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Updated: May 20, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Targeting STAT3 in gastric cancer
Andrew S Giraud1, Trevelyan R Menheniott, Louise M Judd
1Murdoch Childrens Research Institute, Royal Childrens Hospital, Parkville, Australia. andrew.giraud@mcri.edu.au
Introduction:
STAT3 is a key transcription factor for many regulatory factors that modulate gene transcription. Particularly important are cytokines and growth factors that maintain homeostasis by regulating immunocytes, stromal and epithelial cells. Dysregulation of STAT3 by constitutive activation plays an important role in the initiation of inflammation and cellular transformation in numerous cancers, especially of epithelial origin. This review focuses on STAT3 drive in gastric cancer initiation and progression, with emphasis on its activation by cytokines, and how targeting the primary drivers or gastric STAT3 therapeutically may prevent or slow stomach cancer development.
Areas Covered:
This review will discuss the mechanics of STAT3 signalling, how constitutive STAT3 activation promotes gastric tumourigenesis in both human adenocarcinomas and mouse models, the nature of the upstream regulators of STAT3, and their association with chronic Helicobacter pylori infection, STAT3-activated genes that promote transformation and progression, and finally the development and use of STAT3 and upstream cytokine inhibitors as therapeutics.
Expert Opinion:
Chronic STAT3 activation is a key event in gastric cancer induction and progression. Specific targeting of stomach epithelial STAT3 or blocking IL-11Rα/gp130 and/or EGFR signal transduction in chronic gastric inflammation and metaplasia may be therapeutically effective in preventing gastric carcinogenesis.
Insights
Signal transducer and activator of transcription 3 (STAT3) activation drives gastric cancer. Targeting STAT3 or its upstream regulators may prevent stomach cancer development and progression.
Area of Science:
- Oncology
- Molecular Biology
- Gastroenterology
Background:
- Signal transducer and activator of transcription 3 (STAT3) is a crucial transcription factor regulating gene expression.
- Dysregulated STAT3 activation is implicated in inflammation and cellular transformation, particularly in epithelial cancers.
- STAT3 plays a significant role in the initiation and progression of gastric cancer.
Purpose of the Study:
- To review the role of STAT3 in gastric cancer initiation and progression.
- To emphasize STAT3 activation by cytokines in gastric cancer.
- To discuss therapeutic strategies targeting STAT3 and its upstream drivers.
Main Methods:
- Review of STAT3 signaling mechanics in gastric tumorigenesis.
- Analysis of upstream regulators of STAT3, including Helicobacter pylori infection.
- Examination of STAT3-activated genes promoting transformation and progression.
- Discussion of STAT3 and cytokine inhibitors as therapeutics.
Main Results:
- Constitutive STAT3 activation promotes gastric tumor development in human and mouse models.
- Upstream regulators, including cytokines and H. pylori, contribute to STAT3 activation.
- STAT3-activated genes are critical for cancer transformation and progression.
Conclusions:
- Chronic STAT3 activation is a key event in gastric cancer induction and progression.
- Targeting gastric epithelial STAT3 or specific signaling pathways (IL-11Rα/gp130, EGFR) may prevent gastric carcinogenesis.
- Therapeutic inhibition of STAT3 signaling offers a promising strategy for gastric cancer prevention.
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