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Updated: Jul 30, 2026

Lung Tumor Cell Recruitment Assay
Published on: February 26, 2019
Autocrine IL-6-induced Stat3 activation contributes to the pathogenesis of lung adenocarcinoma and malignant pleural
1Institute of Basic Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Abstract:
Malignant pleural effusion (MPE) is a poor prognostic sign for patients with non-small-cell lung cancer (NSCLC). The generation of MPE is largely regulated by vascular endothelial growth factor (VEGF), and upregulation of VEGF by Stat3 has been observed in several types of tumor cells. In this study, we demonstrate constitutively activated Stat3 in several human lung cancer cell lines and in tumor cells infiltrated in the pleurae of patients with adenocarcinoma cell lung cancer (ADCLC) and MPE. The observations suggest that activated Stat3 plays a role in the pathogenesis of ADCLC. In PC14PE6/AS2 cells, a Stat3-positive human ADCLC cell line, autocrine IL-6 activated Stat3 via JAKs, not via Src kinase. PC14PE6/AS2 cells express higher VEGF mRNA and protein than do Stat3-negative PC14PE6/AS2/dnStat3 cells. In an animal model, PC14P6/AS2/dnStat3 cells produced no MPE and less lung metastasis than did PC14P6/AS2 cells. PC14PE6/AS2 cells also expressed higher VEGF protein, microvessel density, and vascular permeability in tumors than did PC14P6/AS2/dnStat3 cells. Therefore, we hypothesize that autocrine IL-6 activation of Stat3 in ADCLC may be involved in the formation of malignant pleural effusion by upregulating VEGF. Higher levels of IL-6 and VEGF were also found in the pleural fluids of patients with ADCLC than in patients with congestive heart failure. The autocrine IL-6/Stat3/VEGF signaling pathway may also be activated in patients with ADCLC and MPE. These findings provide novel targets for the management of MPE.
Insights
Activated Stat3 signaling in adenocarcinoma cell lung cancer (ADCLC) promotes malignant pleural effusion (MPE) by upregulating vascular endothelial growth factor (VEGF). This pathway offers new therapeutic targets for MPE management.
Area of Science:
- Oncology
- Molecular Biology
Background:
- Malignant pleural effusion (MPE) is a significant indicator of poor prognosis in non-small-cell lung cancer (NSCLC).
- Vascular endothelial growth factor (VEGF) plays a key role in MPE development, with its upregulation linked to Stat3 activation in various tumor cells.
Purpose of the Study:
- To investigate the role of activated Signal Transducer and Activator of Transcription 3 (Stat3) in the pathogenesis of adenocarcinoma cell lung cancer (ADCLC) and MPE.
- To elucidate the IL-6/Stat3/VEGF signaling pathway in ADCLC and its association with MPE.
Main Methods:
- Demonstrated constitutive Stat3 activation in human ADCLC cell lines and patient tumor samples.
- Utilized cell lines (PC14PE6/AS2 and Stat3-negative PC14PE6/AS2/dnStat3) to study IL-6-mediated Stat3 activation via JAKs.
- Employed an animal model to assess the impact of Stat3 inhibition on MPE and metastasis.
- Measured IL-6 and VEGF levels in pleural fluids from ADCLC patients and those with congestive heart failure.
Main Results:
- Activated Stat3 was observed in ADCLC cell lines and pleural tumor cells from patients with MPE.
- Autocrine IL-6 activated Stat3 in PC14PE6/AS2 cells, leading to increased VEGF expression.
- Stat3 inhibition in vivo reduced MPE formation and lung metastasis, with decreased tumor microvessel density and vascular permeability.
- Elevated IL-6 and VEGF levels were detected in the pleural fluids of ADCLC patients compared to heart failure patients.
Conclusions:
- Constitutively activated Stat3 plays a role in ADCLC pathogenesis and MPE development.
- The autocrine IL-6/Stat3/VEGF signaling pathway is implicated in MPE formation in ADCLC.
- Targeting the IL-6/Stat3/VEGF pathway presents a potential therapeutic strategy for managing MPE in ADCLC patients.
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