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Advances in Brief |
Immunology Program [G. N., H. Y.], Clinical Investigations Program [R. H., D. C., W. D.], and Molecular Oncology Program [R. C-F., R. J.], H. Lee Moffitt Cancer Center and Research Institute, and Departments of Microbiology and Immunology [G. N., R. H., H. Y.], Surgery [R. H., M. J.], Pathology [R. C-F., D. C.], Medicine [W. D.], and Biochemistry and Molecular Biology [R. J.], University of South Florida College of Medicine, Tampa, Florida 33612
| ABSTRACT |
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, induced cell death in murine B16 melanoma cells that harbored activated Stat3. By contrast, expression of Stat3
had no effect on normal fibroblasts or the Stat3-negative murine tumor MethA, suggesting that only tumor cells with activated Stat3 have become dependent on this pathway for survival. Significantly, gene therapy by electroinjection of the Stat3
expression vector into preexisting B16 tumors caused inhibition of tumor growth as well as tumor regression. This Stat3
-induced antitumor effect is associated with apoptosis of the B16 tumor cells in vivo. These findings demonstrate for the first time that interfering with Stat3 signaling induces potent antitumor activity in vivo and thus identify Stat3 as a potential molecular target for therapy of human cancers harboring activated Stat3. | Introduction |
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Mounting evidence directly implicates aberrant activation of Stat3 signaling in malignant progression of human cancers. Constitutive activation of Stat3 has been demonstrated in human breast carcinoma, multiple myeloma, lymphomas, leukemias, and head and neck carcinoma (8 , 13, 14, 15, 16, 17) . In the human myeloma cell line U266, interleukin-6-mediated constitutive activation of Stat3 signaling induces elevated expression of the antiapoptotic regulator Bcl-xL (17) . Blocking Stat3 signaling in these myeloma cells down-regulates Bcl-XL expression and results in a dramatic induction of programmed cell death in vitro (17) . These findings provide evidence that aberrant Stat3 signaling contributes to malignant progression of multiple myeloma by preventing apoptosis and suggest that Stat3 is a potential target for cancer therapy. However, it has not been determined whether blocking Stat3 signaling is sufficient to inhibit tumor growth in vivo. In this study, we used a gene therapy approach to inhibit activated Stat3 in vivo and assessed its effect on murine melanoma B16 tumor growth. Our results demonstrate that inhibition of activated Stat3 signaling by gene therapy with a dominant-negative Stat3 variant suppresses B16 tumor growth and induces apoptosis of B16 tumor cells in vivo.
| Materials and Methods |
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Nuclear Extracts and EMSA.
Nuclear extract preparation and EMSAs were performed essentially as described previously (3
, 8
, 17)
.
Plasmids.
Stat3
cDNA was kindly provided by E. Caldenhoven and R. de Groot (University Hospital, Utrecht, the Netherlands; Ref. 18
). The backbone plasmid, pIRES-EGFP, was obtained from Clontech (Palo Alto, CA). The construction and characterization of pIRES-Stat3
has been described previously (17)
. The pcDNA3 plasmid was obtained from Stratagene (La Jolla, CA). Stat3
cDNA was also inserted into the pAdCMV vector (Quantum Biotechnologies, Montreal, Quebec, Canada). The ability of pAdCMV-Stat3
to express Stat3
protein was verified by Western blot analysis after transfection into NIH 3T3 cells.
Transfections and Flow Cytometric Analysis.
Transfections in vitro were performed by the LipofectAMINE-mediated method (Life Technologies, Inc.). To determine transfection efficiency, relative fluorescence intensity was measured by fluorescence-activated cell sorting of both pIRES-EGFP/pSV2neo- and pIRES-Stat3
/pSV2neo-transfected cells. For stable transfectants, one plate of transfected cells from each group was used to determine the transfection efficiency, and the remaining plates were allowed to grow in medium supplemented with 500 µg/ml G418. Two weeks later, the G418-resistant colonies were fixed in 4% paraformaldehyde, and the number of colonies was counted. GFP-positive colonies were counted (for B16 cells) or estimated (for NIH 3T3 cells) under fluorescence microscopy.
Mice and Tumors.
