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STAT3 signaling as an adaptive hub in glioblastoma: Network rewiring, non-coding RNA circuits, and therapeutic
Hongkang Hu1, Xingfei Fan2, Jialiang Wei1
1Department of Neurosurgery, Changzheng Hospital, Naval Medical University, Shanghai, China.
Abstract:
Glioblastoma is characterized by profound molecular heterogeneity, therapeutic resistance, and an immunosuppressive microenvironment, rendering current treatment strategies largely ineffective. Signal transducer and activator of transcription 3 (STAT3) has long been implicated in glioblastoma progression; however, its persistent activation and limited clinical tractability have remained incompletely understood. Accumulating evidence indicates that STAT3 functions not as a linear downstream effector but as an adaptive signaling hub that integrates diverse oncogenic inputs, microenvironmental cues, and therapy-induced stress responses. In this review, we synthesize recent advances that redefine STAT3 as a central coordinator of glioblastoma plasticity. We discuss canonical and non-canonical mechanisms driving STAT3 activation, including cytokine signaling, receptor rewiring, circRNA-encoded proteins, and tumor microenvironment-derived signals. We further highlight how STAT3 executes its oncogenic functions through transcriptional and epigenetic programs that sustain chromatin accessibility, glioma stemness, and adaptive gene expression. A major focus is placed on multilayered non-coding RNA circuits-encompassing microRNAs, circular RNAs, and ceRNA feedback loops-that fine-tune STAT3 signaling and reinforce malignant phenotypes. Importantly, emerging evidence reveals that STAT3-driven programs are spatially organized within glioblastoma, shaping immune-suppressive niches and contributing to intratumoral heterogeneity and immunotherapy resistance. Finally, we discuss therapeutic vulnerabilities within the STAT3 network, emphasizing the limitations of single-agent inhibition and the promise of network-oriented strategies, including rational combination therapies, ncRNA-based interventions, and exosome-mediated delivery approaches. By framing STAT3 as a network-level adaptive hub, this review provides a unified conceptual framework that may inform precision targeting strategies and improve therapeutic outcomes for patients with glioblastoma.
Insights
Signal transducer and activator of transcription 3 (STAT3) is a key adaptive hub in glioblastoma, coordinating plasticity, heterogeneity, and therapy resistance. Targeting this network offers new therapeutic strategies for glioblastoma.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Cancer Signaling
Background:
- Glioblastoma exhibits significant molecular heterogeneity, therapeutic resistance, and an immunosuppressive tumor microenvironment.
- Signal transducer and activator of transcription 3 (STAT3) is persistently activated in glioblastoma, but its precise role remains incompletely understood.
- STAT3 acts as an adaptive signaling hub, integrating oncogenic, microenvironmental, and stress signals.
Purpose of the Study:
- To redefine STAT3 as a central coordinator of glioblastoma plasticity.
- To synthesize recent advances in understanding STAT3 activation mechanisms and functions.
- To explore therapeutic vulnerabilities within the STAT3 network.
Main Methods:
- Review of canonical and non-canonical STAT3 activation pathways.
- Analysis of STAT3's role in transcriptional, epigenetic, and non-coding RNA regulation.
- Examination of STAT3's spatial organization and impact on tumor microenvironment.
Main Results:
- STAT3 activation is driven by diverse inputs including cytokine signaling, receptor rewiring, circRNA-encoded proteins, and microenvironmental cues.
- STAT3 orchestrates chromatin accessibility, glioma stemness, and adaptive gene expression via transcriptional and epigenetic programs.
- Multilayered non-coding RNA circuits fine-tune STAT3 signaling, reinforcing malignant phenotypes and contributing to immunotherapy resistance.
Conclusions:
- STAT3 is a network-level adaptive hub crucial for glioblastoma progression, plasticity, and resistance.
- Limitations of single-agent STAT3 inhibition necessitate network-oriented strategies.
- Combination therapies, ncRNA interventions, and exosome-mediated delivery show promise for glioblastoma treatment.
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