JAK inhibitors remove innate immune barriers to allow viral propagation, 2025, Erlend Ravlo et al

Abstract
Janus kinase (JAK) inhibitors are small-molecule therapeutics that reduce inflammation in autoimmune and inflammatory diseases by modulating the JAK-STAT pathway. While effective in alleviating immune-mediated conditions, JAK inhibitors can impair antiviral defenses by suppressing interferon (IFN) responses, potentially increasing susceptibility to viral infections.

This study investigates the pro-viral mechanism of JAK inhibitors, focusing on baricitinib, across various cell lines, retinal organoids, and viral strains, including a recombinant IFN-sensitive Rift Valley fever (rRVFV), influenza A (rIAV), SARS-CoV-2 (rSARSCoV-2) reporter viruses, and wild type adenovirus (AdV).

Our findings demonstrate that baricitinib suppresses transcription of IFN-stimulated genes in non-infected cells (ISGs) which is triggered by type I IFNs produced by infected cells, facilitating viral propagation. The pro-viral effects were influenced by viral load, inhibitor concentration, and structural characteristics of the compound.

These results underscore the dual effects of JAK inhibitors: reducing inflammation while potentially exacerbating viral infections. Additionally, the findings highlight opportunities to leverage JAK inhibitors for viral research, vaccine production, and drug screening.
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