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Updated: Mar 28, 2026

Induction and Analysis of Epithelial to Mesenchymal Transition
Published on: August 27, 2013
Targeting STAT3/miR-21 axis inhibits epithelial-mesenchymal transition via regulating CDK5 in head and neck squamous
Shan-Shan Sun1, Xuan Zhou2, Yuan-Yuan Huang3
1The Maxillary Facial and Otorhinolaryngology Head & Neck Surgery, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin Key Laboratory of Cancer Prevention and Therapy, Huanhuxi Road, Tiyuanbei, Hexi District, Tianjin, TJ, 300060, China. 416638617sss@163.com.
Background:
Abnormal activation of STAT3 and miR-21 plays a vital role in progression and invasion of solid tumors. The cyclin-dependent kinase 5 (CDK5) is reported to contribute to cancer metastasis by regulating epithelial-mesenchymal transition (EMT). However, the role of STAT3/miR-21 axis and CDK5 in head and neck squamous cell carcinoma remains unclear.
Methods:
We measured the expression of miR-21, CDK5 and EMT markers in 60 HNSCC tumor samples. We used Immunohistochemistry and in situ hybridization assay to examine the role of STAT3/miR-21 axis and CDK5 activation in the invasiveness of HNSCC. The clinical survival relevance was analyzed by Kaplan-Meier analysis and univariate/multivariate COX regression model. Multiple approaches including scratch, transwell chamber assay and other molecular biology techniques were used to validate the anti-invasion effect of targeting miR-21 in Tca8113 and Hep-2 cell lines in vitro. Furthermore, whether miR-21 depletion inhibits HNSCC invasion in vivo was confirmed in Tca8113 xenograft tumor model.
Results:
The expression of miR-21 and CDK5 were significantly correlated with lymph node metastasis in HNSCC. Hep-2 and Tca8113 cell lines showed co-overexpression of miR-21 and CDK5. WP1066 or asON-miR-21 treatment depleted miR-21 and CDK5 expression and significantly inhibited migration or invasion in Hep-2 and Tca8113 cells. The expression levels of CDK5/p35, N-cadherin, vimentin, β-catenin were inhibited while E-cadherin level was increased by miR-21 depletion in vitro and in vivo. Conversely, ectopic CDK5 overexpression significantly induced tumor cell motility and EMT. Moreover, ectopic CDK5 overexpression in Hep-2 and Tca8113 cells rescued the observed phenotype after miR-21 silencing or WP1066 treatment.
Conclusions:
miR-21 cooperates with CDK5 to promote EMT and invasion in HNSCC. This finding suggests that CDK5 may be an important cofactor for targeting when designing metastasis-blocking therapy by targeting STAT3/miR-21 axis with STAT3 inhibitor or miR-21 antisense oligonucleotide. This is the first demonstration of the novel role of STAT3/miR-21 axis and CDK5/CDK5R1 (p35) in metastasis of HNSCC.
Insights
MicroRNA-21 (miR-21) and cyclin-dependent kinase 5 (CDK5) promote head and neck cancer invasion. Targeting this axis offers a new strategy for metastasis-blocking therapy in HNSCC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- STAT3 and miR-21 abnormal activation drive solid tumor progression and invasion.
- Cyclin-dependent kinase 5 (CDK5) is implicated in cancer metastasis via epithelial-mesenchymal transition (EMT).
- The specific roles of the STAT3/miR-21 axis and CDK5 in head and neck squamous cell carcinoma (HNSCC) remain largely uncharacterized.
Purpose of the Study:
- To investigate the roles of the STAT3/miR-21 axis and CDK5 in HNSCC metastasis.
- To explore the therapeutic potential of targeting miR-21 and CDK5 in HNSCC.
- To elucidate the molecular mechanisms underlying HNSCC invasion involving miR-21 and CDK5.
Main Methods:
- Expression analysis of miR-21, CDK5, and EMT markers in 60 HNSCC samples.
- Immunohistochemistry and in situ hybridization to assess STAT3/miR-21 axis and CDK5 activation in HNSCC invasiveness.
- In vitro (cell lines) and in vivo (xenograft model) experiments to evaluate the anti-invasion effects of targeting miR-21.
- Kaplan-Meier and COX regression analyses for clinical survival relevance.
Main Results:
- miR-21 and CDK5 expression positively correlated with lymph node metastasis in HNSCC.
- Co-overexpression of miR-21 and CDK5 observed in Hep-2 and Tca8113 cell lines.
- Targeting miR-21 (using WP1066 or asON-miR-21) significantly inhibited HNSCC cell migration and invasion by downregulating CDK5, N-cadherin, vimentin, β-catenin, and upregulating E-cadherin.
- Overexpression of CDK5 promoted tumor cell motility and EMT, and rescued the phenotype after miR-21 inhibition.
Conclusions:
- miR-21 and CDK5 cooperate to promote EMT and invasion in HNSCC.
- CDK5 acts as a crucial cofactor in the STAT3/miR-21 axis promoting HNSCC metastasis.
- Targeting the STAT3/miR-21 axis with STAT3 inhibitors or miR-21 antisense oligonucleotides, in conjunction with CDK5 targeting, presents a promising strategy for metastasis-blocking therapy in HNSCC.
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