MPT0B098, a Microtubule Inhibitor, Suppresses JAK2/STAT3 Signaling Pathway through Modulation of SOCS3 Stability in Oral Squamous Cell Carcinoma

Microtubule inhibitors have been shown to inhibit Janus kinase 2/signal transducer and activator of transcription 3 (JAK2/STAT3) signal transduction pathway in various cancer cells. However, little is known of the mechanism by which the microtubule inhibitors inhibit STAT3 activity. In the present study, we examined the effect of a novel small-molecule microtubule inhibitor, MPT0B098, on STAT3 signaling in oral squamous cell carcinoma (OSCC). Treatment of various OSCC cells with MPT0B098 induced growth inhibition, cell cycle arrest and apoptosis, as well as increased the protein level of SOCS3. The accumulation of SOCS3 protein enhanced its binding to JAK2 and TYK2 which facilitated the ubiquitination and degradation of JAK2 and TYK2, resulting in a loss of STAT3 activity. The inhibition of STAT3 activity led to sensitization of OSCC cells to MPT0B098 cytotoxicity, indicating that STAT3 is a key mediator of drug resistance in oral carcinogenesis. Moreover, the combination of MPT0B098 with the clinical drug cisplatin or 5-FU significantly augmented growth inhibition and apoptosis in OSCC cells. Taken together, our results provide a novel mechanism for the action of MPT0B098 in which the JAK2/STAT3 signaling pathway is suppressed through the modulation of SOCS3 protein level. The findings also provide a promising combinational therapy of MPT0B098 for OSCC.


Introduction
The Janus kinase/signal transducer and activator of transcription (JAK/STAT) signal transduction pathway is frequently dysregulated in various human cancer cells [1] and plays a critical role in oncogenesis including proliferation, apoptosis, drug resistance, migration, invasion and angiogenesis [2]. The STAT family member STAT3 has been reported to possess oncogenic potential as constitutive activation in oral squamous cell carcinoma (OSCC) and transduce signals elicited by various cytokines leading to regulation of specific target genes that contribute to a malignant phenotype [3][4][5]. Furthermore, targeting STAT3 with dominant negative mutants of STAT3 or antisense oligonucleotides specific for the STAT3 DNA sequence causes reversion of the malignant phenotype of squamous cell carcinoma [6,7], suggesting that STAT3 is a key mediator for the pathogenesis of these cancers. There are two classical negative feedback regulators for the JAK/STAT signaling pathway, the protein inhibitors of activated STATs (PIAS) and the suppressors of cytokine signaling (SOCS), through which the STAT pathway is silenced by masking STAT binding sites on the receptors, by binding to JAKs to inhibit their kinase activity, or by targeting proteins for proteasomal degradation through ubiquitination [8,9]. Among these negative regulators, SOCS3 is known to attenuate interleukin-6 (IL-6) induced STAT3 activation [10,11]. An in vivo study has shown that Socs3-deficient mice produced a prolonged activation of STAT3 after IL-6 treatment [10], indicating a crucial role of SOCS3 in IL-6/JAK/STAT signaling axis. Moreover, loss of SOCS3 expression has been described in head and neck squamous cell carcinoma (HNSCC) [12]. Experimental overexpression of SOCS protein in cancer cells results in growth suppression and apoptosis induction [12], strongly suggesting that SOCS proteins may function as tumor suppressors. Thus, SOCS3 is regarded as a useful diagnostic molecule and a potential therapeutic target for HNSCC.
To date, more than 90% of HNSCC belongs to OSCC in the South-East Asia, including Taiwan [13]. Despite the fact that most patients who are readily amenable to clinical examination and diagnosed at an early stage have an excellent survival rate, the 5-year survival rate for those patients with loco-regional recurrences and neck lymph metastasis has not significantly improved over the past years [14]. Thus, there is a need for a better understanding of the biological nature of oral cancers in order to develop novel strategies to improve the efficacy of the treatment. At present, the usage of chemotherapy drugs available for oral cancers, such as 5-fluorouracil (5-FU) and cisplatin, is limited due to their side effects, drug resistance and nonspecificity [15,16]. As a result, more attention has been drawn to the combinational approach aiming to improve the efficacy of the chemotherapeutic drugs on OSCC tumorigenesis and progression [17][18][19].
In the present study, we used a novel small-molecule microtubule inhibitor, 7-aryl-indoline-1-benzene-sulfonamide (MPT0B098) [20], to examine whether a microtubule-based chemotherapy modulates the JAK2/STAT3/SOCS3 signal pathway. We found that MPT0B098 could delay the turnover of SOCS3 protein in OSCC cell lines and resulted in JAK2/STAT3 inactivation and induction of apoptosis. Inhibition of endogenous SOCS3 significantly reduced the MPT0B098-induced apoptosis in oral cancer cells, whereas overexpression of SOCS3 induced the apoptosis. Furthermore, treatment with MPT0B098 in combination with cisplatin or 5-FU caused significantly apoptosis as compared to the treatment with a single agent or the combination of cisplatin and 5-FU. Taken together, our results uncover a novel mechanism for the action of the microtubule inhibitor MPT0B098 on SOCS3 modulation in OSCC cells. They also provide a promising therapeutic strategy for OSCC.
BeitHaemek, Israel) for approximately 3 months after resuscitation from the frozen aliquots. The cells used for the experiments were lower than 20 passages. All culture media were purchased from Invitrogen. Sodium pyruvate was obtained from Merck and hydrocortisone from Sigma-Aldirch. The chemical synthetic procedure of MPT0B098 was described previously [22].

