STAT3 phosphorylation in the rheumatoid arthritis immunological synapse.

Novak-Kotzer H., Capera J., Jainarayanan A., Elanchezhian M., Valvo S., Mayya V., Zanin-Zhorov A., Macdonald J., Taylor PC., Dustin ML.

Targeting the JAK/STAT pathway has emerged as a key therapeutic strategy for managing Rheumatoid Arthritis (RA). JAK inhibitors suppress cytokine-mediated signaling, including the critical IL-6/STAT3 axis, thereby effectively targeting different aspects of the pathological process. However, despite their clinical efficacy, a subset of RA patients remains refractory to JAK inhibition, underscoring the need for alternative approaches. Here, we identify a novel JAK-independent mechanism of STAT3 activation, which is triggered by the formation of the immunological synapse (IS) in naive CD4+ T cells. Our data demonstrates that LCK mediates the TCR-dependent phosphorylation of STAT3 at the IS, highlighting this pathway as a previously unrecognized hallmark of early T cell activation. Furthermore, we show that the synaptic LCK/TCR-STAT3 pathway is compromised in RA. This discovery highlights a new therapeutic target for RA beyond JAK inhibitors, offering potential avenues for treating patients resistant to current therapies.

DOI

10.1016/j.jaut.2025.103456

Type

Journal article

Publication Date

2025-07-01T00:00:00+00:00

Volume

155

Keywords

CD4 T cells, Immunological synapse, JAK inhibitors, LCK, Rheumatoid arthritis, STAT3, STAT3 Transcription Factor, Arthritis, Rheumatoid, Humans, Phosphorylation, Immunological Synapses, CD4-Positive T-Lymphocytes, Signal Transduction, Receptors, Antigen, T-Cell, Animals, Lymphocyte Activation, Mice, Lymphocyte Specific Protein Tyrosine Kinase p56(lck), Janus Kinases

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