Evidence map›Paper›PMID 42794927›Full record

ReviewCancers2026

Beyond Tumor-Intrinsic STAT3: Integrating Metabolic and Immune Communication in the Tumor Microenvironment of Cervical, Ovarian, and Endometrial Cancers.

Larissa Fonseca Marques, Fabiane Cristina Colunna, Jordy Alexander Lasso Larco, Francisco Cândido do Nascimento Pombo, Ana Paula Lepique

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Larissa Fonseca MarquesDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (ICB-USP), São Paulo 05508-000, Brazil.
Fabiane Cristina ColunnaDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (ICB-USP), São Paulo 05508-000, Brazil.
Jordy Alexander Lasso LarcoDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (ICB-USP), São Paulo 05508-000, Brazil.ORCID 0000-0002-7890-0987
Francisco Cândido do Nascimento PomboDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (ICB-USP), São Paulo 05508-000, Brazil.ORCID 0009-0003-4434-0787
Ana Paula LepiqueDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (ICB-USP), São Paulo 05508-000, Brazil.ORCID 0000-0002-4707-2912

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 310154/2121-9Coordenação de Aperfeicoamento de Pessoal de Nível SuperiorFundação de Amparo à Pesquisa do Estado de São Paulo 2022/10388-5Fundação de Amparo à Pesquisa do Estado de São Paulo 2024/03962-2Fundação de Amparo à Pesquisa do Estado de São Paulo 2025/12508-6
6 · The paper itself

Abstract

Cervical, ovarian, and endometrial cancers comprise biologically distinct malignancies with substantial heterogeneity in their molecular alterations, metabolic dependencies, immune landscapes, and therapeutic responses. Despite advances in surgery, chemotherapy, radiotherapy, targeted therapies, and immunotherapy, these cancers remain major causes of cancer-related morbidity and mortality worldwide. Signal Transducer and Activator of Transcription 3 (STAT3) is frequently activated in these tumor types, where its biological and clinical relevance varies according to disease context, histological subtype, and molecular characteristics. In addition to tumor-intrinsic functions regulating proliferation, survival, angiogenesis, and stemness, STAT3 participates in dynamic interactions between malignant cells and the tumor microenvironment (TME), integrating inflammatory, metabolic, and stromal signals. Persistent STAT3 activation has been associated with immunosuppressive changes involving macrophage polarization, myeloid-derived suppressor cell expansion, dendritic cell dysfunction, regulatory T-cell accumulation, and impaired cytotoxic lymphocyte activity, although the extent and mechanisms of these effects differ among tumor types and experimental contexts. Metabolic alterations, including enhanced glycolysis, lactate accumulation, and hypoxia, may further interact with STAT3-dependent signaling and influence communication between tumor and stromal or immune compartments. In this review, we examine STAT3 as a signaling node linking tumor metabolism with immune regulation in cervical, ovarian, and endometrial cancers, while emphasizing disease- and subtype-specific differences. We summarize current evidence on STAT3-mediated tumor-microenvironment communication and discuss emerging STAT3-targeted therapeutic strategies. Finally, we highlight challenges related to biological heterogeneity, the lack of validated predictive biomarkers, and patient stratification that currently limit the clinical translation of STAT3-directed approaches.

Indexed as

cervical cancerendometrial cancerimmune regulationimmunotherapymetabolismovarian cancerSTAT3tumor microenvironment

Identifiers

PMID42794927
PMCPMC13604279

What OpenQuestion holds

Textmetadata
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.