State Key Laboratory of Oncology in Southern China, Department of Experimental Research, Cancer Center, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China.
J Clin Invest. 2013 Jun;123(6):2576-89. doi: 10.1172/JCI68143. Epub 2013 May 8.
JAK2 activity is tightly controlled through a self-inhibitory effect via its JAK homology domain 2 (JH2), which restricts the strength and duration of JAK2/STAT3 signaling under physiological conditions. Although multiple mutations within JAK2, which abrogate the function of JH2 and sustain JAK2 activation, are widely observed in hematological malignancies, comparable mutations have not been detected in solid tumors. How solid tumor cells override the autoinhibitory effect of the JH2 domain to maintain constitutive activation of JAK2/STAT3 signaling remains puzzling. Herein, we demonstrate that AGK directly interacted with the JH2 domain to relieve inhibition of JAK2 and activate JAK2/STAT3 signaling. Overexpression of AGK sustained constitutive JAK2/STAT3 activation, consequently promoting the cancer stem cell population and augmenting the tumorigenicity of esophageal squamous cell carcinoma (ESCC) cells both in vivo and in vitro. Furthermore, AGK levels significantly correlated with increased STAT3 phosphorylation, poorer disease-free survival, and shorter overall survival in primary ESCC. More importantly, AGK expression was significantly correlated with JAK2/STAT3 hyperactivation in ESCC, as well as in lung and breast cancer. These findings uncover a mechanism for constitutive activation of JAK2/STAT3 signaling in solid tumors and may represent a prognostic biomarker and therapeutic target.
JAK2 的活性受到其 JAK 同源结构域 2(JH2)的自我抑制作用的严格控制,该作用在生理条件下限制了 JAK2/STAT3 信号的强度和持续时间。尽管在血液恶性肿瘤中广泛观察到 JAK2 内的多种突变,这些突变消除了 JH2 的功能并维持了 JAK2 的激活,但在实体瘤中尚未检测到可比的突变。实体肿瘤细胞如何克服 JH2 结构域的自动抑制作用,维持 JAK2/STAT3 信号的持续激活仍然令人困惑。在此,我们证明 AGK 直接与 JH2 结构域相互作用,以解除对 JAK2 的抑制并激活 JAK2/STAT3 信号。AGK 的过表达维持了 JAK2/STAT3 的持续激活,从而促进了食管癌(ESCC)细胞的癌症干细胞群,并增强了体内和体外的肿瘤发生能力。此外,AGK 水平与 STAT3 磷酸化增加、无病生存期较差和总生存期较短显著相关。更重要的是,AGK 表达与 ESCC 以及肺癌和乳腺癌中的 JAK2/STAT3 过度激活显著相关。这些发现揭示了实体瘤中 JAK2/STAT3 信号持续激活的机制,并可能代表一种预后生物标志物和治疗靶标。