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Oclacitinib 10 years later: lessons learned and directions for the future in: Journal of the American Veterinary Medical Association Volume 261 Issue S1 (2023)

Atopic dermatitis results from a combination of skin barrier damage and a skewed immune response to epicutaneously presented allergens. The inflammatory response is dynamic. Keratinocytes shape the immune response through the secretion of cytokines and contribute to the recruitment of lymphocytes by releasing chemokines. The initial Th2 response is important for the IgE production and supports a mastocytic and eosinophilic inflammation while later on other lymphocytic populations (Th1, Th17, and Th22) play a role. TARC = Thymus and activation-regulated chemokine. TSLP = Thymic stromal lymphopoietin.

Relationship between drug exposure and inhibition of cytokine function. The blue line shows the concentration of oclacitinib needed to inhibit the listed Janus kinase 1 (JAK1)–dependent cytokines. The potency of oclacitinib toward cytokines can be illustrated by generating dose-response curves that show the inhibitory effects of increasing concentrations of oclacitinib on cytokine function. Half maximal inhibitory concentration (IC50) can be determined from these curves, indicating the concentration of oclacitinib that inhibits the function of that cytokine by 50%. (Adapted from Incorporating Apoquel® chewable tablets into practice. In: Clinician’s Forum, a Clinician’s Brief supplement; 2022. Sponsored by an educational grant from Zoetis. Reprinted with permission from Embark Veterinary, Inc.) Revolution Medicine For Dogs

Oclacitinib 10 years later: lessons learned and directions for the future in: Journal of the American Veterinary Medical Association Volume 261 Issue S1 (2023)

Atopic dermatitis results from a combination of skin barrier damage and a skewed immune response to epicutaneously presented allergens. The inflammatory response is dynamic. Keratinocytes shape the immune response through the secretion of cytokines and contribute to the recruitment of lymphocytes by releasing chemokines. The initial Th2 response is important for the IgE production and supports a mastocytic and eosinophilic inflammation while later on other lymphocytic populations (Th1, Th17, and Th22) play a role. TARC = Thymus and activation-regulated chemokine. TSLP = Thymic stromal lymphopoietin.

Relationship between drug exposure and inhibition of cytokine function. The blue line shows the concentration of oclacitinib needed to inhibit the listed Janus kinase 1 (JAK1)–dependent cytokines. The potency of oclacitinib toward cytokines can be illustrated by generating dose-response curves that show the inhibitory effects of increasing concentrations of oclacitinib on cytokine function. Half maximal inhibitory concentration (IC50) can be determined from these curves, indicating the concentration of oclacitinib that inhibits the function of that cytokine by 50%. (Adapted from Incorporating Apoquel® chewable tablets into practice. In: Clinician’s Forum, a Clinician’s Brief supplement; 2022. Sponsored by an educational grant from Zoetis. Reprinted with permission from Embark Veterinary, Inc.)

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Oclacitinib 10 years later: lessons learned and directions for the future in: Journal of the American Veterinary Medical Association Volume 261 Issue S1 (2023)

Revolution Cat Medication Drake GJ , Nuttall T , López J , et al . Treatment success in three Andean bears ( Tremarctos ornatus) with alopecia syndrome using oclacitinib maleate (APOQUEL®) . J Zoo Wildl Med . 2017 ; 48 ( 3 ): 818 – 828 . doi: 10.1638/2016-0239.1