Six-week-old female C57BL mice were purchased from the National Cancer Institute (Frederick, MD) and maintained in the institutional animal facilities approved by the American Association for Accreditation of Laboratory Animal Care. Mice were shaved in the left flank area and injected s.c. with 2 x 105 B16 cells in 100 µl of PBS. After 710 days, B16 tumors with a diameter of 36 mm were established. Animals were stratified so that the mean tumor sizes in all treatment groups were nearly identical. Tumor volume was calculated according to the formula V = 0.52 x a2 x b (a, smallest superficial diameter; b, largest superficial diameter).
DNA Electroinjection in Vivo.
The gene delivery procedure was performed after the mice were anesthetized in an induction chamber infused with a mixture of 3% isoflurane and 97% oxygen. Procedures were then carried out using a supply of 2% isoflurane in oxygen to a standard rodent mask. One hundred µg of plasmid DNA in 100 µl saline were injected directly into the tumor using a 25-gauge,
-inch-long needle. Electric pulses were delivered through custom-designed electrodes that were placed around the tumor using a PA 4000 DC generator (Cyto Pulse Sciences, Inc., Columbia, MD). Electroinjection of the tumor cells was accomplished by applying a total of fourteen 100-µs electric pulses at a nominal field strength of 1500 V/cm at 1-s intervals.
Histochemistry and Immunohistochemistry.
Electroinjection with pIRES-EGFP or pIRES-Stat3
was carried out in 45-mm B16 tumors. Three days after in vivo transfection, mice were euthanized, and the tumors were excised and frozen immediately in liquid N2. Serial sections of tumors were also fixed in formalin, stained with H&E, and processed for routine histological examination. The anti-GFP monoclonal antibody (Clontech) was applied to 3-µm sections from frozen sections of tumors using the avidin-biotin-peroxidase complex method (Vectastain Elite ABC kit; Vector Laboratories, Burlingame, CA). All slides were lightly counterstained with Mayers hematoxylin for 30 s before dehydration and mounting. Nonimmune protein (mouse IgG) negative controls were used for each section. For
-gal staining, tumor tissues were excised and fixed in 0.5% gluteraldehyde 3 days after electroinjection of either the
-gal or pcDNA3 plasmids. Cryostat sections were mounted on poly-L-lysine-coated slides and fixed briefly in 0.5% glutaraldehyde. The X-gal reaction was carried out according to the suppliers instructions (Boehringer Mannheim, Indianapolis, IN).
TUNEL Assay.
B16 tumors that received either pIRES-EGFP or pIRES-Stat3
electroinjections were used for this assay. Three-µm sections from paraffin-embedded tissues were dewaxed and rehydrated according to standard protocols. After incubation with proteinase K (30 min at 21°C), the TUNEL reaction mixture (Boehringer Mannheim) was added to rinsed slides and incubated in a humidified chamber for 60 s at 37°C. This was followed by an incubation with Converter-AP (50 µl) and substrate solution (50 µl). The reaction was visualized by light microscopy.
| Results |
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, Induces Cell Death in B16 Tumor Cells in Vitro.
is a naturally occurring splice variant of Stat3 that lacks the COOH-terminal transcriptional activation domain and hence functions as a dominant-negative form of Stat3 in many cellular contexts (11
, 18)
. Recent experiments demonstrated that Stat3
expression induces apoptosis in cultured human U266 myeloma cells, which have constitutively activated Stat3 (17)
. To determine whether Stat3 signaling is essential for B16 cell survival in vitro, we examined the effects of Stat3
overexpression on B16 cells. B16 cells were cotransfected with pSV2neo and either a vector encoding both EGFP and human Stat3
(pIRES-Stat3
) or the empty vector encoding only EGFP (pIRES-EGFP). Because the pIRES-Stat3
construct contains an internal ribosomal entry site to allow translation of Stat3
and EGFP from a single bicistronic mRNA, detection of EGFP can be used as a marker for Stat3
expression in the same cell.
