Interaction of Nrf2 with dimeric STAT3 induces IL-23 expression: Implications for breast cancer progression

Cancer Lett. 2021 Mar 1:500:147-160. doi: 10.1016/j.canlet.2020.11.047. Epub 2020 Dec 3.

Abstract

Persistent activation of STAT3 and Nrf2 is considered to stimulate the aggressive behavior of basal-like breast cancer (BLBC). However, the precise mechanism underlying sustained overactivation of these transcription factors and their roles in breast cancer progression remain elusive. Analysis of the TCGA multi-omics data showed that high levels of STAT3 and Nrf2 mRNA were correlated with elevated expression of P-STAT3Y705 and Nrf2 target proteins in breast cancer patients. Our present study demonstrates a unique interaction between Nrf2 and STAT3 in the maintenance and progression of BLBC. RNA sequencing analysis identified the gene encoding IL-23A upregulated by concurrent binding of STAT3 and Nrf2 to its promoter. IL-23A depletion also showed the similar phenotypic changes to those caused by double knockdown of both transcription factors. In conclusion, the STAT3-Nrf2 interaction accelerates BLBC growth and progression by augmenting IL-23A expression, which underscores the importance of subtype-specific molecular pathways in human breast cancer.

Keywords: Breast cancer; IL-23A; Nrf2; STAT3.

MeSH terms

  • Animals
  • Breast / metabolism
  • Breast / pathology
  • Breast Neoplasms / genetics*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / therapy
  • Cell Line, Tumor
  • Disease Progression
  • Female
  • Gene Expression Regulation, Neoplastic / genetics
  • Humans
  • Interleukin-23 / genetics*
  • Mice
  • NF-E2-Related Factor 2 / antagonists & inhibitors
  • NF-E2-Related Factor 2 / genetics*
  • RNA, Small Interfering / genetics
  • RNA, Small Interfering / pharmacology
  • STAT3 Transcription Factor / genetics*
  • Signal Transduction / genetics
  • Transcriptional Activation / genetics

Substances

  • Interleukin-23
  • NF-E2-Related Factor 2
  • NFE2L2 protein, human
  • RNA, Small Interfering
  • STAT3 Transcription Factor
  • STAT3 protein, human