PMID- 34726248 OWN - NLM STAT- MEDLINE DCOM- 20220308 LR - 20220308 IS - 1791-2423 (Electronic) IS - 1019-6439 (Print) IS - 1019-6439 (Linking) VI - 59 IP - 6 DP - 2021 Dec TI - Shikonin suppresses colon cancer cell growth and exerts synergistic effects by regulating ADAM17 and the IL‑6/STAT3 signaling pathway. LID - 99 [pii] LID - 10.3892/ijo.2021.5279 [doi] AB - Signal transducer and activator of transcription 3 (STAT3) activation is associated with drug resistance induced by anti‑epidermal growth factor receptor (anti‑EGFR) therapy in the treatment of colon cancer. Thus, the combined inhibition of EGFR and STAT3 may prove beneficial for this type of cancer. STAT3 has been proven to play a critical role in colon cancer initiation and progression, and is considered the primary downstream effector driven by interleukin‑6 (IL‑6). A disintegrin and metalloproteinase 17 (ADAM17), documented as an oncogene, catalyzes the cleavage of both EGF and IL‑6R, inducing EGFR signaling and enabling IL‑6 trans‑signaling to activate STAT3 in a wide range of cell types to promote inflammation and cancer development. As a natural product, shikonin (SKN) has been found to function as an antitumor agent; however, its role in the regulation of ADAM17 and IL‑6/STAT3 signaling in colon cancer cells remains unknown. In the present study, it was found that SKN inhibited colon cancer cell growth, suppressed both constitutive and IL‑6‑induced STAT3 phosphorylation, and downregulated the expression of ADAM17. ADAM17 expression was not altered in response to STAT3 knockdown, while IL‑6‑induced STAT3 activation did not induce ADAM17 transcripts. Furthermore, it was demonstrated that SKN did not affect the expression of key proteins involved in the maturation and degradation of ADAM17. SKN decreased ADAM17 expression possibly through reactive oxygen species (ROS)‑mediated translational inhibition, as evidenced by the increased ADAM17 mRNA and phosphorylation levels of eukaryotic initiation factor 2alpha (eIF2alpha). The expression of ADAM17 and p‑eIF2alpha was reversed by N‑acetylcysteine (NAC, a ROS scavenger). Taken together, these results indicate that the concurrent inhibition of ADAM17 and IL‑6/STAT3 signaling by SKN may synergistically contribute to the suppression of colon cancer cell growth. FAU - Shi, Wei AU - Shi W AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Men, Lintong AU - Men L AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Pi, Xiu AU - Pi X AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Jiang, Tao AU - Jiang T AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Peng, Dewei AU - Peng D AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Huo, Shengqi AU - Huo S AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Luo, Pengcheng AU - Luo P AD - Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Wang, Moran AU - Wang M AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Guo, Junyi AU - Guo J AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Jiang, Yue AU - Jiang Y AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Peng, Lulu AU - Peng L AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Lin, Li AU - Lin L AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Li, Sheng AU - Li S AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. FAU - Lv, Jiagao AU - Lv J AD - Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China. LA - eng PT - Journal Article DEP - 20211102 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 0 (Naphthoquinones) RN - 0 (STAT3 Transcription Factor) RN - 0 (STAT3 protein, human) RN - 3IK6592UBW (shikonin) RN - EC 3.4.24.86 (ADAM17 Protein) RN - EC 3.4.24.86 (ADAM17 protein, human) SB - IM MH - ADAM17 Protein/genetics/*metabolism MH - Anti-Inflammatory Agents, Non-Steroidal/pharmacology MH - Apoptosis MH - Cell Proliferation MH - Colonic Neoplasms/*drug therapy/metabolism/pathology MH - Gene Expression Regulation, Neoplastic/*drug effects MH - Humans MH - Interleukin-6/genetics/*metabolism MH - Naphthoquinones/*pharmacology MH - STAT3 Transcription Factor/genetics/*metabolism MH - Tumor Cells, Cultured PMC - PMC8577797 OTO - NOTNLM OT - A disintegrin and metalloproteinase 17 OT - IL‑6 OT - STAT3 OT - colon cancer OT - shikonin COIS- The authors declare that they have no competing interests. EDAT- 2021/11/03 06:00 MHDA- 2022/03/09 06:00 PMCR- 2021/11/01 CRDT- 2021/11/02 09:14 PHST- 2020/12/17 00:00 [received] PHST- 2021/07/20 00:00 [accepted] PHST- 2021/11/02 09:14 [entrez] PHST- 2021/11/03 06:00 [pubmed] PHST- 2022/03/09 06:00 [medline] PHST- 2021/11/01 00:00 [pmc-release] AID - 99 [pii] AID - ijo-59-06-05279 [pii] AID - 10.3892/ijo.2021.5279 [doi] PST - ppublish SO - Int J Oncol. 2021 Dec;59(6):99. doi: 10.3892/ijo.2021.5279. Epub 2021 Nov 2.