In all of the experiments shown in Table 1
, transfection efficiencies with pIRES-EGFP or pIRES-Stat3
vectors were very similar, as determined by the percentage of cells that exhibit green fluorescence at 36 h after transfection (fluorescence-activated cell-sorting analysis). The remaining transfected plates were selected in medium supplemented with G418. Because the transfection efficiencies of the two constructs in each experiment were nearly the same, >95% of the B16 cells that received the Stat3
construct did not survive (only 6 colonies survived, as compared with 138 colonies in B16 cells transfected with the empty vector). In the six surviving colonies, the intensity of green fluorescence was also much dimmer than that seen in those transfected with the empty vector (data not shown). To determine whether expression of Stat3
could mediate the cell death of other murine tumor cells with activated Stat3, transfection was carried out in the TSA murine breast carcinoma cell line. Consistent with the B16 cells, a marked reduction in the number of viable cells was observed in Stat3
-transfected TSA tumor cells when compared with empty vector-transfected control cells (data not shown).
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was not due to nonspecific toxicity, the same cotransfection conditions and G418 selection were performed with normal mouse NIH 3T3 fibroblasts. The number of G418-resistant clones were the same in both empty vector- and Stat3
-transfected cells (Table 1)
expression in B16 cells is due to transformation in general or requires activated Stat3 signaling, MethA tumor cells that do not harbor constitutively activated Stat3 were transfected with either pIRES-Stat3
or pIRES-EGFP. Whereas the number of live B16 cells decreased dramatically as a result of Stat3
transient transfection, the number of live MethA cells in both the Stat3
and vector control groups remained the same 48 h after transfection (data not shown).
Intratumoral Electroinjection of Stat3
Vector Leads to Suppression of Tumor Growth in Vivo.
Electroinjection for gene delivery in vivo has been reported previously (19
, 20)
. We first determined the efficacy of gene delivery into 45-mm (average) B16 tumors by examining the percentage of tumor cells positive for GFP or
-gal after electroinjection with the respective vectors. Approximately 15% of the tumor cells were scored as positive for
-gal expression (Fig. 2a)
, and similar results were obtained for GFP expression (data not shown).
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expression on in vivo tumor growth, we electroinjected 36-mm B16 tumors with either pIRES-EGFP or pIRES-Stat3
plasmids. Of the 15 mice that received empty vector by electroinjection (pIRES-EGFP, 10 mice; pcDNA3, 5 mice), only 1 mouse temporarily regressed its tumor (Fig. 2c)
expression vectors (either pIRES-Stat3
or pAdCMV-Stat3
) regressed (compare Fig. 2, c and d
gene therapy in a majority of the mice (Fig. 2b)
intratumorally without electroporation had no inhibitory effect on tumor growth (data not shown).
Stat3
-mediated Tumor Suppression Involves Apoptosis in Vivo.
To determine the mechanism of tumor cell killing in vivo, B16 tumors (from experiment 3 in Fig. 2b
) treated with either the empty vector or the Stat3
vectors were excised for H&E staining and TUNEL assays. All 5 of the control tumors and all 10 of the Stat3
-treated tumors were stained with H&E. Whereas none of the five control tumors showed more than 10% apoptotic cells, many of the Stat3
-treated tumors had undergone massive apoptosis (Fig. 3, a and b)
. Of the 10 Stat3
-treated tumors, 5 regressing tumors had more than 50% apoptotic cells (2 of them had greater than 90%). TUNEL/alkaline phosphatase assays for apoptosis confirmed that Stat3
treatment induced extensive apoptosis in B16 tumors (Fig. 3, c and d)
. In addition to apoptosis, infiltrating inflammatory cells in the apoptotic tumors were observed in Stat3
-treated tumors (data not shown).
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| Discussion |
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, leads to a significant inhibition of tumor growth mediated by tumor cell apoptosis in vivo.
The high incidence of Stat3 activation in human cancers from diverse origins implicates Stat3 signaling in neoplastic transformation (4
, 8
, 13, 14, 15, 16, 17)
. Although the mechanisms of Stat3 activation in most cancers are not known, our results indicate that Stat3 is also constitutively activated with high incidence in murine tumors, highlighting the importance of Stat3 signaling in oncogenesis. Compared with the human myeloma cell line U266, the levels of activated Stat3 in the B16 tumor cell line are relatively low (Fig. 1)
. Such low levels of Stat3 activation have also been observed frequently in human tumor cell lines and tissues, including myeloma and breast cancer (8
, 17)
. The fact that expression of Stat3
killed nearly all of the B16 tumor cells in vitro suggests that low levels of constitutively activated Stat3 are sufficient to maintain tumor cell survival. These results also imply that human tumors with low levels of constitutively activated Stat3 are potential candidates for Stat3-targeted therapy. In contrast to B16 and TSA tumor cells, expression of Stat3
had no detectable effect on the survival of normal NIH 3T3 fibroblasts or the Stat3-negative MethA tumor cells, suggesting that cells lacking constitutively activated Stat3 are resistant to Stat3-targeted therapy. We speculate that in contrast to normal cells or Stat3-negative tumor cells, cells with constitutively activated Stat3 have become dependent on this pathway for survival.
