2014
DOI: 10.18632/oncotarget.2135
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Feedback activation of STAT3 mediates trastuzumab resistance via upregulation of MUC1 and MUC4 expression

Abstract: Although HER2-targeting antibody trastuzumab confers a substantial benefit for patients with HER2-overexpressing breast and gastric cancer, overcoming trastuzumab resistance remains a large unmet need. In this study, we revealed a STAT3-centered positive feedback loop that mediates the resistance of trastuzumab. Mechanistically, chronic exposure of trastuzumab causes the upregulation of fibronection (FN), EGF and IL-6 in parental trastuzumab-sensitive breast and gastric cells and convergently leads to STAT3 hy… Show more

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Cited by 65 publications
(60 citation statements)
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“…It has been documented that STAT3 hyperactivation was sufficient to confer trastuzumab resistance in HER-2-positive BC [28,29]. These studies suggest that pSTAT3 expression may be a critical point in signaling alteration promoting acquired trastuzumab resistance [28]. Collectively, the role of SHP-1 as a negative regulator led us to hypothesize that SHP-1 might decrease the expression of pSTAT3 via the STAT3 pathway.…”
Section: Discussionmentioning
confidence: 96%
See 1 more Smart Citation
“…It has been documented that STAT3 hyperactivation was sufficient to confer trastuzumab resistance in HER-2-positive BC [28,29]. These studies suggest that pSTAT3 expression may be a critical point in signaling alteration promoting acquired trastuzumab resistance [28]. Collectively, the role of SHP-1 as a negative regulator led us to hypothesize that SHP-1 might decrease the expression of pSTAT3 via the STAT3 pathway.…”
Section: Discussionmentioning
confidence: 96%
“…It is known that protein tyrosine phosphatases (PTPs) have been reported to negatively regulate STAT3 activation [25][26][27]. It has been documented that STAT3 hyperactivation was sufficient to confer trastuzumab resistance in HER-2-positive BC [28,29]. These studies suggest that pSTAT3 expression may be a critical point in signaling alteration promoting acquired trastuzumab resistance [28].…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, the hyperactivated STAT3 signal promotes the expression of MUC1 and MUC4 that mediate trastuzumab resistance via the maintenance of persistent HER2 activation and prevent the trastuzumab binding to HER2 [78]. In addition, IL6-STAT3 axis mediates the resistance to inhibitors of PI3K by inducing EMT and CSC expansion in human breast cancer cells [79].…”
Section: Role Of Stat3 In Cancermentioning
confidence: 99%
“…It is reported that two single nucleotide polymorphisms (rs4072037 and rs2070803) in the MUC1 gene has been identified in gastric cancer patients and may have a prospective role in the stratification of high-risk subjects [171]. The overexpression of MUC1 and MUC4 also mediates resistance to the trastuzumab, a monoclonal antibody against HER-2/neu [172,173] siRNA to MUC1 was tested in trastuzumab drug resistance cells and a better response to the drug was seen in siRNA treated drug resistant cell when compared to control or junk siRNA treatment [174].…”
Section: Stomach Gastric Carcinomamentioning
confidence: 99%