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Updated: Dec 26, 2025

A Rapid Screening Workflow to Identify Potential Combination Therapy for GBM using Patient-Derived Glioma Stem Cells
Published on: March 28, 2021
STAT3 inhibition induced temozolomide-resistant glioblastoma apoptosis via triggering mitochondrial STAT3
Ping Cui1, Fen Wei1, Jingjing Hou1
1School of Pharmacy, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China; Shaanxi Engineering Research Center of Cardiovascular Drugs Screening & Analysis, Xi'an 710061, China.
Abstract:
Recent evidence has demonstrated that the signal transducer and activator of transcription 3 (STAT3) gene are abnormally active in glioblastoma multiforme (GBM), and this change is crucial for the tumor survival and chemotherapy-resistant. Certain preclinical pharmacology studies have focused on STAT3 phosphorylation and homodimerization, and have developed a class of salicylic acid-based inhibitors, which blocks the nuclear translocation-dependent canonical STAT3 signaling. In the present study, we demonstrated that the salicylic acid-based compound SH-4-54 was quite toxic to temozolomide (TMZ)-resistant GBM cells and could trigger apoptosis in these cells via enhancing mitochondrial translocation-dependent non-canonical STAT3 pathway. We demonstrated that incubation of TMZ-resistant GBM cells with SH-4-54 led to mitochondrial STAT3 (mitoSTAT3) activation and respiratory dysfunction reflected by disrupted (or suppressed) activities of oxidative phosphorylation complexes and oxygen consumption rate. Mechanistically, we proved that SH-4-54 could increase mitoSTAT3 transmembrane import via GRIM-19 and reinforce the association between mitoSTAT3 and mitochondrial transcription factor A (TFAM), indicating that SH-4-54 could facilitate the binding of mitoSTAT3 to mitochondria DNA (mtDNA) and negatively regulate mitochondrial-encoded genes, thus leading to the abnormal oxidation respiratory. Lastly, using GRIM-19 knockout cell line and subcutaneous xenotransplanted tumor model, we elaborately showed the enrichment of SH-4-54 in mitochondria by LC-MS/MS analysis. In conclusion, our data demonstrate thatthe salicylic acid-based compound SH-4-54 is quite effective in killing TMZ-resistant GBM cells and this cytotoxicity is attributed to mitoSTAT3 activation.
Insights
The salicylic acid-based compound SH-4-54 effectively kills temozolomide-resistant glioblastoma multiforme (GBM) cells. This new therapy activates mitochondrial STAT3 (mitoSTAT3) signaling, inducing apoptosis in resistant GBM tumors.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Signal transducer and activator of transcription 3 (STAT3) is abnormally active in glioblastoma multiforme (GBM), contributing to tumor survival and chemotherapy resistance.
- STAT3 inhibitors targeting canonical signaling pathways show promise, but resistance remains a challenge.
Purpose of the Study:
- To investigate the efficacy of the salicylic acid-based compound SH-4-54 against temozolomide (TMZ)-resistant GBM cells.
- To elucidate the mechanism of action of SH-4-54, focusing on its effects on STAT3 signaling and mitochondrial function.
Main Methods:
- Treatment of TMZ-resistant GBM cells with SH-4-54.
- Assessment of apoptosis, mitochondrial STAT3 (mitoSTAT3) activation, and respiratory function.
- Analysis of mitoSTAT3 import, its association with TFAM, and regulation of mitochondrial genes.
- Mitochondrial enrichment studies using LC-MS/MS in cell lines and xenotransplanted tumor models.
Main Results:
- SH-4-54 demonstrated significant toxicity towards TMZ-resistant GBM cells, inducing apoptosis.
- SH-4-54 activated mitoSTAT3 and disrupted mitochondrial respiration, including suppressed oxidative phosphorylation.
- The compound enhanced mitoSTAT3 import via GRIM-19 and promoted its binding to mtDNA, negatively regulating mitochondrial gene expression.
- SH-4-54 was confirmed to accumulate within mitochondria.
Conclusions:
- The salicylic acid-based compound SH-4-54 is a potent agent against TMZ-resistant GBM.
- SH-4-54 exerts its cytotoxic effects by activating the non-canonical mitoSTAT3 pathway, leading to mitochondrial dysfunction and apoptosis.
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