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  • Targeting Stat3 signaling i...
    Korac-Prlic, Jelena; Degoricija, Marina; Vilović, Katarina; Haupt, Benedikt; Ivanišević, Tonči; Franković, Lucija; Grivennikov, Sergei; Terzić, Janoš

    Cancer letters, 10/2020, Letnik: 490
    Journal Article

    Bladder cancer is the fourth most commonly diagnosed malignancy in men worldwide and has one of the highest recurrence rates of all cancers. This cancer type is unique because chronic inflammation caused by Schistosoma haematobium can cause bladder cancer, while inflammation induced by Bacillus Calmette Guerin is the therapeutic cornerstone for this cancer type. Activation of proinflammatory IL-6/Stat3 axis promotes the development of different cancers by acting on cancer cells as well as by modulating cancer microenvironment. Using a genetic and pharmacological approach in a mouse model, we demonstrated the importance of IL-6 and Stat3 signaling in bladder cancer. Our findings show that pharmacological inhibition of Stat3 with WP1066 effectively delays progression and invasiveness of bladder cancer in N-butyl-N-(4-hydroxybutyl) nitrosamine-induced mouse model. Moreover, either IL-6 blockade or Stat3 inhibition sensitized bladder cancer to anti-PD-L1 immune therapy. Taken together, our study demonstrates an important role of IL-6/Stat3 signaling in bladder cancer and creates a rationale for testing the therapeutic potential of Stat3 inhibitors in human MIBC both alone or in combination with anti-PD-L1 and anti-IL-6 therapy. •Stat3 is activated during bladder carcinogenesis in the BBN mouse model.•Genetic ablation and systemic inhibition of Stat3 impair bladder carcinogenesis.•Ablation of IL-6 promotes BC through an aberrant immune response.•Targeting IL-6/Stat3 and immune checkpoint inhibitors prevents BC invasiveness.•Stat3 inhibition has therapeutic potential in human MIBC.