STAT3 Induces Immunosuppression by Upregulating PD-1/PD-L1 in HNSCC

L L Bu1,2, G T Yu1, L Wu1

  • 11 The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine, Ministry of Education, Wuhan, China.

Insights

Signal transducer and activator of transcription 3 (STAT3) signaling promotes programmed death-1 (PD-1) and its ligand (PD-L1) expression in head and neck squamous cell carcinoma (HNSCC). Targeting STAT3 may enhance immunotherapy for HNSCC.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Head and neck squamous cell carcinoma (HNSCC) is a prevalent cancer with ongoing advances in immunotherapy.
  • Immune checkpoint inhibitors targeting programmed death 1 (PD-1) and its ligand (PD-L1) show promise, but their regulatory mechanisms in HNSCC require further elucidation.
  • Understanding the molecular pathways that control PD-1/PD-L1 expression is crucial for optimizing HNSCC immunotherapy.

Purpose of the Study:

  • To investigate the role of signal transducer and activator of transcription 3 (STAT3) activation in regulating PD-1 and PD-L1 expression in HNSCC.
  • To explore the correlation between phosphorylated STAT3 (p-STAT3) and PD-1/PD-L1 levels in HNSCC.
  • To assess the therapeutic potential of targeting STAT3 signaling for HNSCC treatment.

Main Methods:

  • Immunostaining was employed to analyze the expression and correlation of p-STAT3 with PD-1/PD-L1 in human and mouse HNSCC tissue sections.
  • A small molecule inhibitor was used to target STAT3 in the CAL27 HNSCC cell line.
  • STAT3 signaling blockade was evaluated in a Tgfbr1/Pten 2cKO HNSCC mouse model.

Main Results:

  • Overexpression of PD-1 and PD-L1 was significantly associated with p-STAT3 in both human and mouse HNSCC.
  • Inhibition of STAT3 using a small molecule effectively reduced PD-L1 expression in the CAL27 cell line.
  • Blocking STAT3 signaling led to the downregulation of PD-1/PD-L1 in a preclinical HNSCC mouse model.

Conclusions:

  • STAT3 signaling plays a significant role in the regulation of PD-1/PD-L1 expression in HNSCC.
  • Targeting STAT3 represents a potential strategy to enhance antitumor immune responses in HNSCC.
  • These findings provide insights into the molecular mechanisms underlying immunotherapy resistance and suggest novel therapeutic avenues for HNSCC.