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Prepublished online as a Blood First Edition Paper on October 3, 2002; DOI 10.1182/blood-2002-07-2130.
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Blood, 15 February 2003, Vol. 101, No. 4, pp. 1535-1542
NEOPLASIA
Inhibition of STAT3 signaling induces apoptosis and
decreases survivin expression in primary effusion lymphoma
Yoshiyasu Aoki,
Gerald M. Feldman, and
Giovanna Tosato
From the Experimental Transplantation and Immunology
Branch, Center for Cancer Research, National Cancer Institute, National
Institutes of Health, Bethesda, MD; and Division of Monoclonal
Antibodies, Center for Biologics Evaluation and Research, Food and Drug
Administration, Bethesda, MD.
Despite some exciting new leads in molecular pathogenesis,
AIDS-defining primary effusion lymphoma (PEL) remains a fatal
malignancy. The lack of substantial progress in the management of PEL
demands innovative treatment approaches. Targeting intracellular
molecules critical to cell survival is one unexplored strategy for
treating PEL. Here we show that inhibition of signal transducer and
activator of transcription-3 (STAT3) leads to apoptosis in PEL cells.
STAT3 is constitutively phosphorylated in PEL cell lines BC-1, BCBL-1, and VG-1. Transduction of dominant-negative STAT3 and pharmacological STAT3 inhibition caused caspase-dependent cell death. Although STAT3
activation is known to induce expression of Bcl-2 family proteins, PEL
cell apoptosis was independent of Bcl-2,
Bcl-XL, or Mcl-1 protein expression.
Instead, STAT3 inhibition induced transcriptional repression of
survivin, a recently identified inhibitor of apoptosis. Forced
overexpression of survivin rescued VG-1 cells from apoptosis induced by
STAT3 inhibition. Our findings suggest that activated STAT3 signaling
directly contributes to malignant progression of PEL by preventing
apoptosis, acting through the prosurvival protein survivin. Since
constitutive STAT3 activation and survivin expression have been widely
documented in different types of cancers, their linkage may extend
to many malignancies and be critical to their pathogenesis.

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