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The multifaceted role of STAT3 pathway and its implication as a potential therapeutic target in oral cancer
Elina Khatoon1,2, Mangala Hegde1,2, Aviral Kumar1,2
1Cancer Biology Laboratory, Department of Biosciences and Bioengineering, Indian Institute of Technology (IIT) Guwahati, Guwahati, 781 039, Assam, India.
Abstract:
Oral cancer is one of the leading causes of cancer-related deaths, and it has become a matter of serious concern due to the alarming rise in its incidence rate worldwide. Despite recent advancements in oral cancer treatment strategies, there are no significant improvements in patient's survival rate. Among the numerous cell signaling pathways involved in oral cancer development and progression, STAT3 is known to play a multifaceted oncogenic role in shaping the tumor pathophysiology. STAT3 hyperactivation in oral cancer contributes to survival, proliferation, invasion, epithelial to mesenchymal transition, metastasis, immunosuppression, chemoresistance, and poor prognosis. A plethora of pre-clinical and clinical studies have documented the role of STAT3 in the initiation and development of oral cancer and showed that STAT3 inhibition holds significant potential in the prevention and treatment of this cancer. However, to date, targeting STAT3 activation mainly involves inhibiting the upstream signaling molecules such as JAK and IL-6 receptors. The major challenge in targeting STAT3 lies in the complexity of its phosphorylation- and dimerization-independent functions, which are not affected by disrupting the upstream regulators. The present review delineates the significance of the STAT3 pathway in regulating various hallmarks of oral cancer. In addition, it highlights the STAT3 inhibitors identified to date through various preclinical and clinical studies that can be employed for the therapeutic intervention in oral cancer treatment.
Insights
Signal transducer and activator of transcription 3 (STAT3) is a key driver in oral cancer, promoting tumor growth and spread. Inhibiting STAT3 shows promise for oral cancer prevention and treatment, despite challenges in targeting its complex functions.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling
Background:
- Oral cancer is a significant global health concern with poor survival rates, despite treatment advances.
- The Signal Transducer and Activator of Transcription 3 (STAT3) pathway is critically involved in oral cancer development and progression.
- STAT3 hyperactivation contributes to multiple oncogenic processes including proliferation, invasion, metastasis, and chemoresistance.
Purpose of the Study:
- To review the multifaceted role of the STAT3 pathway in oral cancer.
- To highlight STAT3 inhibitors with therapeutic potential for oral cancer treatment.
- To address the challenges in targeting STAT3 due to its complex functions.
Main Methods:
- Literature review of preclinical and clinical studies on STAT3 in oral cancer.
- Analysis of STAT3's role in oral cancer hallmarks.
- Identification and summary of STAT3 inhibitors for therapeutic intervention.
Main Results:
- STAT3 signaling is implicated in oral cancer survival, proliferation, invasion, epithelial-mesenchymal transition, metastasis, immunosuppression, and chemoresistance.
- STAT3 inhibition demonstrates potential for oral cancer prevention and treatment.
- Targeting upstream regulators like JAK and IL-6 receptors is a common strategy, but STAT3's independent functions pose challenges.
Conclusions:
- The STAT3 pathway is a critical oncogenic driver in oral cancer.
- Targeting STAT3 offers a promising therapeutic strategy for oral cancer.
- Further research into STAT3 inhibitors is warranted to overcome targeting challenges and improve patient outcomes.
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