Oncostatin M (OSM) is a pleiotropic cytokine in the interleukin-6 (IL-6) family, involved in inflammation, fibrosis, and immune regulation . Antibodies targeting OSM or its receptors (e.g., OSMRβ) are under investigation for treating inflammatory and autoimmune diseases.
OSM antibodies work through two primary pathways:
Direct Neutralization: Binding to OSM prevents receptor interaction, blocking downstream JAK/STAT and MAPK signaling .
Receptor Blockade: Targeting OSMRβ (e.g., anti-OSMRβ antibodies) disrupts OSM signaling, as observed in IL-31-induced itch responses .
Atopic Dermatitis: In NC/Nga mice, subcutaneous anti-OSMRβ antibodies reduced scratching behavior by 60%, suppressed IgE and IL-13 levels, and improved skin lesions .
Pain Management: OSM antagonists (e.g., small molecules or vectors targeting OSMRβ) have shown efficacy in treating cancerous and neurogenic pain .
GSK2330811: A phase 2 trial in systemic sclerosis (SSc) patients showed target engagement (91% serum OSM neutralization) but no clinical benefit due to IL-6 pathway redundancy. Safety concerns included dose-dependent anemia and thrombocytopenia .
Redundancy in Cytokine Signaling: OSM and IL-6 pathways overlap, limiting therapeutic efficacy in diseases like SSc .
Tissue Penetration: Limited data on antibody distribution in poorly perfused tissues (e.g., fibrotic skin) .
Biomarker Validation: Further studies are needed to correlate OSM inhibition with clinical endpoints .
KEGG: cel:CELE_R07G3.6
STRING: 6239.R07G3.6