The Potent and Selective Oral STAT6 Degrader, KT-621, Affects Gene Transcripts in Human Keratinocytes as Effectively as Dupilumab, and Blocks Th2 Inflammation in Atopic Dermatitis and Asthma Mouse Models

Main Article Content

Amy Wang
Bin Yang
Karen Yuan
Alamgir Hossain
Rahul Karnik
James Shaw
Huijun Dong
Bruce Follows
Chris Browne
Ralf Schmidt
Rupa Sawant
Bradley Enerson
Chad Nivens
Nello Mainolfi

Keywords

targeted STAT6 degrader, oral therapy, preclinical, Th2 inflammation, atopic dermatitis mouse model, asthma mouse model, STAT6

Abstract

STAT6 is an essential transcription factor in the IL-4/IL-13 signaling pathways and the central driver of Th2 inflammation in allergic/atopic diseases. Multiple gain of function mutations of STAT6 have been identified to cause severe atopic/allergic diseases in humans. Dupilumab, an injectable monoclonal antibody that blocks IL-4/IL-13 signaling, is an approved therapy for multiple atopic/allergic diseases therefore targeting STAT6 in these diseases is supported by both human genetics and dupilumab’s clinical activity. STAT6 functions through protein-protein and protein-DNA interactions. It has been challenging to selectively and potently inhibit STAT6 with traditional small molecule inhibitors. However, STAT6 is well suited for a novel targeted protein degradation approach, where a simple binding event is sufficient to drive degradation of the protein and fully block its functions.

References

1. Sharma et al., Human germline heterozygous gain-of-function STAT6 variants cause severe allergic disease. J. Exp. Med. 2023; 220 (5): e20221755 ​

2. Takeda et al. Essential role of STAT6 in IL-4 signaling. Nature 1996; 380: 627-630​

3. Kaplan et al. STAT6 is required for mediating responses to IL-4 and for the development of Th2 cells. Immunity. 1996; 3: 313-319​

3. Junttila. Tuning the cytokine responses: An update on Interleukin (IL)-4 and IL-13 receptor complexes. Front. Immunol. 2018; 9​

4. Kolkhir et al., Type 2 chronic inflammatory diseases: Targets, therapies and unmet needs. Nature Reviews. Drug Discovery. 2023 August.

5. Kolkhir et al., Type 2 chronic inflammatory diseases: Targets, therapies and unmet needs. Nature Reviews. Drug Discovery. 2023 August.

Most read articles by the same author(s)