Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Review Article
  • Published:

Mechanisms of Disease: insights into the emerging role of signal transducers and activators of transcription in cancer

Abstract

Members of the signal transducers and activators of transcription (STAT) pathway, which were originally identified as key components linking cytokine signals to transcriptional events in cells, have recently been demonstrated to have a major role in cancer. They are cytoplasmic proteins that form functional dimers with each other when activated by tyrosine phosphorylation. Activated STAT proteins translocate to the nucleus to regulate expression of genes by binding to specific elements within gene promoters. Constitutive activation of the STAT family members Stat3 and Stat5, and/or loss of Stat1 signaling, is found in a large group of diverse tumors. Increasing evidence demonstrates that STAT proteins can regulate many pathways important in oncogenesis including cell-cycle progression, apoptosis, tumor angiogenesis, tumor-cell invasion and metastasis, and tumor-cell evasion of the immune system. Based on these findings, a growing effort is underway to target STAT proteins directly and indirectly for cancer therapy. This review will highlight STAT signaling pathways, STAT target genes involved in cancer, evidence for STAT activation in human cancers, and therapeutic strategies to target STAT molecules for anticancer therapy.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Structure of STAT proteins.
Figure 2: Schematic representation of STAT signaling pathways.
Figure 3: Proteins regulated by Stat1 and Stat3.
Figure 4: Strategies to target STAT signaling pathways.

Similar content being viewed by others

References

  1. Darnell JE Jr (1997) STATs and gene regulation. Science 277: 1630–1635

    Article  CAS  Google Scholar 

  2. Zhong Z et al. (1994) Stat3: a STAT family member activated by tyrosine phosphorylation in response to epidermal growth factor and interleukin-6. Science 264: 95–98

    Article  CAS  Google Scholar 

  3. Yu CL et al. (1995) Enhanced DNA-binding activity of a Stat3-related protein in cells transformed by the Src oncoprotein. Science 269: 81–83

    Article  CAS  Google Scholar 

  4. Yu H and Jove R (2004) The STATs of cancer—new molecular targets come of age. Nat Rev Cancer 4: 97–105

    Article  CAS  Google Scholar 

  5. Bowman T et al. (2000) STATs in oncogenesis. Oncogene 19: 2474–2488

    Article  CAS  Google Scholar 

  6. Wen Z et al. (1995) Maximal activation of transcription by Stat1 and Stat3 requires both tyrosine and serine phosphorylation. Cell 82: 241–250

    Article  CAS  Google Scholar 

  7. Bild AH et al. (2002) Cytoplasmic transport of Stat3 by receptor-mediated endocytosis. EMBO J 21: 3255–3263

    Article  CAS  Google Scholar 

  8. Zhang X et al. (1999) Interacting regions in Stat3 and c-Jun that participate in cooperative transcriptional activation. Mol Cell Biol 19: 7138–7146

    Article  CAS  Google Scholar 

  9. Starr R et al. (1997) A family of cytokine-inducible inhibitors of signalling. Nature 387: 917–921

    Article  CAS  Google Scholar 

  10. Chung CD et al. (1997) Specific inhibition of Stat3 signal transduction by PIAS3. Science 278: 1803–1805

    Article  CAS  Google Scholar 

  11. Lufei C et al. (2003) GRIM-19, a death-regulatory gene product, suppresses Stat3 activity via functional interaction. EMBO J 22: 1325–1335

    Article  CAS  Google Scholar 

  12. Reljic R et al. (2000) Suppression of signal transducer and activator of transcription 3-dependent B lymphocyte terminal differentiation by BCL-6. J Exp Med 192: 1841–1848

    Article  CAS  Google Scholar 

  13. He B et al. (2003) SOCS-3 is frequently silenced by hypermethylation and suppresses cell growth in human lung cancer. Proc Natl Acad Sci U S A 100: 14133–14138

    Article  CAS  Google Scholar 

  14. Shen Y et al. (2001) Constitutively activated Stat3 protects fibroblasts from serum withdrawal and UV-induced apoptosis and antagonizes the proapoptotic effects of activated Stat1. Proc Natl Acad Sci U S A 98: 1543–1548

    Article  CAS  Google Scholar 

  15. Catlett-Falcone R et al. (1999) Constitutive activation of Stat3 signaling confers resistance to apoptosis in human U266 myeloma cells. Immunity 10: 105–115

