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Cell-autonomous IL6ST activation suppresses prostate cancer development via STAT3/ARF/p53-driven senescence and
Christina Sternberg1,2,3, Martin Raigel4,5,6, Tanja Limberger4,6,7
1Department of Pathology, Medical University of Vienna, Vienna, Austria. christina.sternberg@meduniwien.ac.at.
Background:
Prostate cancer ranks as the second most frequently diagnosed cancer in men worldwide. Recent research highlights the crucial roles IL6ST-mediated signaling pathways play in the development and progression of various cancers, particularly through hyperactivated STAT3 signaling. However, the molecular programs mediated by IL6ST/STAT3 in prostate cancer are poorly understood.
Methods:
To investigate the role of IL6ST signaling, we constitutively activated IL6ST signaling in the prostate epithelium of a Pten-deficient prostate cancer mouse model in vivo and examined IL6ST expression in large cohorts of prostate cancer patients. We complemented these data with in-depth transcriptomic and multiplex histopathological analyses.
Results:
Genetic cell-autonomous activation of the IL6ST receptor in prostate epithelial cells triggers active STAT3 signaling and significantly reduces tumor growth in vivo. Mechanistically, genetic activation of IL6ST signaling mediates senescence via the STAT3/ARF/p53 axis and recruitment of cytotoxic T-cells, ultimately impeding tumor progression. In prostate cancer patients, high IL6ST mRNA expression levels correlate with better recurrence-free survival, increased senescence signals and a transition from an immune-cold to an immune-hot tumor.
Conclusions:
Our findings demonstrate a context-dependent role of IL6ST/STAT3 in carcinogenesis and a tumor-suppressive function in prostate cancer development by inducing senescence and immune cell attraction. We challenge the prevailing concept of blocking IL6ST/STAT3 signaling as a functional prostate cancer treatment and instead propose cell-autonomous IL6ST activation as a novel therapeutic strategy.
Insights
Activating IL6ST/STAT3 signaling in prostate cancer induces senescence and attracts immune cells, hindering tumor growth. This suggests IL6ST activation, not blocking, may be a novel therapeutic strategy for prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Prostate cancer is a leading global cancer in men.
- IL6ST/STAT3 signaling is implicated in various cancers, but its role in prostate cancer is unclear.
Purpose of the Study:
- To investigate the role of IL6ST signaling in prostate cancer development and progression.
- To explore the potential of IL6ST/STAT3 as a therapeutic target.
Main Methods:
- Constitutive activation of IL6ST signaling in a Pten-deficient mouse model.
- Analysis of IL6ST expression in human prostate cancer cohorts.
- Transcriptomic and multiplex histopathological analyses.
Main Results:
- IL6ST activation in prostate epithelial cells triggers STAT3 signaling, leading to senescence via the STAT3/ARF/p53 axis.
- IL6ST activation promotes cytotoxic T-cell recruitment, impeding tumor progression.
- High IL6ST mRNA in patients correlates with better survival, increased senescence, and an immune-hot tumor microenvironment.
Conclusions:
- IL6ST/STAT3 signaling has a context-dependent, tumor-suppressive role in prostate cancer.
- IL6ST activation induces senescence and immune cell attraction, opposing tumor growth.
- Cell-autonomous IL6ST activation presents a novel therapeutic strategy, challenging current blockade approaches.
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