Whereas the precise mechanism by which Stat3
mediates apoptosis in B16 cells is still under investigation, our recent studies in human myeloma cells demonstrated that Stat3
inhibits expression of the Bcl-xL protein (17)
. These experiments have provided evidence that Stat3
can be a proapoptosis regulator in cells that require Stat3 function for survival. The tumor suppressor protein p53 is another apoptosis regulator capable of mediating repression of Bcl-2 family genes (21)
. Ectopic expression of high levels of wild-type p53 has been shown to induce apoptosis of various tumor cell lines in vitro. Gene therapy (predominantly using adenoviral vectors) with wild-type p53 has been shown to inhibit tumor growth and, in some cases, induce complete tumor regression in vivo (22, 23, 24)
. However, most of these experiments were performed with human tumor cells in nude mice. In one syngeneic murine model of breast cancer, p53 gene therapy resulted in tumor growth delay, but not in tumor regression (25)
. The antitumor effect mediated by Stat3
that we report here is more pronounced compared with p53 gene therapy in the murine breast cancer model. Nonetheless, initial reports of p53 gene therapy in clinical trials have described antitumor responses in patients with advanced non-small cell lung cancer (26)
. Therefore, it is conceivable that Stat3 gene therapy in cancer patients could be successful, as seen for p53 gene therapy.
Although antitumor bystander effects have been observed in tumors treated with p53 gene therapy (24
, 27)
, in vivo studies demonstrating the precise mechanism of the p53-mediated bystander effect are lacking. Nevertheless, a recent report demonstrated 29% growth inhibition of nontransduced cells after p53-transduced and nontransduced cells were cocultured in vitro (27)
. In the case of B16 tumors treated with the Stat3
gene via electroinjection, the number of apoptotic cells also exceeds the number of cells transfected, consistent with antitumor bystander effects. Experiments are under way to investigate the mechanism by which Stat3
gene therapy may induce antitumor bystander effects. It is also notable that tumor infiltration by acute and chronic inflammatory cells was observed after Stat3
expression.5
These inflammatory cells may participate in killing of residual tumor cells, suggesting that one strategy to improve the efficacy of anti-Stat3-based therapy is to combine it with immunotherapy. Whereas p53 treatment alone failed to induce impressive tumor regression in a murine breast cancer model, gene therapy with combined interleukin 2 and p53 treatment has been shown to achieve long-term and significantly greater antitumor effects than either one alone (25)
.
Our results provide in vivo proof of principle that Stat3 is a valid molecular target for developing novel therapies against cancers harboring constitutively activated Stat3. In addition to gene therapy, the development of small molecule drugs that specifically inhibit Stat3 signaling would also be highly desirable.
| ACKNOWLEDGMENTS |
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cDNA and the members of the Moffitt Cancer Centers Flow Cytometry Core and Pathology Core for assistance. | FOOTNOTES |
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1 Supported by NIH Grants CA75243 (to H. Y.), CA55652 (to R. J.), and CA77859 (to W. D.); American Cancer Society Grant RPG-97-031-01 (to R. H.); and the Dr. Tsai-Fan Yu Cancer Research Endowment. ![]()
2 G. N. and R. H. contributed equally to this work. ![]()
3 To whom requests for reprints should be addressed, at Immunology Program, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL 33612. ![]()
4 The abbreviations used are: STAT, signal transducer and activator of transcription; EMSA, electrophoretic mobility shift assay; hSIE, high-affinity sis-inducible element; EGFP, enhanced green fluorescence protein;
-gal,
-galactosidase; TUNEL, terminal deoxynucleotidyl transferase-mediated nick end labeling. ![]()
Received 7/26/99. Accepted 8/30/99.
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