    Article  CAS  Google Scholar 

  16. Epling-Burnette PK et al. (2001) Inhibition of STAT3 signaling leads to apoptosis of leukemic large granular lymphocytes and decreased Mcl-1 expression. J Clin Invest 107: 351–362

    Article  CAS  Google Scholar 

  17. Real PJ et al. (2002) Resistance to chemotherapy via Stat3-dependent overexpression of Bcl-2 in metastatic breast cancer cells. Oncogene 21: 7611–7618

    Article  CAS  Google Scholar 

  18. Gritsko TT et al. Persistent activation of Stat3 signaling induces survivin gene expression and confers resistance to apoptosis in human breast cancer cells. Clin Cancer Res, in press

  19. Diaz NM et al. (2005) Activation of Stat3 in primary tumors from high-risk breast cancer patients is associated with elevated levels of activated Src and Survivin expression. Clin Cancer Res, in press

    Google Scholar 

  20. Niu G et al. (2001) Overexpression of a dominant-negative signal transducer and activator of transcription 3 variant in tumor cells leads to production of soluble factors that induce apoptosis and cell cycle arrest. Cancer Res 61: 3276–3280

    CAS  PubMed  Google Scholar 

  21. Kiuchi N et al. (1999) STAT3 is required for the gp130-mediated full activation of the c-myc gene. J Exp Med 189: 63–73

    Article  CAS  Google Scholar 

  22. Sinibaldi D et al. (2000) Induction of p21WAF1/CIP1 and cyclin D1 expression by the Src oncoprotein in mouse fibroblasts: role of activated STAT3 signaling. Oncogene 19: 5419–5427

    Article  CAS  Google Scholar 

  23. Niu G et al. (2002) Constitutive Stat3 activity up-regulates VEGF expression and tumor angiogenesis. Oncogene 21: 2000–2008

    Article  CAS  Google Scholar 

  24. Wang T et al. (2004) Regulation of the innate and adaptive immune responses by Stat-3 signaling in tumor cells. Nat Med 10: 48–54

    Article  Google Scholar 

  25. Cheng F et al. (2003) A critical role for Stat3 signaling in immune tolerance. Immunity 19: 425–36

    Article  CAS  Google Scholar 

  26. Xie TX et al. (2004) Stat3 activation regulates the expression of matrix metalloproteinase-2 and tumor invasion and metastasis. Oncogene 23: 3550–3560

    Article  CAS  Google Scholar 

  27. Dauer DJ et al. (2005) Stat3 regulates genes common to both wound healing and cancer. Oncogene 24: 3397–3408

    Article  CAS  Google Scholar 

  28. Xi S et al. (2003) Constitutive activation of Stat5b contributes to carcinogenesis in vivo. Cancer Res 63: 6763–6771

    CAS  PubMed  Google Scholar 

  29. Kazansky AV et al. (2003) Activation of signal transducer and activator of transcription 5 is required for progression of autochthonous prostate cancer: evidence from the transgenic adenocarcinoma of the mouse prostate system. Cancer Res 63: 8757–8762

    CAS  PubMed  Google Scholar 

  30. Huang M et al. (2002) Inhibition of Bcr-Abl kinase activity by PD180970 blocks constitutive activation of Stat5 and growth of CML cells. Oncogene 21: 8804–8816

    Article  CAS  Google Scholar 

  31. Horita M et al. (2000) Blockade of the Bcr-Abl kinase activity induces apoptosis of chronic myelogenous leukemia cells by suppressing signal transducer and activator of transcription 5-dependent expression of Bcl-xL. J Exp Med 191: 977–984

    Article  CAS  Google Scholar 

  32. Nieborowska-Skorska M et al. (2002) Complementary functions of the antiapoptotic protein A1 and serine/threonine kinase pim-1 in the BCR/ABL-mediated leukemogenesis. Blood 99: 4531–4539

    Article  CAS  Google Scholar 

  33. Li H et al. (2004) Activation of signal transducer and activator of transcription 5 in human prostate cancer is associated with high histological grade. Cancer Res 64: 4774–4782

    Article  CAS  Google Scholar 

  34. Nevalainen MT et al. (2004) Signal transducer and activator of transcription-5 activation and breast cancer prognosis. J Clin Oncol 22: 2053–2060

    Article  CAS  Google Scholar 

  35. Durbin JE et al. (1996) Targeted disruption of the mouse Stat1 gene results in compromised innate immunity to viral disease. Cell 84: 443–450

