Abstract

Hyperactivation of signal transducer and activator of transcription 3 (STAT3) has been linked to tumorigenesis in most malignancies, including head and neck squamous cell carcinoma. Intravenous delivery of a chemically modified cyclic STAT3 decoy oligonucleotide with improved serum and thermal stability demonstrated antitumor efficacy in conjunction with downmodulation of STAT3 target gene expression such as cyclin D1 and Bcl-X(L) in a mouse model of head and neck squamous cell carcinoma. The purpose of the present study was to determine the toxicity and dose-dependent antitumor efficacy of the cyclic STAT3 decoy after multiple intravenous doses in Foxn1 nu mice in anticipation of clinical translation. The two doses (5 and 10 mg/kg) of cyclic STAT3 decoy demonstrated a significant decrease in tumor volume compared with the control groups (mutant cyclic STAT3 decoy or saline) in conjunction with downmodulation of STAT3 target gene expression. There was no dose-dependent effect of cyclic STAT3 decoy on tumor volume or STAT3 target gene expression. There were no significant changes in body weights between the groups during the dosing period, after the dosing interval or on the day of euthanasia. No hematology or clinical chemistry parameters suggested toxicity of the cyclic STAT3 decoy compared with saline control. No gross or histological pathological abnormalities were noted at necropsy in any of the animals. These findings suggest a lack of toxicity of intravenous administration of a cyclic STAT3 decoy oligonucleotide. In addition, comparable antitumor effects indicate a lack of dose response at the two dose levels investigated.

Highlights

  • Signal transducer and activator of transcription 3 (STAT3) is frequently activated in a diverse range of human cancers, including head and neck squamous cell carcinoma [1]

  • In Vivo Therapeutic Efficacy Study In initial studies, we evaluated the impact of cyclic STAT3 decoy or mutant cyclic STAT3 decoy on xenograft tumors derived from the head and neck squamous cell carcinoma (HNSCC) cell line UM-SCC1

  • Systemic administration of the cyclic STAT3 decoy at a dose of 10 mg/kg resulted in a significant decrease in cyclin D1/β-tubulin ratio (p < 0.0001, p = 0.0078) and Bcl-XL/ β-tubulin ratio (p = 0.001, p = 0.024) relative to treatment with saline and the mutant cyclic STAT3 decoy, which were used as controls (Figure 1B)

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Summary

Introduction

Signal transducer and activator of transcription 3 (STAT3) is frequently activated in a diverse range of human cancers, including head and neck squamous cell carcinoma [1]. Stimulation by a wide variety of growth factors or cytokines mediates cell surface receptor dimerization leading to the activation of Janus kinases (JAKs), which in turn phosphorylate and activate cytoplasmic STAT proteins. Activated STATs translocate to the nucleus, where they bind to specific DNA response elements in the promoter regions of target genes and induce the expression of proteins such as Bcl-XL, c-Myc, cyclin D1 and VEGF [3,4]. Phosphotyrosinebased peptidomimetic inhibitors have been shown to target the SH2 domain and block STAT3 dimerization [5,7].

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