STAT3/LKB1 controls metastatic prostate cancer by regulating mTORC1/CREB pathway
Jan Pencik Medical University of Vienna / Center for Biomarker Research in Medicine / The Salk Institute for Biological Studies
University of Veterinary Medicine Vienna / Medical University of Vienna
Marcus Hacker Medical University of Vienna
David M. Heery University of Nottingham
Ali A. Moazzami Swedish University of Agricultural Sciences
Dean G. Tang Roswell Park Comprehensive Cancer Center
Michael R. Speicher Medical University of Graz
Helmut Klocker Medical University Innsbruck
Richard D. Kennedy Queen's University Belfast / Almac Diagnostics
Cathal McKinney Queen's University Belfast / Almac Diagnostics
Arkaitz Carracedo Basque Research and Technology Alliance
University of Veterinary Medicine Vienna
Fritz Aberger Paris-Lodron University of Salzburg
Vincent Goffin Université Paris Cité
Gregor Hoermann Munich Leukemia Laboratory
Chris W. D. Armstrong Queen's University Belfast
Suneil Jain Queen's University Belfast
Valeria Poli University of Turin
Stefan Rose-John University of Kiel
Gerda Egger Medical University of Vienna / Ludwig Boltzmann Institute Applied Diagnostics
Brigitte Hantusch Medical University of Vienna
Eileen E. Parkes University of Oxford
Suzanne D, Turner University of Cambridge / Masaryk University
Tim I. Malcolm University of Cambridge
Dagmar Stoiber Medical University of Vienna / Karl Landsteiner University of Health Sciences
Jaqueline Horvath Medical University of Vienna
Adam Varady Medical University of Vienna
Christina Sternberg University of Veterinary Medicine Vienna / Medical University of Vienna / University of Kiel
University of Veterinary Medicine Vienna
Felix Sternberg University of Veterinary Medicine Vienna
Georg Schäfer Medical University Innsbruck
Ivana Hermanova Basque Research and Technology Alliance
Simone Tangermann University of Veterinary Medicine Vienna
Johnny R. Östman Swedish University of Agricultural Sciences
David D'Andrea Medical University of Vienna
Georg Greiner Medical University of Vienna
Elisa Redl Medical University of Vienna
Thomas Dillinger Medical University of Vienna
Nadine Witzeneder Medical University of Vienna
University of Veterinary Medicine Vienna
Bettina Wingelhofer University of Veterinary Medicine Vienna
University of Veterinary Medicine Vienna
Osman Aksoy Medical University of Vienna / Karl Landsteiner University of Health Sciences
Ellen Heitzer Medical University of Graz
Monika Oberhuber Center for Biomarker Research in Medicine
Karolína Trachtová Medical University of Vienna / Masaryk University
University of Veterinary Medicine Vienna
Isabel Heidegger Medical University Innsbruck
Amanda Tracz Roswell Park Comprehensive Cancer Center
Wen Jess Li Roswell Park Comprehensive Cancer Center
Sandra Grund-Gröschke Paris-Lodron University of Salzburg
Matteo Pecoraro Università Della Svizzera Italiana
Emine Atas Medical University of Vienna
Michaela Schlederer Medical University of Vienna
Cecile Philippe Medical University of Vienna
BMC
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.
Englisch
2023
Dieses Werk bzw. dieser Inhalt steht unter einer
CC BY 4.0 - Creative Commons Namensnennung 4.0 International Lizenz.
CC BY 4.0 International
http://creativecommons.org/licenses/by/4.0/
Transcription Factor; Signal Transducer; Gene-Expression; Cell-Growth; Metformin; Protein; Pten; Lkb1; Mtor; Identification