Inhibition of the autocrine IL-6–JAK2–STAT3–calprotectin axis as targeted therapy for HR−/HER2+ breast cancers

R Rodriguez-Barrueco, J Yu… - Genes & …, 2015 - genesdev.cshlp.org
R Rodriguez-Barrueco, J Yu, LP Saucedo-Cuevas, M Olivan, D Llobet-Navas, P Putcha…
Genes & development, 2015genesdev.cshlp.org
HER2-positive (HER2+) breast adenocarcinomas are a heterogeneous group in which
hormone receptor (HR) status influences therapeutic decisions and patient outcome. By
combining genome-wide RNAi screens with regulatory network analysis, we identified
STAT3 as a critically activated master regulator of HR−/HER2+ tumors, eliciting tumor
dependency in these cells. Mechanistically, HR−/HER2+ cells secrete high levels of the
interleukin-6 (IL-6) cytokine, inducing the activation of STAT3, which in turn promotes a …
HER2-positive (HER2+) breast adenocarcinomas are a heterogeneous group in which hormone receptor (HR) status influences therapeutic decisions and patient outcome. By combining genome-wide RNAi screens with regulatory network analysis, we identified STAT3 as a critically activated master regulator of HR/HER2+ tumors, eliciting tumor dependency in these cells. Mechanistically, HR/HER2+ cells secrete high levels of the interleukin-6 (IL-6) cytokine, inducing the activation of STAT3, which in turn promotes a second autocrine stimulus to increase S100A8/9 complex (calprotectin) production and secretion. Increased calprotectin levels activate signaling pathways involved in proliferation and resistance. Importantly, we demonstrated that inhibition of the IL-6–Janus kinase 2 (JAK2)–STAT3–calprotectin axis with FDA-approved drugs, alone and in combination with HER2 inhibitors, reduced the tumorigenicity of HR/HER2+ breast cancers, opening novel targeted therapeutic opportunities.
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