Evidence map›Paper›PMID 37573301›Full record

ArticleMolecular cancer2023

STAT3/LKB1 controls metastatic prostate cancer by regulating mTORC1/CREB pathway.

Jan Pencik, Cecile Philippe, Michaela Schlederer, Emine Atas, Matteo Pecoraro, Sandra Grund-Gröschke, Wen Jess Li, Amanda Tracz, Isabel Heidegger, Sabine Lagger and 45 more

Open access · goldFull text read
In one paragraph

Article in Molecular cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 54 citations in OpenAlex.

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  20. Androgen Signaling in Prostate Cancer: When a Friend Turns Foe.Endocrine, metabolic & immune disorders drug targets · 2025
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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

55 authors at 20 institutions in 10 countries.

Jan Pencik *Department of Pathology, Medical University of Vienna, 1090, Vienna, Austria. jpencik@salk.edu.
Cecile Philippe *Division of Nuclear Medicine, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, 1090, Vienna, Austria.
Michaela SchledererDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Emine AtasDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Matteo PecoraroInstitute for Research in Biomedicine, Università Della Svizzera Italiana, 6500, Bellinzona, Switzerland.
Sandra Grund-GröschkeDepartment of Biosciences and Medical Biology, Cancer Cluster Salzburg, Paris-Lodron University of Salzburg, 5020, Salzburg, Austria.
Wen Jess LiDepartment of Pharmacology & Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.
Amanda TraczDepartment of Pharmacology & Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.
Isabel HeideggerDepartment of Urology, Medical University Innsbruck, 6020, Innsbruck, Austria.
Sabine LaggerUnit for Pathology of Laboratory Animals, University of Veterinary Medicine Vienna, 1210, Vienna, Austria.
Karolína TrachtováDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Monika OberhuberCenter for Biomarker Research in Medicine, 8010, Graz, Austria.
Ellen HeitzerInstitute of Human Genetics, Medical University of Graz, 8010, Graz, Austria.
Osman AksoyDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Heidi A NeubauerInstitute of Animal Breeding and Genetics, University of Veterinary Medicine Vienna, 1210, Vienna, Austria.
Bettina WingelhoferInstitute of Animal Breeding and Genetics, University of Veterinary Medicine Vienna, 1210, Vienna, Austria.
Anna OrlovaInstitute of Animal Breeding and Genetics, University of Veterinary Medicine Vienna, 1210, Vienna, Austria.
Nadine WitzenederDepartment of Laboratory Medicine, Medical University of Vienna, 1090, Vienna, Austria.
Thomas DillingerDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Elisa RedlDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Georg GreinerDepartment of Laboratory Medicine, Medical University of Vienna, 1090, Vienna, Austria.
David D'AndreaDepartment of Urology, Medical University of Vienna, 1090, Vienna, Austria.
Johnny R ÖstmanDepartment of Molecular Sciences, Swedish University of Agricultural Sciences, 75007, Uppsala, Sweden.
Simone TangermannUnit for Pathology of Laboratory Animals, University of Veterinary Medicine Vienna, 1210, Vienna, Austria.
Ivana HermanovaCenter for Cooperative Research in Biosciences, Basque Research and Technology Alliance (BRTA), 20850, Derio, Spain.
Georg SchäferDepartment of Pathology, Medical University Innsbruck, 6020, Innsbruck, Austria.
Felix SternbergInstitute of Physiology, Pathophysiology and Biophysics, University of Veterinary Medicine, 1210, Vienna, Austria.
Elena E PohlInstitute of Physiology, Pathophysiology and Biophysics, University of Veterinary Medicine, 1210, Vienna, Austria.
Christina SternbergDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Adam VaradyDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Jaqueline HorvathInstitute of Pharmacology, Center for Physiology and Pharmacology, Medical University of Vienna, 1090, Vienna, Austria.
Dagmar StoiberInstitute of Pharmacology, Center for Physiology and Pharmacology, Medical University of Vienna, 1090, Vienna, Austria.
Tim I MalcolmDepartment of Pathology, University of Cambridge, Cambridge, CB20QQ, UK.
Suzanne D TurnerDepartment of Pathology, University of Cambridge, Cambridge, CB20QQ, UK.
Eileen E ParkesDepartment of Oncology, University of Oxford, Oxford, OX37DQ, UK.
Brigitte HantuschDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Gerda EggerDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria.
Stefan Rose-JohnBiochemical Institute, University of Kiel, 24098, Kiel, Germany.
Valeria PoliDepartment of Molecular Biotechnology and Health Sciences, Molecular Biotechnology Center, University of Turin, 10126, Turin, Italy.
Suneil JainPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, BT71NN, UK.
Chris W D ArmstrongPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, BT71NN, UK.
Gregor HoermannMLL Munich Leukemia Laboratory, 81377, Munich, Germany.
Vincent GoffinUniversité Paris Cité, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, 75015, Paris, France.
Fritz AbergerDepartment of Biosciences and Medical Biology, Cancer Cluster Salzburg, Paris-Lodron University of Salzburg, 5020, Salzburg, Austria.
Richard MorigglInstitute of Animal Breeding and Genetics, University of Veterinary Medicine Vienna, 1210, Vienna, Austria.
Arkaitz CarracedoCenter for Cooperative Research in Biosciences, Basque Research and Technology Alliance (BRTA), 20850, Derio, Spain.
Cathal McKinneyPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, BT71NN, UK.
Richard D KennedyPatrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, BT71NN, UK.
Helmut KlockerDepartment of Urology, Medical University Innsbruck, 6020, Innsbruck, Austria.
Michael R SpeicherInstitute of Human Genetics, Medical University of Graz, 8010, Graz, Austria.
Dean G TangDepartment of Pharmacology & Therapeutics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.
Ali A MoazzamiDepartment of Molecular Sciences, Swedish University of Agricultural Sciences, 75007, Uppsala, Sweden.
David M HeerySchool of Pharmacy, University of Nottingham, Nottingham, NG7 2RD, UK.
Marcus HackerDivision of Nuclear Medicine, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, 1090, Vienna, Austria.
Lukas KennerDepartment of Pathology, Medical University of Vienna, 1090, Vienna, Austria. lukas.kenner@meduniwien.ac.at.
Medical University of Vienna · ATUniversity of Veterinary Medicine Vienna · ATQueen's University Belfast · GBInnsbruck Medical University · ATRoswell Park Comprehensive Cancer Center · USCenter For Biomarker Research In Medicine · ATCIC bioGUNE · ESMedical University of Graz · ATSwedish University of Agricultural Sciences · SEUniversity of Salzburg · ATCentral European Institute of Technology · CZCentre National de la Recherche Scientifique · FRKarl Landsteiner Society · ATKarl Landsteiner University of Health Sciences · ATKiel University · DELudwig Boltzmann Institute Applied Diagnostics · ATMasaryk University · CZMunich Leukemia Laboratory (Germany) · DEUniversità della Svizzera italiana · CHUniversity of Cambridge · GB