    Article  CAS  Google Scholar 

  36. Kaplan DH et al. (1998) Demonstration of an interferon gamma-dependent tumor surveillance system in immunocompetent mice. Proc Natl Acad Sci U S A 95: 7556–7561

    Article  CAS  Google Scholar 

  37. Bromberg JF et al. (1996) Transcriptionally active Stat1 is required for the antiproliferative effects of both interferon alpha and interferon gamma. Proc Natl Acad Sci U S A 93: 7673–7678

    Article  CAS  Google Scholar 

  38. Chin YE et al. (1996) Cell growth arrest and induction of cyclin-dependent kinase inhibitor p21 WAF1/CIP1 mediated by STAT1. Science 272: 719–722

    Article  CAS  Google Scholar 

  39. Sun WH et al. (1998) Interferon-alpha resistance in a cutaneous T-cell lymphoma cell line is associated with lack of STAT1 expression. Blood 91: 570–576

    CAS  PubMed  Google Scholar 

  40. Chen B et al. (2000) Inhibition of the interferon-gamma/signal transducers and activators of transcription (STAT) pathway by hypermethylation at a STAT-binding site in the p21WAF1 promoter region. Cancer Res 60: 3290–3298

    CAS  PubMed  Google Scholar 

  41. Ramana CV et al. (2000) Regulation of c-myc expression by IFN-gamma through Stat1-dependent and -independent pathways. EMBO J 19: 263–272

    Article  CAS  Google Scholar 

  42. Sironi JJ and Ouchi T (2003). STAT1-induced apoptosis is mediated by caspases 2, 3, and 7. J Biol Chem 279: 4066–4074

    Article  Google Scholar 

  43. Stephanou A et al. (2000) Opposing actions of STAT-1 and STAT-3 on the Bcl-2 and Bcl-x promoters. Cell Death Differ 7: 329–330

    Article  CAS  Google Scholar 

  44. Thomas M et al. (2004) STAT1: a modulator of chemotherapy-induced apoptosis. Cancer Res 64: 8357–8364

    Article  CAS  Google Scholar 

  45. Huang S (2002). Stat1 negatively regulates angiogenesis, tumorigenicity and metastasis of tumor cells. Oncogene 21: 2504–2512

    Article  CAS  Google Scholar 

  46. Widschwendter A et al. (2002) Prognostic significance of signal transducer and activator of transcription 1 activation in breast cancer. Clin Cancer Res 8: 3065–3074

    CAS  PubMed  Google Scholar 

  47. Mora LB et al. (2002) Constitutive activation of Stat3 in human prostate tumors and cell lines: direct inhibition of Stat3 signaling induces apoptosis of prostate cancer cells. Cancer Res 62: 6659–6666

    CAS  PubMed  Google Scholar 

  48. Grandis JR et al. (2000) Constitutive activation of Stat3 signaling abrogates apoptosis in squamous cell carcinogenesis in vivo. Proc Natl Acad Sci U S A 97: 4227–4232

    Article  CAS  Google Scholar 

  49. Song L et al. (2003) Activation of Stat3 by receptor tyrosine kinases and cytokines regulates survival in human non-small cell carcinoma cells. Oncogene 22: 4150–4165

    Article  CAS  Google Scholar 

  50. Garcia R et al. (2001) Constitutive activation of Stat3 by the Src and JAK tyrosine kinases participates in growth regulation of human breast carcinoma cells. Oncogene 20: 2499–2513

    Article  CAS  Google Scholar 

  51. Gao H et al. (2004) Stat3 activation in acute lung injury. J Immunol 172: 7703–7712

    Article  CAS  Google Scholar 

  52. Hokuto I et al. Stat-3 is required for pulmonary homeostasis during hyperoxia. J Clin Invest 113: 28–37

  53. Sano S et al. (1999) Keratinocyte-specific ablation of Stat3 exhibits impaired skin remodeling, but does not affect skin morphogenesis. EMBO J 18: 4657–6468

    Article  CAS  Google Scholar 

  54. Kano A et al. (2003) Endothelial cells require STAT3 for protection against endotoxin-induced inflammation. J Exp Med 198: 1517–1525

    Article  CAS  Google Scholar 

  55. Chan KS et al. (2004) Disruption of Stat3 reveals a critical role in both the initiation and the promotion stages of epithelial carcinogenesis. J Clin Invest 114: 720–728

