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STAT3 Sustains Tumorigenicity Following Mutant KRAS Ablation
Abstract:
Oncogenic KRAS mutations underlie some of the deadliest human cancers. Genetic or pharmacological inactivation of mutant KRAS is not sufficient for long-term control of advanced tumors. Using a conceptual framework of pancreatic ductal adenocarcinoma, we find that CRISPR-mediated ablation of mutant KRAS can terminate tumor progression contingent on the concomitant inactivation of STAT3. STAT3 inactivation is needed to ensure that KRAS-ablated tumor cells lose their malignant identity. Mechanistically, the combined loss of mutant KRAS and STAT3 disrupts a core transcriptional program of cancer cells critical to oncogenic competence. This in turn impairs tumor growth in mice and enhances immune rejection, leading to tumor clearance. We propose that the STAT3 transcriptional program operating in cancer cells enforces their malignant identity, rather than providing classical features of transformation, and shapes cancer persistence following KRAS inactivation. Our findings establish STAT3 as a critical enforcer of oncogenic identity in KRAS-ablated tumors, revealing a key vulnerability that could be exploited for combination therapies.
Significance:
The limited clinical success of KRAS inhibitors points to the need to identify means by which tumor cells maintain stemness and immune evasion. We make an unprecedented finding that the STAT3 transcription factor can sustain tumorigenicity of pancreatic cancer cells following depletion of the KRAS oncogenic driver. The results have important implications for successful therapeutic intervention.
Insights
Targeting KRAS mutations in cancer requires combined inactivation of STAT3 to eliminate malignant identity and promote tumor clearance. This approach enhances immune rejection for effective cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Oncogenic KRAS mutations are drivers of aggressive cancers, but their inactivation alone is insufficient for tumor control.
- Pancreatic ductal adenocarcinoma (PDAC) presents a significant challenge due to tumor persistence after KRAS inhibition.
- STAT3 has been implicated in maintaining cancer stemness and immune evasion, crucial for tumor survival.
Purpose of the Study:
- To investigate the role of STAT3 in maintaining malignant identity in KRAS-mutated cancers.
- To determine if combined inactivation of KRAS and STAT3 can lead to tumor regression.
- To elucidate the mechanisms by which STAT3 contributes to cancer persistence after KRAS inactivation.
Main Methods:
- CRISPR-mediated gene editing to ablate mutant KRAS and STAT3 in a PDAC model.
- Assessment of tumor progression, malignant identity, and immune rejection in vivo.
- Analysis of core transcriptional programs affected by combined KRAS and STAT3 loss.
Main Results:
- CRISPR-mediated ablation of mutant KRAS terminated tumor progression only when STAT3 was concomitantly inactivated.
- Combined KRAS and STAT3 loss disrupted a critical cancer cell transcriptional program, impairing tumor growth in mice.
- Tumor cells lacking both KRAS and STAT3 exhibited enhanced immune rejection, leading to tumor clearance.
Conclusions:
- STAT3 acts as a critical enforcer of oncogenic identity in KRAS-ablated tumors, rather than solely providing transformation features.
- The combined inactivation of KRAS and STAT3 disrupts essential cancer cell programs, leading to loss of malignant identity.
- This study reveals a vulnerability in KRAS-driven cancers, suggesting STAT3 as a target for combination therapies to achieve durable tumor control.
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