Funding

Novel Therapeutic Strategies to Co-Target Undifferentiated Prostate Cancer (PCa) Stem Cells and Bulk PCa CellsR01CA240290 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Dean G. Tang · 2019 to 2026
$3.1M
Tumor-Suppressive Functions and Molecular Regulation of LRIG1 in Prostate Cancer and CRPCR01CA237027 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI TANG, DEAN G. · 2019 to 2023
$2.2M
Austrian Science Fund FWF DOC 59Austrian Science Fund FWF P 26011Austrian Science Fund FWF P 29251NCI NIH HHS R01 CA237027NCI NIH HHS R01 CA240290
6 · The paper itself

Abstract

Prostate cancer (PCa) is a common and fatal type of cancer in men. Metastatic PCa (mPCa) is a major factor contributing to its lethality, although the mechanisms remain poorly understood. PTEN is one of the most frequently deleted genes in mPCa. Here we show a frequent genomic co-deletion of PTEN and STAT3 in liquid biopsies of patients with mPCa. Loss of Stat3 in a Pten-null mouse prostate model leads to a reduction of LKB1/pAMPK with simultaneous activation of mTOR/CREB, resulting in metastatic disease. However, constitutive activation of Stat3 led to high LKB1/pAMPK levels and suppressed mTORC1/CREB pathway, preventing mPCa development. Metformin, one of the most widely prescribed therapeutics against type 2 diabetes, inhibits mTORC1 in liver and requires LKB1 to mediate glucose homeostasis. We find that metformin treatment of STAT3/AR-expressing PCa xenografts resulted in significantly reduced tumor growth accompanied by diminished mTORC1/CREB, AR and PSA levels. PCa xenografts with deletion of STAT3/AR nearly completely abrogated mTORC1/CREB inhibition mediated by metformin. Moreover, metformin treatment of PCa patients with high Gleason grade and type 2 diabetes resulted in undetectable mTORC1 levels and upregulated STAT3 expression. Furthermore, PCa patients with high CREB expression have worse clinical outcomes and a significantly increased risk of PCa relapse and metastatic recurrence. In summary, we have shown that STAT3 controls mPCa via LKB1/pAMPK/mTORC1/CREB signaling, which we have identified as a promising novel downstream target for the treatment of lethal mPCa.

Indexed as

Diabetes Mellitus, Type 2MetforminProstatic NeoplasmsAMP-Activated Protein KinasesAnimalsHumansMaleMechanistic Target of Rapamycin Complex 1MiceNeoplasm Recurrence, LocalSTAT3 Transcription FactorAMP-Activated Protein KinasesMechanistic Target of Rapamycin Complex 1MetforminSTAT3 protein, humanStat3 protein, mouseSTAT3 Transcription FactorStk11 protein, mouseAMPKARCREBLKB1MetforminmTORC1Prostate CancerSTAT3

Identifiers

PMID37573301
PMCPMC10422794
OpenAlexW4385780674

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Registered trials

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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.