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Papers of the Week


Papers: 31 Aug 2024 - 6 Sep 2024


2024 Sep 03


Expert Rev Clin Immunol


39225245

Nociplastic pain in axial spondyloarthritis and psoriatic arthritis: role of JAK kinases in Immunopathology and therapeutic impact of JAK inhibitors.

Authors

Horbal N, Maksymowych WP

Abstract

Pain in both peripheral and axial joints is a major symptom in patients with psoriatic arthritis (PsA) and axial spondyloarthritis (axSpA). Emerging evidence demonstrates pain mechanisms, beyond those related to inflammation or joint damage, based on aberrant processing of nociceptive stimuli peripherally as well as centrally. The Janus kinase/signal transducers and activators of transcription (JAK-STAT) signaling pathway has been implicated in the processing of pain beyond its role in mediating inflammation and inhibitors of this pathway approved for the treatment of axSpA and PsA have been shown to alleviate a broad array of pain outcomes in both axial and peripheral joints.