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Impact of IFNalpha2b upon pSTAT3 and the MEK/ERK MAPK pathway in melanoma
Wenjun Wang1, Howard D Edington, Drazen M Jukic
1Department of Medicine, Division of Hematology/Oncology, University of Pittsburgh, Hillman Cancer Center, Research Pavilion, Suite 1.32, 5117 Centre Avenue, Pittsburgh, PA 15213-2584, USA.
Purpose:
High-dose IFNalpha2b (HDI) was established as the first effective adjuvant therapy for patients with high-risk resected melanoma more than a decade ago, but its fundamental molecular mechanism of action remains unclear. STAT3 and the mitogen activated protein kinases (MAPKs), especially ERK (extracellular signal-regulating kinase) and MEK (MAPK/ERK kinase), play roles in melanoma progression and host immunity. We have therefore evaluated STAT3 and MEK/ERK MAP kinases in patients with regional lymph node metastasis (stage IIIB) of melanoma in the context of a prospective neoadjuvant trial of HDI (UPCI 00-008).
Patients And Methods:
In the context of this trial, HDI was administered daily for 20 doses following diagnostic biopsy, and prior to definitive surgery. Immunohistochemistry for pSTAT3, phospho-MEK1/2, phospho-ERK1/2, and EGFR was performed on paired fixed (nine patients) biopsies.
Results:
HDI was found to down-regulate pSTAT3 (P = 0.008) and phospho-MEK1/2 (P = 0.008) levels significantly in tumor cells. Phospho-ERK1/2 was down-regulated by HDI in tumor cells (P = 0.015), but not in lymphoid cells. HDI down-regulated EGFR (P = 0.013), but pSTAT3 activation appeared not to be associated with EGFR expression and the MEK/ERK MAPK pathway.
Conclusion:
We conclude that HDI regulates MAPK signaling differentially in melanoma tumor cells and host lymphoid cells in vivo. STAT3 activation is independent of the EGFR/MEK/ERK signaling pathway.
Insights
High-dose IFNalpha2b (HDI) down-regulates STAT3 and MAPK signaling in melanoma patients. This adjuvant therapy impacts tumor cells differently than lymphoid cells, revealing new insights into melanoma treatment mechanisms.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- High-dose IFNalpha2b (HDI) is an established adjuvant therapy for resected melanoma.
- The molecular mechanisms underlying HDI's efficacy remain incompletely understood.
- Signal transducer and activator of transcription 3 (STAT3) and mitogen-activated protein kinases (MAPKs) are implicated in melanoma progression and immune response.
Purpose of the Study:
- To investigate the effects of neoadjuvant HDI on STAT3 and MEK/ERK MAPK signaling pathways in patients with stage IIIB melanoma.
- To elucidate the molecular mechanisms of HDI in the context of a neoadjuvant therapeutic approach.
Main Methods:
- Prospective neoadjuvant trial (UPCI 00-008) involving daily HDI administration for 20 doses prior to surgery.
- Immunohistochemistry was performed on paired tumor biopsies to assess levels of pSTAT3, phospho-MEK1/2, phospho-ERK1/2, and EGFR.
Main Results:
- HDI significantly down-regulated pSTAT3 and phospho-MEK1/2 levels in melanoma tumor cells (P = 0.008).
- Phospho-ERK1/2 was also down-regulated in tumor cells (P = 0.015) but not in lymphoid cells.
- HDI treatment led to down-regulation of EGFR (P = 0.013), with STAT3 activation appearing independent of EGFR and the MEK/ERK pathway.
Conclusions:
- HDI differentially regulates MAPK signaling in melanoma tumor cells versus host lymphoid cells in vivo.
- STAT3 activation in this context is independent of the EGFR/MEK/ERK signaling pathway.
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