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Am J Physiol Lung Cell Mol Physiol 289: L446-L453, 2005. First published May 13, 2005; doi:10.1152/ajplung.00089.2005
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IL-6 induces neuroendocrine dedifferentiation and cell proliferation in non-small cell lung cancer cells

Kuo-Ting Chang,1,2 Chun-Ming Tsai,3 Yih-Chy Chiou,5 Chao-Hua Chiu,3 King-Song Jeng,4 and Chi-Ying F. Huang1,2,5,6

1Graduate Institute of Life Sciences, National Defense Medical Center, Taipei; 2Division of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli County; 3Section of Thoracic Oncology, Chest Department, Taipei Veterans General Hospital, and Department of Medicine, School of Medicine, National Yang-Ming University, Taipei; 4Institute of Molecular Biology, Academia Sinica, Nankang, Taipei; 5Institute of Biotechnology in Medicine, National Yang-Ming University, Taipei; and 6Department of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan

Submitted 28 February 2005 ; accepted in final form 9 May 2005

Interleukin-6 (IL-6) has been identified as an important growth regulator of lung cancer cells. Elevation of serum levels of IL-6 has been found in a subpopulation of lung cancer patients, but rarely in patients with benign lung diseases. Approximately 15% of non-small cell lung cancer (NSCLC) tumors exhibit neuroendocrine (NE) properties (NSCLC-NE) and have been suggested to have the biological characteristics similar to small cell lung cancer (SCLC) with early metastasis and initial responsiveness to chemotherapy. We recently showed that IL-6 promotes cell proliferation and downregulates the expression of neuron-specific enolase (NSE, one of the major NE markers) in NSCLC-NE cells. In this study, we show that IL-6 stimulates a transient increase of tyrosine phosphorylation of STAT3 in a dose-dependent fashion. Inhibition of STAT3 signaling pathway by either AG-490 (JAK2-specific inhibitor) or overexpression of STAT3Y705F (a dominant-negative STAT3) reverses NSE expression in IL-6- treated NSCLC-NE cells. In addition, IL-6 induces phosphorylation and activation of p38 MAPK. SB-203580, a p38 MAPK-specific inhibitor, inhibits IL-6-induced p38 MAPK phosphorylating activity and suppresses IL-6-stimulated cell proliferation. Together, our results indicate that STAT3 signaling pathway is involved in IL-6-induced NE differentiation and that p38 MAPK is associated with IL-6-stimulated growth regulation in NSCLC-NE cells. These data suggest that both kinase pathways play critical roles in the pathogenesis of NSCLC-NE malignancies, providing new molecular targets for future therapeutic approaches.

neuron-specific enolase; signal transducer and activator of transcription; p38 mitogen-activated protein kinase



Address for reprint requests and other correspondence: C.-Y. F. Huang, Natl. Health Research Inst., Div. of Molecular & Genomic Medicine, 35, Keyan Rd., Zhunan Town, Miaoli County 350, Taiwan, R. O. C. (e-mail: chiying{at}nhri.org.tw)




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