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STAT3/LKB1 controls metastatic prostate cancer by regulating mTORC1/CREB pathway.


ABSTRACT: Prostate cancer (PCa) is a common and fatal type of cancer in men. Metastatic PCa (mPCa) is a major factor contributing to its lethality, although the mechanisms remain poorly understood. PTEN is one of the most frequently deleted genes in mPCa. Here we show a frequent genomic co-deletion of PTEN and STAT3 in liquid biopsies of patients with mPCa. Loss of Stat3 in a Pten-null mouse prostate model leads to a reduction of LKB1/pAMPK with simultaneous activation of mTOR/CREB, resulting in metastatic disease. However, constitutive activation of Stat3 led to high LKB1/pAMPK levels and suppressed mTORC1/CREB pathway, preventing mPCa development. Metformin, one of the most widely prescribed therapeutics against type 2 diabetes, inhibits mTORC1 in liver and requires LKB1 to mediate glucose homeostasis. We find that metformin treatment of STAT3/AR-expressing PCa xenografts resulted in significantly reduced tumor growth accompanied by diminished mTORC1/CREB, AR and PSA levels. PCa xenografts with deletion of STAT3/AR nearly completely abrogated mTORC1/CREB inhibition mediated by metformin. Moreover, metformin treatment of PCa patients with high Gleason grade and type 2 diabetes resulted in undetectable mTORC1 levels and upregulated STAT3 expression. Furthermore, PCa patients with high CREB expression have worse clinical outcomes and a significantly increased risk of PCa relapse and metastatic recurrence. In summary, we have shown that STAT3 controls mPCa via LKB1/pAMPK/mTORC1/CREB signaling, which we have identified as a promising novel downstream target for the treatment of lethal mPCa.

SUBMITTER: Pencik J 

PROVIDER: S-EPMC10422794 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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STAT3/LKB1 controls metastatic prostate cancer by regulating mTORC1/CREB pathway.

Pencik Jan J   Philippe Cecile C   Schlederer Michaela M   Atas Emine E   Pecoraro Matteo M   Grund-Gröschke Sandra S   Li Wen Jess WJ   Tracz Amanda A   Heidegger Isabel I   Lagger Sabine S   Trachtová Karolína K   Oberhuber Monika M   Heitzer Ellen E   Aksoy Osman O   Neubauer Heidi A HA   Wingelhofer Bettina B   Orlova Anna A   Witzeneder Nadine N   Dillinger Thomas T   Redl Elisa E   Greiner Georg G   D'Andrea David D   Östman Johnny R JR   Tangermann Simone S   Hermanova Ivana I   Schäfer Georg G   Sternberg Felix F   Pohl Elena E EE   Sternberg Christina C   Varady Adam A   Horvath Jaqueline J   Stoiber Dagmar D   Malcolm Tim I TI   Turner Suzanne D SD   Parkes Eileen E EE   Hantusch Brigitte B   Egger Gerda G   Rose-John Stefan S   Poli Valeria V   Jain Suneil S   Armstrong Chris W D CWD   Hoermann Gregor G   Goffin Vincent V   Aberger Fritz F   Moriggl Richard R   Carracedo Arkaitz A   McKinney Cathal C   Kennedy Richard D RD   Klocker Helmut H   Speicher Michael R MR   Tang Dean G DG   Moazzami Ali A AA   Heery David M DM   Hacker Marcus M   Kenner Lukas L  

Molecular cancer 20230812 1


Prostate cancer (PCa) is a common and fatal type of cancer in men. Metastatic PCa (mPCa) is a major factor contributing to its lethality, although the mechanisms remain poorly understood. PTEN is one of the most frequently deleted genes in mPCa. Here we show a frequent genomic co-deletion of PTEN and STAT3 in liquid biopsies of patients with mPCa. Loss of Stat3 in a Pten-null mouse prostate model leads to a reduction of LKB1/pAMPK with simultaneous activation of mTOR/CREB, resulting in metastati  ...[more]

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