Table 3.
The Distinctive Properties of AIKs and PIKs
Anti-Inflammatory Kinases (AIKs) | Pro-Inflammatory Kinases (PIKs) |
---|---|
EGFR, VEGFR, PEGFR, VEGFR, BCR-ABL1, ALK, KIT, DDR, BRAF (a partial list) | JAK1, JAK2, JAK3, TYK2, SYK |
“high Treg” diseases | “low Treg” diseases |
Most solid cancers, CLL, ALL, MCL, CML, AMD | Autoimmune diseases, MPNs |
Direct pro-tumor effect + anti-inflammatory effect | Direct tissue damage + pro-inflammatory effect |
Diseases driven by AIKs are associated with “high Treg” pathogens | Diseases driven by PIKs are associated with “low Treg” pathogens |
“High Treg” pathogens activate AIKs | “Low Treg” pathogens activate PIKs |
“High Treg” pathogens inhibit PIKs | |
Pathogens that activate both AIKs and PIKs induce both “high Treg” cancers and autoimmune diseases | Pathogens that activate both AIKs and PIKs induce both “high Treg” cancers and autoimmune diseases |
Alcohol activate the Src family of kinases (AIKs) | Alcohol activate the Src family of kinases (AIKs) |
Alcohol consumption increases the risk of “high Treg” cancers | Alcohol consumption decreases the risk of some autoimmune diseases |
JAK1 loss-of-function mutations are frequent in diseases with high tumor-infiltrating Tregs | JAK1 gain-of-function mutations are frequent in “low Treg” diseases |
AIK inhibitors are approved for the treatment of “high Treg” cancers but not for the treatment “low Treg” diseases (such as autoimmune diseases and MPNs). | PIK inhibitors (JAK inhibitors) are approved for the treatment of “low Treg” diseases (autoimmune diseases and MPNs) but not for the treatment “high Treg” cancers. |
Can AIK inhibitors treat “low Treg” diseases (autoimmune diseases for example)? | Can PIK inhibitors (JAK inhibitors) treat “high Treg” cancers? |