    Article  CAS  Google Scholar 

  56. Greten FR et al. (2002) Stat3 and NF-kappaB activation prevents apoptosis in pancreatic carcinogenesis. Gastroenterology 123: 2052–2063

    Article  CAS  Google Scholar 

  57. Sanchez A et al. (2003) STAT-3 activity in chemically-induced hepatocellular carcinoma. Eur J Cancer 39: 2093–2098

    Article  CAS  Google Scholar 

  58. Ren S et al. (2002) Loss of Stat5a delays mammary cancer progression in a mouse model. Oncogene 21: 4335–4339

    Article  CAS  Google Scholar 

  59. Nikitakis NG et al. (2002) The nonsteroidal anti-inflammatory drug sulindac causes down-regulation of signal transducer and activator of transcription 3 in human oral squamous cell carcinoma cells. Cancer Res 62: 1004–1007

    CAS  PubMed  Google Scholar 

  60. Turkson J (2004) STAT proteins as novel targets for cancer drug discovery. Expert Opin Ther Targets 8: 409–422

    Article  CAS  Google Scholar 

  61. Blaskovich MA et al. (2003) Discovery of JSI-124 (cucurbitacin I), a selective Janus kinase/signal transducer and activator of transcription 3 signaling pathway inhibitor with potent antitumor activity against human and murine cancer cells in mice. Cancer Res 63: 1270–1279

    CAS  PubMed  Google Scholar 

  62. Turkson J et al. (2004) Inhibition of constitutive signal transducer and activator of transcription 3 activation by novel platinum complexes with potent anti-tumor activity. Mol Cancer Ther 3: 1–10

    Article  Google Scholar 

  63. Turkson J et al. (2001) Phosphotyrosyl peptides block Stat3-mediated DNA-binding activity, gene regulation and cell transformation. J Biol Chem 276: 45443–45455

    Article  CAS  Google Scholar 

  64. Ren Z et al. (2003) Identification of a high-affinity phosphopeptide inhibitor of stat3. Bioorg Med Chem Lett 13: 633–636

    Article  CAS  Google Scholar 

  65. Nagel-Wolfrum K et al. (2004) The interaction of specific peptide aptamers with the DNA binding domain and the dimerization domain of the transcription factor Stat3 inhibits transactivation and induces apoptosis in tumor cells. Mol Cancer Res 2: 170–182

    CAS  PubMed  Google Scholar 

  66. Jing N et al. (2003) Targeting Stat3 with G-quartet oligodeoxynucleotides in human cancer cells. DNA Cell Biol 22: 685–696

    Article  CAS  Google Scholar 

  67. Leong PL et al. (2003) Targeted inhibition of Stat3 with a decoy oligonucleotide abrogates head and neck cancer cell growth. Proc Natl Acad Sci U S A 100: 4138–4143

    Article  CAS  Google Scholar 

  68. Konnikova L et al. (2003) Knockdown of STAT3 expression by RNAi induces apoptosis in astrocytoma cells. BMC Cancer 3: 23

    Article  Google Scholar 

  69. Yin N et al. (2004) Molecular mechanisms involved in the growth stimulation of breast cancer cells by leptin. Cancer Res 64: 5870–5875

    Article  CAS  Google Scholar 

  70. Giraud S et al. (2002) Functional interaction of STAT3 transcription factor with the coactivator NcoA/SRC1a. J Biol Chem 277: 8004–8011

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The authors wish to thank members of their laboratories, colleagues who have contributed to the studies described, and acknowledge the important work of other investigators that could not be cited because of space limitations. Special thanks to Becky Alexander for administrative assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eric B Haura.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Glossary

SRC-HOMOLOGY-2 (SH2)DOMAINS

Stretches of approximately 100 amino acids often found in signal transduction proteins, which confer binding to phosphorylated tyrosine residues within other signaling proteins

GENE ASSOCIATED WITH RETINOID-INTERFERONINDUCED MORTALITY 19(GRIM 19)

The product of a cell-death regulatory gene induced by interferon-beta and retinoic acid

BYSTANDER EFFECT

Tumor regression when a fraction of the tumor mass is genetically modified

Rights and permissions

Reprints and permissions

About this article

Cite this article

Haura, E., Turkson, J. & Jove, R. Mechanisms of Disease: insights into the emerging role of signal transducers and activators of transcription in cancer. Nat Rev Clin Oncol 2, 315–324 (2005). https://doi.org/10.1038/ncponc0195

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ncponc0195

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing