TY - JOUR A1 - Remy, Janina A1 - Linder, Benedikt A1 - Weirauch, Ulrike A1 - Day, Bryan W. A1 - Stringer, Brett W. A1 - Herold-Mende, Christel A1 - Aigner, Achim A1 - Krohn, Knut A1 - Kögel, Donat T1 - STAT3 enhances sensitivity of glioblastoma to drug-induced autophagy-dependent cell death T2 - Cancers N2 - Glioblastoma (GBM) is a devastating disease and the most common primary brain malignancy of adults with a median survival barely exceeding one year. Recent findings suggest that the antipsychotic drug pimozide triggers an autophagy-dependent, lysosomal type of cell death in GBM cells with possible implications for GBM therapy. One oncoprotein that is often overactivated in these tumors and associated with a particularly dismal prognosis is Signal Transducer and Activator of Transcription 3 (STAT3). Here, we used isogenic human and murine GBM knockout cell lines, advanced fluorescence microscopy, transcriptomic analysis and FACS-based assessment of cell viability to show that STAT3 has an underappreciated, context-dependent role in drug-induced cell death. Specifically, we demonstrate that depletion of STAT3 significantly enhances cell survival after treatment with Pimozide, suggesting that STAT3 confers a particular vulnerability to GBM. Furthermore, we show that active STAT3 has no major influence on the early steps of the autophagy pathway, but exacerbates drug-induced lysosomal membrane permeabilization (LMP) and release of cathepsins into the cytosol. Collectively, our findings support the concept of exploiting the pro-death functions of autophagy and LMP for GBM therapy and to further determine whether STAT3 can be employed as a treatment predictor for highly apoptosis-resistant, but autophagy-proficient cancers. KW - STAT3 KW - glioblastoma KW - pimozide KW - autophagy KW - autophagy-dependent cell death KW - lysosome KW - lysosomal-dependent cell death Y1 - 2022 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/82100 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-821005 SN - 2072-6694 N1 - This study was supported by the German Research Foundation (Deutsche Forschungsgemeinschaft),—Project-ID 259130777—SFB 1177 E09 to D.K.; KO 1898 9/1 to D.K.; AI 24/13-1 to AA. N1 - Deep sequencing datasets generated and analysed during the current study are available in the Gene Expression Omnibus (GEO) repository, accession number GSE162429. N1 - Symbols for the Graphical Abstract were taken from Smart Servier Medical Art. Permission for reproduction of the symbols: Creative Commons Attribution 3.0 Unported (CC BY 3.0), https://smart.servier.com; accessed on: 10 April 2018). VL - 14 IS - 2, art. 339 SP - 1 EP - 23 PB - MDPI CY - Basel ER -