PMID- 35016744 OWN - NLM STAT- MEDLINE DCOM- 20220505 LR - 20220716 IS - 1555-3906 (Electronic) IS - 0965-0407 (Print) IS - 0965-0407 (Linking) VI - 29 IP - 1 DP - 2022 May 4 TI - STAT3 Polymorphism Associates With mTOR Inhibitor-Induced Interstitial Lung Disease in Patients With Renal Cell Carcinoma. PG - 11-23 LID - 10.3727/096504022X16418911579334 [doi] AB - We evaluated the association of signal transducer and activator of transcription 3 (STAT3) polymorphisms with the incidence of mammalian target of rapamycin (mTOR) inhibitor-induced interstitial lung disease (ILD) in patients with renal cell carcinoma (RCC). We also used lung-derived cell lines to investigate the mechanisms of this association. Japanese patients with metastatic RCC who were treated with mTOR inhibitors were genotyped for the STAT3 polymorphism, rs4796793 (1697C/G). We evaluated the association of the STAT3 genotype with the incidence of ILD and therapeutic outcome. In the 57 patients included in the primary analysis, the ILD rate within 140 days was significantly higher in patients with the GG genotype compared with those with other genotypes (77.8% vs. 23.1%, odds ratio=11.67, 95% confidential interval=3.0644.46). There were no significant differences in progression-free survival or time-to-treatment failure between the patients with the GG genotype and those with other genotypes. An in vitro study demonstrated that some lung-derived cell lines carrying the GG genotype exhibited an increase in the expression of mesenchymal markers, such as fibronectin, N-cadherin, and vimentin, and decreases in E-cadherin, which is an epithelial marker associated with exposure to everolimus, although STAT3 expression and activity were not related to the genotype. In conclusion, the GG genotype of the STAT3 rs4796793 polymorphism increases the risk of mTOR inhibitor-induced ILD, supporting its use as a predictive marker for RCC. FAU - Yamamoto, Kazuhiro AU - Yamamoto K AD - Department of Pharmacy, Kobe University HospitalKobeJapan. FAU - Ioroi, Takeshi AU - Ioroi T AD - Department of Pharmacy, Kobe University HospitalKobeJapan. FAU - Shinomiya, Kazuaki AU - Shinomiya K AD - Department of Pharmaceutical Care and Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Tokushima Bunri UniversityTokushimaJapan. FAU - Yoshida, Ayaka AU - Yoshida A AD - Department of Pharmacy, Kobe University HospitalKobeJapan. FAU - Harada, Kenichi AU - Harada K AD - Division of Urology, Kobe University Graduate School of MedicineKobeJapan. FAU - Fujisawa, Masato AU - Fujisawa M AD - Division of Urology, Kobe University Graduate School of MedicineKobeJapan. FAU - Omura, Tomohiro AU - Omura T AD - Department of Pharmacy, Kobe University HospitalKobeJapan. FAU - Ikemi, Yasuaki AU - Ikemi Y AD - Department of Clinical Pharmacology and Therapeutics, Kyoto University HospitalKyotoJapan. FAU - Nakagawa, Shunsaku AU - Nakagawa S AD - Department of Clinical Pharmacology and Therapeutics, Kyoto University HospitalKyotoJapan. FAU - Yonezawa, Atsushi AU - Yonezawa A AD - Department of Clinical Pharmacology and Therapeutics, Kyoto University HospitalKyotoJapan. FAU - Ogawa, Osamu AU - Ogawa O AD - Department of Urology, Graduate School of Medicine, Kyoto UniversityKyotoJapan. FAU - Matsubara, Kazuo AU - Matsubara K AD - Department of Clinical Pharmacology and Therapeutics, Kyoto University HospitalKyotoJapan. FAU - Iwamoto, Takuya AU - Iwamoto T AD - Department of Pharmacy, Mie University HospitalMieJapan. FAU - Nishikawa, Kohei AU - Nishikawa K AD - Department of Nephro-Urologic Surgery and Andrology, Mie University Graduate School of MedicineMieJapan. FAU - Hayashi, Sayaka AU - Hayashi S AD - Department of Pharmacy, Kumamoto University HospitalKumamotoJapan. FAU - Tohara, Daichi AU - Tohara D AD - Department of Pharmacy, Kumamoto University HospitalKumamotoJapan. FAU - Murakami, Yoji AU - Murakami Y AD - Department of Urology, Graduate School of Medical Sciences, Kumamoto UniversityKumamotoJapan. FAU - Motoshima, Takanobu AU - Motoshima T AD - Department of Urology, Graduate School of Medical Sciences, Kumamoto UniversityKumamotoJapan. FAU - Jono, Hirofumi AU - Jono H AD - Department of Pharmacy, Kumamoto University HospitalKumamotoJapan. FAU - Yano, Ikuko AU - Yano I AD - Department of Pharmacy, Kobe University HospitalKobeJapan. LA - eng PT - Journal Article DEP - 20220111 PL - United States TA - Oncol Res JT - Oncology research JID - 9208097 RN - 0 (MTOR Inhibitors) RN - 0 (STAT3 Transcription Factor) RN - 0 (STAT3 protein, human) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - *Carcinoma, Renal Cell/drug therapy/genetics MH - Female MH - Humans MH - *Kidney Neoplasms/drug therapy/genetics/pathology MH - *Lung Diseases, Interstitial/chemically induced/drug therapy/genetics MH - MTOR Inhibitors MH - Male MH - Polymorphism, Single Nucleotide MH - STAT3 Transcription Factor/genetics MH - TOR Serine-Threonine Kinases/genetics PMC - PMC9110706 COIS- The authors declare no conflicts of interest. EDAT- 2022/01/13 06:00 MHDA- 2022/05/06 06:00 PMCR- 2022/05/04 CRDT- 2022/01/12 05:44 PHST- 2022/01/13 06:00 [pubmed] PHST- 2022/05/06 06:00 [medline] PHST- 2022/01/12 05:44 [entrez] PHST- 2022/05/04 00:00 [pmc-release] AID - OR1477 [pii] AID - 10.3727/096504022X16418911579334 [doi] PST - ppublish SO - Oncol Res. 2022 May 4;29(1):11-23. doi: 10.3727/096504022X16418911579334. Epub 2022 Jan 11.