Targeting Stem Cells and Dysplastic Features With Dual MEK/ERK and STAT3 Suppression in Gastric Carcinogenesis

  • 0Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Epithelial Biology Center, Vanderbilt University Medical Center, Nashville, Tennessee; Jeju National University College of Medicine, Jeju, Republic of Korea.

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Summary

This summary is machine-generated.

Pyrvinium halts metaplasia and kills dysplasia cells by blocking MEK/ERK and STAT3 pathways. This drug shows promise for preventing gastric cancer by reprogramming precancerous conditions.

Area Of Science

  • Gastroenterology and Oncology
  • Cancer Stem Cell Biology
  • Molecular Signaling Pathways

Background

  • Gastric cancer risk increases with metaplasia progression to dysplasia.
  • Effective targeted therapies for precancerous gastric lesions are lacking.
  • Key signaling pathways in metaplasia and dysplasia stem cells require identification.

Purpose Of The Study

  • Identify signaling pathways in metaplasia-dysplasia progression.
  • Evaluate pyrvinium as a targeted therapy for precancerous gastric lesions.
  • Assess pyrvinium's efficacy in mouse models and human organoids.

Main Methods

  • Organoid models from Mist1-Kras mice and human gastric precancerous lesions.
  • Phospho-antibody array and single-cell RNA-sequencing.
  • In vivo efficacy study of pyrvinium in Mist1-Kras mice.

Main Results

  • Pyrvinium induced growth arrest in metaplasia and cell death in dysplasia.
  • Pyrvinium downregulated ERK and STAT3 phosphorylation and target genes.
  • Pyrvinium targeted CD133+/CD166+ stem cells and proliferating cells.
  • Pyrvinium inhibited metaplasia and restored normal gastric glands in vivo.
  • Pyrvinium suppressed human dysplastic organoid growth by blocking MEK/ERK and STAT3.

Conclusions

  • Pyrvinium effectively induces growth arrest in metaplasia and cell death in dysplasia.
  • Dual blockade of MEK/ERK and STAT3 signaling is the mechanism of action.
  • Pyrvinium is a potential therapeutic agent for preventing gastric cancer development.

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