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Constitutive activation of Stat3 signaling abrogates apoptosis in squamous cell carcinogenesis in vivo
J R Grandis1, S D Drenning, Q Zeng
1Department of Otolaryngology, University of Pittsburgh School of Medicine and University of Pittsburgh Cancer Institute, Pittsburgh, PA 15213, USA. jgrandis+@pitt.edu
Abstract:
Field cancerization predisposes the upper aerodigestive tract mucosa to the formation of multiple primary tumors, when exposed to environmental carcinogens. Up-regulation of epidermal growth factor receptor occurs early in squamous cell carcinogenesis and is critical for the loss of growth control in a variety of human cancers, including head and neck squamous cell carcinomas. In these tumor cells in culture, epidermal growth factor receptor stimulation initiates signaling via persistent activation of selective STAT proteins. To determine the timing of Stat3 activation in head and neck carcinogenesis, we studied the expression and constitutive activation of Stat3 in tumors and normal mucosa from patients with head and neck cancer compared with mucosa from controls without cancer. Stat3 was up-regulated and constitutively activated in both primary human head and neck tumors as well as in normal mucosa from these cancer patients compared with control normal mucosa from patients without cancer. In vivo liposome-mediated gene therapy with a Stat3 antisense plasmid efficiently inhibited Stat3 activation, increased tumor cell apoptosis, and decreased Bcl-x(L) expression in a head and neck xenograft model. These findings provide evidence that constitutively activated Stat3 is an early event in head and neck carcinogenesis that contributes to the loss of growth control by an anti-apoptotic mechanism.
Insights
Constitutively activated STAT3 (Signal Transducer and Activator of Transcription 3) is an early event in head and neck cancer development. Inhibiting STAT3 activation can reduce tumor growth and increase cancer cell death.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Field cancerization increases the risk of multiple primary tumors in the upper aerodigestive tract due to carcinogen exposure.
- Epidermal growth factor receptor (EGFR) up-regulation is an early event in squamous cell carcinogenesis, crucial for growth control loss in head and neck cancers.
- EGFR stimulation activates STAT proteins (Signal Transducer and Activator of Transcription) in head and neck squamous cell carcinoma cells.
Purpose of the Study:
- To investigate the temporal role of STAT3 activation in head and neck carcinogenesis.
- To compare STAT3 expression and activation in tumors and normal mucosa of head and neck cancer patients versus controls.
Main Methods:
- Studied STAT3 expression and constitutive activation in head and neck tumors and adjacent normal mucosa from cancer patients and control subjects.
- Utilized in vivo liposome-mediated gene therapy with a STAT3 antisense plasmid in a head and neck xenograft model.
Main Results:
- STAT3 was up-regulated and constitutively activated in both head and neck tumors and the adjacent normal mucosa of cancer patients, compared to controls.
- STAT3 antisense gene therapy inhibited STAT3 activation, increased tumor cell apoptosis, and decreased Bcl-x(L) expression in a xenograft model.
Conclusions:
- Constitutively activated STAT3 is an early event in head and neck carcinogenesis.
- Activated STAT3 contributes to the loss of growth control through an anti-apoptotic mechanism.
- Targeting STAT3 activation holds therapeutic potential for head and neck cancers.
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