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STAT3 mediates resistance to MEK inhibitor through microRNA miR-17
Bingbing Dai1, Jieru Meng, Michael Peyton
1Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA. bdai@mdanderson.org
Abstract:
AZD6244 is a small molecule inhibitor of the MEK (MAP/ERK kinase) pathway currently in clinical trials. However, the mechanisms mediating intrinsic resistance to MEK inhibition are not fully characterized. To define molecular mechanisms of MEK inhibitor resistance, we analyzed responses of 38 lung cancer cell lines following AZD6244 treatment and their genome-wide gene expression profiles and identified a panel of genes correlated with sensitivity or resistance to AZD6244 treatment. In particular, ingenuity pathway analysis revealed that activation of the STAT3 pathway was associated with MEK inhibitor resistance. Inhibition of this pathway by JSI-124, a STAT3-specific small molecule inhibitor, or with STAT3-specific siRNA sensitized lung cancer cells to AZD6244 and induced apoptosis. Moreover, combining a STAT3 inhibitor with AZD6244 induced expression of BIM and PARP cleavage, whereas activation of the STAT3 pathway inhibited BIM expression and elicited resistance to MEK inhibitors. We found that the STAT3-regulated microRNA miR-17 played a critical role in MEK inhibitor resistance, such that miR-17 inhibition sensitized resistant cells to AZD6244 by inducing BIM and PARP cleavage. Together, these results indicated that STAT3-mediated overexpression of miR-17 blocked BIM expression and caused resistance to AZD6244. Our findings suggest novel approaches to overcome resistance to MEK inhibitors by combining AZD6244 with STAT3 or miR-17 inhibitors.
Insights
AZD6244 (MEK inhibitor) resistance in lung cancer involves STAT3 pathway activation and miR-17 overexpression, which blocks BIM. Inhibiting STAT3 or miR-17 sensitizes cells to AZD6244, offering new treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- AZD6244 (MEK inhibitor) shows promise in clinical trials for cancer treatment.
- Mechanisms of intrinsic resistance to MEK inhibitors are not fully understood.
- Understanding resistance is crucial for developing effective cancer therapies.
Purpose of the Study:
- To elucidate molecular mechanisms of intrinsic resistance to MEK inhibition.
- To identify biomarkers predictive of sensitivity or resistance to AZD6244.
- To explore therapeutic strategies to overcome MEK inhibitor resistance.
Main Methods:
- Analysis of 38 lung cancer cell lines treated with AZD6244.
- Genome-wide gene expression profiling.
- Pathway analysis (Ingenuity Pathway Analysis).
- Inhibition of STAT3 pathway using small molecule inhibitor (JSI-124) and siRNA.
- Assessment of microRNA (miR-17) role in resistance.
Main Results:
- STAT3 pathway activation correlated with resistance to AZD6244.
- Inhibiting STAT3 or miR-17 sensitized lung cancer cells to AZD6244.
- STAT3 inhibition and miR-17 inhibition induced BIM expression and PARP cleavage.
- STAT3-mediated miR-17 overexpression was identified as a key mechanism of resistance.
- Overexpression of miR-17 blocked BIM expression, leading to AZD6244 resistance.
Conclusions:
- STAT3-mediated miR-17 overexpression is a critical mechanism conferring resistance to MEK inhibitors like AZD6244.
- Combining AZD6244 with STAT3 or miR-17 inhibitors represents a potential therapeutic strategy to overcome resistance.
- Targeting the STAT3/miR-17/BIM axis offers novel approaches for lung cancer treatment.
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