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Tropomodulin 3 Overexpression as a Marker for Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
Abrogation of constitutive Stat3 activity circumvents cisplatin resistant ovarian cancer
Teng Ji1, Danni Gong, Zhiqiang Han
1Cancer Biology Research Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, PR China.
Abstract:
The aim of the present study was to investigate the role of Stat3 in cisplatin resistant ovarian cancer. It was first demonstrated that higher activated Stat3 was detected in cisplatin-resistant ovarian cancer cell lines. To provide evidence that supported the hypothesis that phosphorylated-Stat3 expression may promote cisplatin resistance, ectopic Stat3 was expressed by IL-6 stimulation that partially abrogates Stat3, as opposed to the knock-down of Stat3 by specific siRNA that restores cisplatin sensitivity against ovarian cancer cells. This hypothesis was further confirmed by clinical tumor specimens of ovarian cancer obtained from patients with cisplatin-resistance. Based on these premises, Stattic, an effective small molecular inhibitor of Stat3, was used to inhibit Stat3 activation. The data presented here show that Stattic restored the sensitivity to cisplatin in chemoresistant ovarian cancer by significant reductions in the expression of the anti-apoptosis protein Bcl-2, Bcl-XL, Survivin protein and phosphorylated-Akt levels. Consistent with these observations, this experiment demonstrated the first evidence of Stattic circumvented cisplatin resistance of orthotopic xenograft ovarian cancer in vivo. Altogether, these findings emphasize the importance of Stat3 in cisplatin resistance in ovarian cancer and provide a further impetus to clinically evaluate biological modifiers that may circumvent cisplatin resistance in patients with chemoresistant ovarian cancer.
Insights
Signal transducer and activator of transcription 3 (Stat3) plays a key role in cisplatin resistance in ovarian cancer. Inhibiting Stat3 with Stattic can restore cisplatin sensitivity in chemoresistant ovarian cancer cells and tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Cisplatin resistance is a major challenge in ovarian cancer treatment.
- Signal transducer and activator of transcription 3 (Stat3) is implicated in various cancers, but its specific role in cisplatin resistance in ovarian cancer requires further elucidation.
Purpose of the Study:
- To investigate the role of activated Signal transducer and activator of transcription 3 (Stat3) in the development of cisplatin resistance in ovarian cancer.
- To evaluate the efficacy of Stat3 inhibition using Stattic in overcoming cisplatin resistance in ovarian cancer models.
Main Methods:
- Assessed activated Stat3 levels in cisplatin-resistant ovarian cancer cell lines and clinical specimens.
- Manipulated Stat3 expression (ectopic expression and siRNA knockdown) to assess its impact on cisplatin sensitivity.
- Administered Stattic, a small molecular inhibitor of Stat3, to chemoresistant ovarian cancer cells and in vivo xenograft models.
- Measured expression of apoptosis-related proteins (Bcl-2, Bcl-XL, Survivin) and phosphorylated-Akt levels.
Main Results:
- Higher activated Stat3 levels were observed in cisplatin-resistant ovarian cancer cells and patient tumors.
- Modulating Stat3 expression affected cisplatin sensitivity, confirming its role in resistance.
- Stattic treatment restored cisplatin sensitivity in chemoresistant ovarian cancer cells by reducing Bcl-2, Bcl-XL, Survivin, and phosphorylated-Akt.
- Stattic demonstrated efficacy in circumventing cisplatin resistance in an orthotopic xenograft ovarian cancer model in vivo.
Conclusions:
- Activated Stat3 is crucial for cisplatin resistance in ovarian cancer.
- Inhibiting Stat3 with Stattic is a promising strategy to overcome cisplatin resistance.
- Further clinical evaluation of Stat3 inhibitors is warranted for chemoresistant ovarian cancer patients.
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