Positive regulatory loop of platelet-derived growth factor DD-induced STAT3 activation is associated with poor prognosis in advanced urothelial carcinoma

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved..

Immune checkpoint inhibitor (ICI) therapy has been established for patients with advanced urothelial cancer (UC). The necessity of overcoming resistance to ICIs and identifying a predictive factor for the same has been highlighted, such as the assessment of combination therapy with other targeted drugs and the characterization of molecular signatures in the tumor microenvironment. Recently, we reported that low hemoglobin (Hb) levels and a high platelet-to-lymphocyte ratio (PLR) were significantly associated with overall survival in patients with UC who did not benefit from pembrolizumab treatment. In the present study, we identified a possible link between these unfavorable prognostic indicators and PDGF-DD-induced STAT3 activation in UC. Overlapping patients between the high STAT3- or phosphorylated STAT3-positive score group (as assessed by immunohistochemistry) and low Hb levels or high PLR group (as assessed by blood tests) showed significantly worse outcomes after pembrolizumab treatment. Additionally, using the bladder cancer JMSU1 cell line, we demonstrated a possible positive regulatory loop between autocrine/paracrine PDGF-DD and STAT3 signaling. Therefore, we suggest that STAT3 inhibition and PDGF-DD detection in the tumor microenvironment might represent a potential therapeutic strategy to overcome resistance to pembrolizumab. Moreover, this can help identify patients with UC who could benefit from combination treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:676

Enthalten in:

Biochemical and biophysical research communications - 676(2023) vom: 08. Okt., Seite 165-170

Sprache:

Englisch

Beteiligte Personen:

Ando, Kiyohiro [VerfasserIn]
Kurashina, Ryo [VerfasserIn]
Motoi, Noriko [VerfasserIn]
Iizuka, Toshihiko [VerfasserIn]
Inoue, Masaharu [VerfasserIn]
Maruyama, Riko [VerfasserIn]
Mitani, Kouki [VerfasserIn]
Takenobu, Hisanori [VerfasserIn]
Haruta, Masayuki [VerfasserIn]
Onuki, Ritsuko [VerfasserIn]
Matsuoka, Yoh [VerfasserIn]
Kamijo, Takehiko [VerfasserIn]
Kageyama, Yukio [VerfasserIn]

Links:

Volltext

Themen:

Bladder cancer
Journal Article
PDGFD
Pembrolizumab
Platelet-to-lymphocyte ratio
STAT3
Urothelial cancer

Anmerkungen:

Date Revised 01.09.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.bbrc.2023.07.054

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360170811