Evidence map›Paper›PMID 34953855›Full record

ArticleThe Journal of biological chemistry2022

The antimicrobial drug pyrimethamine inhibits STAT3 transcriptional activity by targeting the enzyme dihydrofolate reductase.

Lisa N Heppler, Sanaz Attarha, Rosanne Persaud, Jennifer I Brown, Peng Wang, Boryana Petrova, Isidora Tošić, Foster B Burton, Yael Flamand, Sarah R Walker and 6 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Pyrimethamine Triggers the Apoptotic Pathway in Mucoepidermoid Carcinoma in Cell-Based Models.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2025
    Article
  9. Drug Repurposing for Kala-Azar.Pharmaceutics · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Stability-based approaches in chemoproteomics.Expert reviews in molecular medicine · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. The Knowns and Unknowns in Protein-Metabolite Interactions.International journal of molecular sciences · 2023
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 4 countries.

Lisa N HepplerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA; Division of Medical Sciences, Harvard University, Boston, Massachusetts, USA.
Sanaz AttarhaDepartment of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden.
Rosanne PersaudFaculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.
Jennifer I BrownFaculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.
Peng WangDepartment of Pathology, Boston Children's Hospital, Boston, Massachusetts, USA.
Boryana PetrovaDepartment of Pathology, Boston Children's Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Isidora TošićDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Foster B BurtonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Yael FlamandDepartment of Data Sciences, Dana-Farber-Cancer Institute, Boston, Massachusetts, USA.
Sarah R WalkerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Jennifer E YehDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA; Division of Medical Sciences, Harvard University, Boston, Massachusetts, USA.
Roman A ZubarevDivision of Physiological Chemistry I, Department of Medical Biochemistry and Biophysics, Karolinska Institute, Stockholm, Sweden; Chemical Proteomics, SciLifeLab, Stockholm, Sweden; Department of Pharmacological & Technological Chemistry, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Massimiliano GaetaniDivision of Physiological Chemistry I, Department of Medical Biochemistry and Biophysics, Karolinska Institute, Stockholm, Sweden; Chemical Proteomics, SciLifeLab, Stockholm, Sweden.
Naama KanarekDepartment of Pathology, Boston Children's Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; The Broad Institute of Harvard and MIT, Cambridge, Massachusetts, USA.
Brent D G PageDepartment of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.
David A FrankDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA. Electronic address: david_frank@dfci.harvard.edu.
Dana-Farber Cancer Institute · USUniversity of British Columbia · CABoston Children's Hospital · USHarvard University · USBrigham and Women's Hospital · USBroad Institute · USKarolinska Institutet · SEScience for Life Laboratory · SESechenov University · RU

Funding

Dual STAT3/NF-kB Inhibitors for Targeted Cancer TherapyR01CA160979 · NCI · DANA-FARBER CANCER INST · PI FRANK, DAVID A. · 2012 to 2016
$1.8M
NCI NIH HHS R01 CA160979
6 · The paper itself

Abstract

Cancer is often characterized by aberrant gene expression patterns caused by the inappropriate activation of transcription factors. Signal transducer and activator of transcription 3 (STAT3) is a key transcriptional regulator of many protumorigenic processes and is persistently activated in many types of human cancer. However, like many transcription factors, STAT3 has proven difficult to target clinically. To address this unmet clinical need, we previously developed a cell-based assay of STAT3 transcriptional activity and performed an unbiased and high-throughput screen of small molecules known to be biologically active in humans. We identified the antimicrobial drug pyrimethamine as a novel and specific inhibitor of STAT3 transcriptional activity. Here, we show that pyrimethamine does not significantly affect STAT3 phosphorylation, nuclear translocation, or DNA binding at concentrations sufficient to inhibit STAT3 transcriptional activity, suggesting a potentially novel mechanism of inhibition. To identify the direct molecular target of pyrimethamine and further elucidate the mechanism of action, we used a new quantitative proteome profiling approach called proteome integral solubility alteration coupled with a metabolomic analysis. We identified human dihydrofolate reductase as a target of pyrimethamine and demonstrated that the STAT3-inhibitory effects of pyrimethamine are the result of a deficiency in reduced folate downstream of dihydrofolate reductase inhibition, implicating folate metabolism in the regulation of STAT3 transcriptional activity. This study reveals a previously unknown regulatory node of the STAT3 pathway that may be important for the development of novel strategies to treat STAT3-driven cancers.

Indexed as

Anti-Infective AgentsPyrimethamineSTAT3 Transcription FactorTetrahydrofolate DehydrogenaseCell Line, TumorFolic AcidHumansProteomeAnti-Infective AgentsFolic AcidProteomePyrimethamineSTAT3 protein, humanSTAT3 Transcription FactorTetrahydrofolate Dehydrogenasecancer therapydihydrofolate reductasefolate metabolisminhibition mechanismpyrimethaminesmall moleculeSTAT3transcription regulation

Identifiers

PMID34953855
PMCPMC8800111
OpenAlexW4200350778

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.