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Published on: December 9, 2016
Feedback Activation of STAT3 as a Cancer Drug-Resistance Mechanism
Chengguang Zhao1, Huameng Li2, Huey-Jen Lin3
1School of Environmental and Biological Engineering, Nanjing University of Science and Technology, Nanjing, Jiangsu 210094, People's Republic of China; Center for Childhood Cancer and Blood Diseases, The Research Institute at Nationwide Children's Hospital, Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH 43205, USA; Chemical Biology Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, University Town, Wenzhou, Zhejiang 325035, People's Republic of China.
Abstract:
Signal transducer and activator of transcription 3 (STAT3) plays crucial roles in several cellular processes such as cell proliferation and survival, and has been found to be aberrantly activated in many cancers. Much research has explored the leading mechanisms for regulating the STAT3 pathway and its role in promoting tumorigenesis. We focus here on recent evidence suggesting that feedback activation of STAT3 plays a prominent role in mediating drug resistance to a broad spectrum of targeted cancer therapies and chemotherapies. We highlight the potential of co-targeting STAT3 and its primary target to overcome drug resistance, and provide perspective on repurposing clinically approved drugs as STAT3 pathway inhibitors, in combination with the FDA-approved receptor tyrosine kinase (RTK) inhibitors, to improve clinical outcome of cancer treatment.
Insights
Feedback activation of Signal transducer and activator of transcription 3 (STAT3) drives cancer drug resistance. Co-targeting STAT3 with approved therapies may overcome resistance and improve patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Signal transducer and activator of transcription 3 (STAT3) is vital for cell proliferation and survival.
- Aberrant STAT3 activation is common in various cancers, promoting tumorigenesis.
- STAT3 pathway dysregulation is implicated in cancer development and progression.
Purpose of the Study:
- To review recent evidence on STAT3 feedback activation in mediating cancer drug resistance.
- To explore co-targeting strategies involving STAT3 to overcome therapeutic resistance.
- To assess the potential of repurposing existing drugs as STAT3 inhibitors for combination cancer therapy.
Main Methods:
- Literature review focusing on recent studies of STAT3 signaling in cancer.
- Analysis of mechanisms underlying STAT3-mediated drug resistance.
- Evaluation of preclinical and clinical data on STAT3 inhibition strategies.
Main Results:
- STAT3 feedback activation is a significant mechanism of resistance to targeted therapies and chemotherapy.
- Co-targeting STAT3 with its primary targets shows promise in overcoming drug resistance.
- Repurposing approved drugs as STAT3 inhibitors offers a viable strategy for combination therapy.
Conclusions:
- STAT3 pathway modulation is critical for overcoming drug resistance in cancer treatment.
- Combination therapies targeting STAT3 and receptor tyrosine kinases (RTKs) may enhance clinical outcomes.
- Repurposing clinically approved drugs presents a cost-effective approach to STAT3-targeted cancer therapy.
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