct inhibition of JAK1 | JAK1 | Treatment of RA | (Genovese et al., 2018) |
| STAT3 | ||||
| Triptolide | Inhibits phosphorylation of JAK2/ STAT3 | JAK/STAT3 pathway | Phase 3 trial for HIV, Uncontrolled trial in PKD | (Jing et al., 2018) |
| AZ505 | Inhibits STAT3 phosphorylation | SMYD2 | Not Applicable | (Ferguson et al., 2011) |
| Anti-IL10 | Inhibition of macrophages | Macrophages | Not Applicable | (Peda et al., 2016) |
| Pyrimethamine | STAT3 dimerization | STAT3 | Treatment for Toxoplasmosis, | (Takakura et al., 2011) |
| Curcumin | Decreased STAT3 phosphorylation | Wnt, TNF-a, MAPK, HIF1, notch-1 and mTOR and STAT3 | Phase 3 trial planned for CKD Phase 2 Trial for AKI Phase 4 trial planned for PKD | (Leonhard et al., 2011) |
| Nifuroxazide | Reduced renal macrophage infiltration, TNF-a, IL-18, Decreased STAT3 phosphorylation | Jak2/ STAT3, Tyk2 | Treatment of colitis and diarrhea | (Said et al., 2018) |
| Imatinib | Inhibits STAT3 phosphorylation | Tyr-Kinases | Treatment of Chronic myeologenous leukemia (CML), gastrointestinal stromal tumors (GISTs) | (Zaki et al., 2018) |
| Crizotinib | Inhibits STAT3 phosphorylation | c-Met | Treatment of non-small cell lung cancers, Phase 2 trials for renal cancers |
(Mesarosova et al., 2017) |
| Stevia/Stevioside | Inhibits STAT3 phosphorylation, Inhibits ERK1/2 phosphorylation | Not known | Several trials for diabetes mellitus (DM) and obesity | (Potočnjak et al., 2017) |
| Cryptotanshinone | Inhibits STAT3 phosphorylation | SH2 Domain of STAT3 | Trial planned for polycystic ovary syndrom | (Chen et al., 2017) |
| Cinnamaldehyde | Inhibits STAT3 phosphorylation | JAKs | Trials planned for DM and obesity | (Huang et al., 2015) |
| Paclitaxel | Inhibits nuclear translocation | Tubulin | Treatment of breast, ovarian and lung cancer | (Zhang et al., 2015) |
| Resveratrol | Inhibits pY-STAT3 and acetyl-STAT3 | Sirtuin 1 | Several trials for CKD and diabetic nephropathy | (Ni et al., 2014b) |
| MS-275 | Inhibits STAT3 and Akt phosphorylation | HDAC1 | Phase 1 trial for CML, acute myeloid leukemia (AML), and breast cancer Phase 2 trial for renal cancer | (Tang et al., 2014) |
| Oligodeoxynucleotidedecoys | Decreased STAT3 translation | STAT3 mRNA | Not Applicable | (Miklossy et al., 2013) |
| Antisense oligonucleotide | Decreased STAT3 translation | STAT3 mRNA | Not Applicable | (Miklossy et al., 2013) |
| STAT5 | ||||
| Pimozide | Decreased STAT5 phosphorylation | Not known | Approved for treatment of Tourette Syndrome | (Nelson et al., 2011) |
| E804 (Indirubin derivatives) | Decreased STAT5 phosphorylation and DNA binding activity | Most likely Tyr kinases | Not Applicable | (Nam et al., 2012) |
| Chromone based nicotinyl hydrazine | Weakly inhibit STAT5 phosphorylation | STAT5 | Not Applicable | (Müller et al., 2008) |
| Stafib-2 | STAT5b SH2 domain inhibitor | STAT5 | Not Applicable | (Elumalai et al., 2017) |
| AC-3-19 | STAT5 SH2 domain inhibitor | STAT5 | Not Applicable | (Cumaraswamy et al., 2014) |
| AC-4-130 | STAT5 SH2 domain inhibitor | STAT5 | Not Applicable | (Wingelhofer et al., 2018) |
| STAT6 | ||||
| Teriflunomide | Inhibits Phosphorylation of STAT6 | Various Protein Kinases | Approved for treatment of Multiple Sclerosis | (Bar-Or et al., 2014; Olsan et al., 2011) |
| AS1517499 | Inhibits Phosphorylation of STAT6 | STAT6 | Not Applicable | (Chiba et al., 2009) |
| Niflumic acid | Inhibits Phosphorylation of STAT6 | JAK2/ STAT6 | Commonly used for treatment of Rheumatoid Arthritis | (Nakano et al., 2006) |
| YM-341619 | Inhibits Phosphorylation of STAT6 | STAT6 | Not Applicable | (Ohga et al., 2008) |
| PM-43I | STAT5/STAT5 SH2 Domains | STAT5/STAT6 | Not Applicable | (Knight et al., 2018) |
| Tralokinumab | IL-13 neutralizing monoclonal antibody | IL-13 | Positive phase 2b study for AD, currently in phase 3 study for AD | Wollenberg et al., 2019 |
| Lebrikizumab | IL-13 neutralizing monoclonal antibody | IL-13 | Positive phase 2b results for Atopic Dermatitis | (Corren et al., 2011; Hanania et al., 2015; Noonan et al., 2013; Scheerens et al., 2014; Simpson et al., 2018) |