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2018 ; 14
(5
): 577-585
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Chemical and genetic inhibition of STAT3 sensitizes hepatocellular carcinoma
cells to sorafenib induced cell death
#MMPMID29805309
Xie L
; Zeng Y
; Dai Z
; He W
; Ke H
; Lin Q
; Chen Y
; Bu J
; Lin D
; Zheng M
Int J Biol Sci
2018[]; 14
(5
): 577-585
PMID29805309
show ga
Hepatocellular carcinoma (HCC) has become the second leading cause of cancer
related death, with an increasing death rate in recent years. For advanced HCC,
sorafenib is the first-line FDA approved drug, with no more than 3 months'
overall survival advantage. Recently, a novel strategy has been proposed to
improve sorafenib efficacy through enhancing the ability of sorafenib to induce
cell death. STAT3 plays a key role in cancer development and recurrence by
promoting cell proliferation, survival and immune evasion through its
well-established function as a transcription factor in cancer. Notably, STAT3
transcription activity, indicated by its phosphorylation on Y705 is heterogeneous
in different liver cancer cell lines. And sorafenib attenuates STAT3
phosphorylation on Y705. However, the role of STAT3 in sorafenib induced cell
death is still largely unknown. Here, we show that liver cancer cells also
exhibit heterogeneous sensitivities to sorafenib induced cell death, which
co-relates with the STAT3-Y705 phosphorylation levels and JAK1/2 expression
levels in Hep3B, Huh7 and HepG2 cells. Furthermore, overexpression or knockdown
of STAT3 could switch HCC cells between resistant and sensitive to sorafenib
induced cell death, which could be partially due to its regulation on Mcl-1, an
anti-apoptotic protein. Finally, both inhibitors of STAT3 SH2 domain (S3i-201) or
STAT3 upstream kinases JAKs (JAK inhibitor I) could synergistically enhance
sorafenib induced cell death. Taken together, these data strongly suggest that
STAT3 is not only a downstream effector of sorafenib, but also a key regulator of
cellular sensitivity to sorafenib induced cell death, which provide support for
the notion to develop STAT3-targeting drugs to improve clinical efficacy of
sorafenib in liver cancer.