1. Academic Validation
  2. Targeting STAT3 potentiates CDK4/6 inhibitors therapy in head and neck squamous cell carcinoma

Targeting STAT3 potentiates CDK4/6 inhibitors therapy in head and neck squamous cell carcinoma

  • Cancer Lett. 2024 May 11:593:216956. doi: 10.1016/j.canlet.2024.216956.
Lin Dong 1 Chao Liu 1 Haoyang Sun 2 Mo Wang 3 Mengyu Sun 1 Jianwei Zheng 3 Xiaoxue Yu 2 Rong Shi 2 Bo Wang 1 Qianqian Zhou 1 Zhiqiang Chen 1 Bofan Xing 1 Yu Wang 1 Xiaofeng Yao 1 Mei Mei 4 Yu Ren 5 Xuan Zhou 6
Affiliations

Affiliations

  • 1 Department of Maxillofacial and Otorhinolaryngological Oncology, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, 300060, China; Key Laboratory of Basic and Translational Medicine on Head & Neck Cancer, Tianjin, 300060, China; National Key Laboratory of Druggability Evaluation and Systematic Translational Medicine, Tianjin, 300060, China.
  • 2 Department of Genetics, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China.
  • 3 Department of Cell Biology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China.
  • 4 Department of Cell Biology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China. Electronic address: meim@tmu.edu.cn.
  • 5 Key Laboratory of Basic and Translational Medicine on Head & Neck Cancer, Tianjin, 300060, China; National Key Laboratory of Druggability Evaluation and Systematic Translational Medicine, Tianjin, 300060, China; Department of Genetics, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China. Electronic address: yuren0925@tmu.edu.cn.
  • 6 Department of Maxillofacial and Otorhinolaryngological Oncology, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin, 300060, China; Key Laboratory of Basic and Translational Medicine on Head & Neck Cancer, Tianjin, 300060, China; National Key Laboratory of Druggability Evaluation and Systematic Translational Medicine, Tianjin, 300060, China. Electronic address: xuanzhou@tmu.edu.cn.
Abstract

Anti-CDK4/6 therapy has been employed for the treatment for head and neck squamous cell carcinoma (HNSCC) with CDK4/6 hyperactivation, but the response rate is relatively low. In this study, we first showed that CDK4 and CDK6 was over-expressed and conferred poor prognosis in HNSCC. Moreover, in RB-positive HNSCC, STAT3 signaling was activated induced by CDK4/6 inhibition and STAT3 promotes RB deficiency by upregulation of MYC. Thirdly, the combination of Stattic and CDK4/6 inhibitor results in striking anti-tumor effect in vitro and in Cal27 derived animal models. Additionally, phospho-STAT3 level negatively correlates with RB expression and predicts poor prognosis in patients with HNSCC. Taken together, our findings suggest an unrecognized function of STAT3 confers to CDK4/6 inhibitors resistance and presenting a promising combination strategy for patients with HNSCC.

Keywords

CDK4/6 inhibitor; Drug sensitivity; Head and neck squamous cell carcinoma; RB; STAT3 activity.

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