1. STAT3/IRF1 Pathway Activation Sensitizes Cervical Cancer Cells to Chemotherapeutic Drugs
- Author
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Yoo-Jin Kim, R Ströder, Sigrun Smola, Ingolf Juhasz-Böss, Barbara Walch-Rückheim, Peter Mallmann, Jil Fischbach, Rainer M. Bohle, Jennifer Pahne-Zeppenfeld, Christian Rübe, Erich-Franz Solomayer, Claudia Wickenhauser, Reinhard Büttner, Peter L. Stern, Lars Christian Horn, and Lars Tharun
- Subjects
STAT3 Transcription Factor ,0301 basic medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,medicine.medical_treatment ,Blotting, Western ,Uterine Cervical Neoplasms ,Antineoplastic Agents ,Apoptosis ,Cervical intraepithelial neoplasia ,Immunoenzyme Techniques ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Biopsy ,Biomarkers, Tumor ,Tumor Cells, Cultured ,Humans ,Medicine ,Etoposide ,Cell Proliferation ,Neoplasm Staging ,Cisplatin ,Cervical cancer ,Chemotherapy ,medicine.diagnostic_test ,business.industry ,Cancer ,Prognosis ,Uterine Cervical Dysplasia ,medicine.disease ,Antineoplastic Agents, Phytogenic ,030104 developmental biology ,Cytokine ,030220 oncology & carcinogenesis ,Cancer research ,Female ,business ,Precancerous Conditions ,Interferon Regulatory Factor-1 ,medicine.drug - Abstract
Neoadjuvant radio/chemotherapy regimens can markedly improve cervical cancer outcome in a subset of patients, while other patients show poor responses, but may encounter severe adverse effects. Thus, there is a strong need for predictive biomarkers to improve clinical management of cervical cancer patients. STAT3 is considered as a critical antiapoptotic factor in various malignancies. We therefore investigated STAT3 activation during cervical carcinogenesis and its impact on the response of cervical cancer cells to chemotherapeutic drugs. Tyr705-phosphorylated STAT3 increased from low-grade cervical intraepithelial neoplasia (CIN1) to precancerous CIN3 lesions. Notably, pTyr705-STAT3 activation significantly declined from CIN3 to invasive cancer, also when compared in the same clinical biopsy. pTyr705-STAT3 was also low or absent in cultured human cervical cancer cell lines, consistent with the in vivo expression data. Unexpectedly, IL6-type cytokine signaling inducing STAT3 activation rendered cervical cancer cells significantly more susceptible to chemotherapeutic drugs, that is, cisplatin or etoposide. This chemosensitization was STAT3-dependent and we identified IFN regulatory factor-1 (IRF1) as the STAT3-inducible mediator required for cell death enhancement. In line with these data, pTyr705-STAT3 significantly correlated with nuclear IRF1 expression in cervical cancer in vivo. Importantly, high IRF1 expression in pretreatment cervical cancer biopsy cells was associated with a significantly better response to neoadjuvant radio/chemotherapy of the patients. In summary, our study has identified a key role of the STAT3/IRF1 pathway for chemosensitization in cervical cancer. Our results suggest that pretherapeutic IRF1 expression should be evaluated as a novel predictive biomarker for neoadjuvant radio/chemotherapy responses. Cancer Res; 76(13); 3872–83. ©2016 AACR.
- Published
- 2016
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