Abstract

Signal transducer and activator of transcription 3 (STAT3) has been shown to play a critical role in the maintenance of cancer stem cells (CSCs). Hence, the inhibition of STAT3 signaling has been suggested to be a viable therapeutic approach for cancers. Moreover, the efficacy of combinations of chemotherapeutic drugs and napabucasin, a small-molecule STAT3 inhibitor, have been assessed in various clinical trials, including those involving patients with metastatic colorectal cancer (CRC).Two recently developed small-molecule STAT3 inhibitors, SC-43 and SC-78, which can stimulate SHP-1 to inactivate STAT3, were found to have anti-tumor activity. In this study, the inhibitory effects of SC-43, SC-78, and regorafenib (a reference drug) on cell viability, STAT3 phosphorylation, and various stemness properties [e.g., sphere-forming and soft agar colony-forming abilities, CD133+/CD44+ (stem cell-like) subpopulations, and the expression of several CSC markers] were examined for both HCT-116 and HT-29 human CRC cells. We found that SC-43 and SC-78 but not regorafenib inhibited constitutive and IL-6-induced STAT3 phosphorylation in HCT-116 and HT-29 cells, respectively. Moreover, SC-43 and SC-78 were more potent than regorafenib in suppressing the stemness properties (except stem cell-like subpopulations) of these cells. As expected, SHP-1 knockdown almost completely abolished the suppressive effects of SC-43 and SC-78 on the sphere formation in both cell lines. Furthermore, SC-43 and SC-78 showed synergistic inhibitory effects with oxaliplatin and/or irinotecan on sphere formation. Overall, our results suggest that SC-43 and SC-78 are potent STAT3 inhibitors that may potentially be used in combination therapy for CRC.

Highlights

  • Colorectal cancer (CRC) is a malignancy with high incidence and mortality[1], and the prognosis of patients with CRC is largely based on how the disease was diagnosed[2,3]

  • We demonstrated that SC-43 and SC-78 were more potent than regorafenib in reducing sphere formation, inducing sphere shrinkage, reducing soft agar colony formation, and inhibiting the expression of several CRC stem cells (CRCSCs) markers in the human CRC cells

  • Higher drug resistance resulting from the activation of the Janus kinases (JAKs)/signal transducer and activator of transcription 3 (STAT3) pathway has been reported in various human CSCs38–40; we investigated whether this aberrant signaling could confer drug resistance in human CRC cells

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Summary

Introduction

Colorectal cancer (CRC) is a malignancy with high incidence and mortality[1], and the prognosis of patients with CRC is largely based on how the disease was diagnosed[2,3]. Chung et al Cell Death Discovery (2018)4:82 pathways involved in development and tissue homeostasis, such as the Notch, Hedgehog (Hh), and Wnt pathways, is frequently observed in CSCs11, the development of new treatment strategies targeting these critical pathways for controlling stem cell replication, survival, and differentiation is currently being investigated. In addition to these signaling pathways, signal transducer and activator of transcription 3 (STAT3) is another major oncogenic pathway activated in CRC, which can serve as a therapeutic target for this malignancy[12,13]. The anti-tumor activity of napabucasin either by itself or in combination with conventional therapeutics has been demonstrated in several recent clinical trials[24], strongly suggesting the potential of small-molecule

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