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Cited by 507

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Inhibition of STAT3-ferroptosis negative regulatory axis suppresses tumor growth and alleviates chemoresistance in gastric cancer

Open access
Ouyang, Shumin, Li, Huaxuan, Lou, Linlin, Huang, Qiuyao, Zhang, Zhenhua, Mo, Jianshan, Li, Min, Lu, Jiaye, Zhu, Kai, Chu, Yunjie, Ding, Wen, Zhu, Jianzheng, Lin, Ziyou, Zhong, Lin, Wang, Junjian, Yue, Peibin, Turkson, James, Liu, Peiqing, Wang, Yuanxiang, Zhang, Xiaolei·2022·Redox Biology

Abstract

Chemotherapy is still one of the principal treatments for gastric cancer, but the clinical application of 5-FU is limited by drug resistance. Here, we demonstrate that ferroptosis triggered by STAT3 inhibition may provide a novel opportunity to explore a new effective therapeutic strategy for gastric cancer and chemotherapy resistance. We find that ferroptosis negative regulation (FNR) signatures are closely correlated with the progression and chemoresistance of gastric cancer. FNR associated genes (GPX4, SLC7A11, and FTH1) and STAT3 are upregulated in 5-FU resistant cells and xenografts. Further evidence demonstrates that STAT3 binds to consensus DNA response elements in the promoters of the FNR associated genes (GPX4, SLC7A11, and FTH1) and regulates their expression, thereby establishing a negative STAT3-ferroptosis regulatory axis in gastric cancer. Genetic inhibition of STAT3 activity triggers ferroptosis through lipid peroxidation and Fe2+ accumulation in gastric cancer cells. We further develop a potent and selective STAT3 inhibitor, W1131, which demonstrates significant anti-tumor effects in gastric cancer cell xenograft model, organoids model, and patient-derived xenografts (PDX) model partly by inducing ferroptosis, thus providing a new candidate compound for advanced gastric cancer. Moreover, targeting the STAT3-ferroptosis circuit promotes ferroptosis and restores sensitivity to chemotherapy. Our finding reveals that STAT3 acts as a key negative regulator of ferroptosis in gastric cancer through a multi-pronged mechanism and provides a new therapeutic strategy for advanced gastric cancer and chemotherapy resistance.

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Metadata

Authors
Ouyang, S., Li, H., Lou, L., Huang, Q., Zhang, Z., Mo, J., Li, M., Lu, J., Zhu, K., Chu, Y., Ding, W., Zhu, J., Lin, Z., Zhong, L., Wang, J., Yue, P., Turkson, J., Liu, P., Wang, Y., & Zhang, X.
Venue
Redox Biology
Publisher
Elsevier BV
Published
2022-06
Volume
52
Pages
102317
ISSN
2213-2317 (ISSN-L)
OpenAlex
W4224248664
Cited by
507
References
64
FWCI
59.20
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Inhibition of STAT3-ferroptosis negative regulatory axis suppresses tumor growth and alleviates chemoresistance in gastric cancer. https://app.cochat.ai/papers/10.1016/j.redox.2022.102317
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Ouyang, S., Li, H., Lou, L., Huang, Q., Zhang, Z., Mo, J., Li, M., Lu, J., Zhu, K., Chu, Y., Ding, W., Zhu, J., Lin, Z., Zhong, L., Wang, J., Yue, P., Turkson, J., Liu, P., Wang, Y., & Zhang, X. (2022). Inhibition of STAT3-ferroptosis negative regulatory axis suppresses tumor growth and alleviates chemoresistance in gastric cancer. Redox Biology. https://doi.org/10.1016/j.redox.2022.102317

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