PMID- 24244348 OWN - NLM STAT- MEDLINE DCOM- 20140722 LR - 20220316 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 11 DP - 2013 TI - NF-kappaB-induced IL-6 ensures STAT3 activation and tumor aggressiveness in glioblastoma. PG - e78728 LID - 10.1371/journal.pone.0078728 [doi] LID - e78728 AB - Glioblastoma (GBM) is the most aggressive, neurologically destructive and deadly tumor of the central nervous system (CNS). In GBM, the transcription factors NF-kappaB and STAT3 are aberrantly activated and associated with tumor cell proliferation, survival, invasion and chemoresistance. In addition, common activators of NF-kappaB and STAT3, including TNF-alpha and IL-6, respectively, are abundantly expressed in GBM tumors. Herein, we sought to elucidate the signaling crosstalk that occurs between the NF-kappaB and STAT3 pathways in GBM tumors. Using cultured GBM cell lines as well as primary human GBM xenografts, we elucidated the signaling crosstalk between the NF-kappaB and STAT3 pathways utilizing approaches that either a) reduce NF-kappaB p65 expression, b) inhibit NF-kappaB activation, c) interfere with IL-6 signaling, or d) inhibit STAT3 activation. Using the clinically relevant human GBM xenograft model, we assessed the efficacy of inhibiting NF-kappaB and/or STAT3 alone or in combination in mice bearing intracranial xenograft tumors in vivo. We demonstrate that TNF-alpha-induced activation of NF-kappaB is sufficient to induce IL-6 expression, activate STAT3, and elevate STAT3 target gene expression in GBM cell lines and human GBM xenografts in vitro. Moreover, the combined inhibition of NF-kappaB and STAT3 signaling significantly increases survival of mice bearing intracranial tumors. We propose that in GBM, the activation of NF-kappaB ensures subsequent STAT3 activation through the expression of IL-6. These data verify that pharmacological interventions to effectively inhibit the activity of both NF-kappaB and STAT3 transcription factors must be used in order to reduce glioma size and aggressiveness. FAU - McFarland, Braden C AU - McFarland BC AD - Department of Cell, Developmental and Integrative Biology, University of Alabama at Birmingham, Birmingham, Alabama, United States of America. FAU - Hong, Suk W AU - Hong SW FAU - Rajbhandari, Rajani AU - Rajbhandari R FAU - Twitty, George B Jr AU - Twitty GB Jr FAU - Gray, G Kenneth AU - Gray GK FAU - Yu, Hao AU - Yu H FAU - Benveniste, Etty N AU - Benveniste EN FAU - Nozell, Susan E AU - Nozell SE LA - eng GR - T32 NS048039/NS/NINDS NIH HHS/United States GR - R01 CA158534/CA/NCI NIH HHS/United States GR - P50 CA097247/CA/NCI NIH HHS/United States GR - T32NS048039/NS/NINDS NIH HHS/United States GR - R01CA138517/CA/NCI NIH HHS/United States GR - R01 CA138517/CA/NCI NIH HHS/United States GR - R01CA158534/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20131111 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 0 (NF-kappa B) RN - 0 (Neoplasm Proteins) RN - 0 (STAT3 Transcription Factor) RN - 0 (STAT3 protein, human) SB - IM MH - Animals MH - Cell Line, Tumor MH - Female MH - Gene Expression Regulation, Neoplastic MH - Glioblastoma/genetics/*metabolism/pathology/therapy MH - Heterografts MH - Humans MH - Interleukin-6/*biosynthesis/genetics MH - Mice MH - Mice, Nude MH - NF-kappa B/genetics/*metabolism MH - Neoplasm Proteins/genetics/*metabolism MH - Neoplasm Transplantation MH - STAT3 Transcription Factor/genetics/*metabolism PMC - PMC3823708 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/11/19 06:00 MHDA- 2014/07/23 06:00 PMCR- 2013/11/11 CRDT- 2013/11/19 06:00 PHST- 2013/06/25 00:00 [received] PHST- 2013/09/16 00:00 [accepted] PHST- 2013/11/19 06:00 [entrez] PHST- 2013/11/19 06:00 [pubmed] PHST- 2014/07/23 06:00 [medline] PHST- 2013/11/11 00:00 [pmc-release] AID - PONE-D-13-26196 [pii] AID - 10.1371/journal.pone.0078728 [doi] PST - epublish SO - PLoS One. 2013 Nov 11;8(11):e78728. doi: 10.1371/journal.pone.0078728. eCollection 2013.