Blocking the JAK2/STAT3 and ERK pathways suppresses the proliferation of gastrointestinal cancers by inducing apoptosis

J Zhejiang Univ Sci B. 2021 Jun 15;22(6):492-503. doi: 10.1631/jzus.B2000842.

Abstract

Dysregulated crosstalk between different signaling pathways contributes to tumor development, including resistance to cancer therapy. In the present study, we found that the mitogen-activated extracellular signal-regulated kinase (MEK) inhibitor trametinib failed to suppress the proliferation of PANC-1 and MGC803 cells by activating the Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway, while the JAK2 inhibitor fedratinib failed to inhibit the growth of the PANC-1 cells upon stimulation of extracellular signal-regulated kinase (ERK) signaling. In particular, the most prominent enhancement of the anti-proliferative effect resulted from the concurrent blockage of the JAK2/STAT3 and ERK signaling pathways. Furthermore, the combination of the two inhibitors resulted in a reduced tumor burden in mice. Our evidence suggests novel crosstalk between JAK2/STAT3 and ERK signaling in gastric cancer (GC) and pancreatic ductal adenocarcinoma (PDAC) cells and provides a therapeutic strategy to overcome potential resistance in gastrointestinal cancer.

Keywords: Apoptosis; Crosstalk; ERK pathway; Gastrointestinal cancers; JAK2/STAT3 pathway.

MeSH terms

  • Animals
  • Apoptosis / drug effects*
  • Cell Line, Tumor
  • Cell Proliferation
  • Extracellular Signal-Regulated MAP Kinases / antagonists & inhibitors*
  • Extracellular Signal-Regulated MAP Kinases / physiology
  • Female
  • Gastrointestinal Neoplasms / drug therapy*
  • Gastrointestinal Neoplasms / pathology
  • Humans
  • Janus Kinase 2 / antagonists & inhibitors*
  • Janus Kinase 2 / physiology
  • Mice
  • Mice, Inbred BALB C
  • Protein Kinase Inhibitors / therapeutic use*
  • Pyridones / therapeutic use
  • Pyrimidinones / therapeutic use
  • Pyrrolidines / therapeutic use
  • STAT3 Transcription Factor / antagonists & inhibitors*
  • STAT3 Transcription Factor / physiology
  • Signal Transduction / drug effects
  • Sulfonamides / therapeutic use
  • Tumor Microenvironment

Substances

  • Protein Kinase Inhibitors
  • Pyridones
  • Pyrimidinones
  • Pyrrolidines
  • STAT3 Transcription Factor
  • Stat3 protein, mouse
  • Sulfonamides
  • trametinib
  • fedratinib
  • JAK2 protein, human
  • Janus Kinase 2
  • Extracellular Signal-Regulated MAP Kinases