RNA extraction and reverse transcription-polymerase chain reaction (RT-PCR) assay
Total RNA was isolated from OSCC cells with the TRIzol reagent (Life Technologies, Gaithersburg, MD) according to the manufacturer's instructions. First strand cDNA was synthesized using random hexamer primers and SuperScript III reverse transcriptase (Invitrogen, Carlsbad, CA). PCR was run on a Biometra T3000 thermocycler (Biometra GmbH, Germany). The reaction cycles included an initial denaturation step at 95°C for 5 min, followed by 30 cycles of denaturation at 95°C for 30 s, annealing at 60°C for 30 s, extension at 72°C for 30 s and one cycle of final extension for 10 min at 72°C. The housekeeping gene glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was used as an internal control. The sequences of the primers used for PCR were as follows: SOCS3 5'-TATG CGGC CAGC AAAG AATC A-3' (forward), 5'-CG GG CAAT CTCC ATTG GCT-3' (reverse); GAPDH 5'-GAA GGT GAA GGT CGG AGT-3' (forward), 5'-GAA GAT GGT GAT GGG ATT TC -3' (reverse). PCR products were subjected to electrophoresis on 2% agarose gel and visualized on UVP GDS-8000 Bioimaging System (UVP, CA, USA) with 0.01% of SYBR1 Safe (Invitrogen, Carlsbad, CA, USA) staining.

Plasmids and transfection
To construct the human SOCS3 expression vector, a 677-base pair fragment of SOCS3 was amplified by PCR using the SOCS3 cloning primers: 5'-GGGG ATCC GCCA CCAT GGTC ACCC ACAG CAAG-3' (forward) and 5'-GGGA ATTC TTAA GCGG GGCA TCGT AC-3' (reverse), and then cloned into the BamHI/EcoRI sites of pcDNA3.1 + vector (Invitrogen, Gaithersburg, MD). For gene knockdown experiments, the shRNA clones for SOCS3, STAT3 and their control pLKO_TRC vector (NS) were obtained from the National RNAi Core Facility (Academia Sinica, Taiwan). The plasmids were transiently transfected into OSCC cells using Lipofectamine 2000 (Invitrogen, CA, USA) according to the manufacturer's protocol. Briefly, Lipofectamine and plasmid were dissolved in Opti-MEM1 I Reduced Serum Medium (Gibco, NY, USA) separately and incubated at room temperature for 5 min. The two reagents then were mixed and incubated for additional 20 min at room temperature. Subsequently, the Lipofectamine-plasmid mixture was added drop-wise onto the OSCC cells grown in the culture medium containing 10% FCS After incubation for 48 hrs, the cells were harvestedfor further analysis.

Preparation of monomer and polymer fractions of microtubule
The monomer and polymer fractions of microtubule were prepared following the previously described methods with slight modifications [23]. Briefly, cells were seeded in 60-mm plastic petri dishes and treated with testing drugs for indicated times. Cells then were washed twice with cold phosphate-buffer saline (PBS), followed by extraction with microtubule-stabilizing buffer (MSB) (85 mM PIPES, pH 6.93, 1 mM EGTA, 1 mM MgCl 2 , 2 M Glycerol, and Sigma protease inhibitor cocktail) containing 0.5% Triton X-100. After 3 min, the Triton extract (monomer fraction) was gently removed from the dish and transferred to an eppendrof tube, and 1/5 volume of 5x SDS sample buffer (10% SDS, 325 mM Tris-HCl, pH 6.8, 30% glycerol, 250 mM DTT and 1 mM phenylmethylsulfonyl fluoride) was added into the tube. The remaining part (polymer fraction) in the petri dish was gently washed twice with cold MSB. The polymer fraction then was extracted with MSB and mixed into 1/5 volume of 5x SDS sample buffer. Both extracts were boiled for 10 min and stored at -80°C till western blot analysis.

Cell viability assay
The OSCC cells were harvested in the exponential growing phase and seeded into 96-well plates (3000 cells/well). After overnight incubation, 200 μl of culture medium containing the test compound was dispensed into each well. Following 72-h treatment, 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide (MTT) dye (Calbiochem, CA, USA) was added. After 2 hrs of incubation, the medium and MTT dye were removed by slow aspiration and 100μl of dimethyl sulfoxide (DMSO) was added to dissolve the remaining MTT formazan crystals. The absorbance at 550 nm was measured using a 96-well plate SpectraMax 250 reader (Molecular Devices, CA, USA).

Cell cycle analysis
The OSCC cells were seeded in 12-well plates (2x10 5 cells/well) and treated with drugs for 24 hrs. Cells then were trypsinized, washed with PBS, and fixed in 70% ethanol at -20°C. After fixation, cells were washed twice with PBS and incubated in 0.5% Triton X-100/PBS containing 1 mg/ml RNase A at 37°C for 30 min. Subsequently, the cells were stained with propidium iodide (PI) at the final concentration of 30 μg/ml. Samples were measured using the FACscan flow cytometer (Becton Dickinson).

Apoptosis assay
Caspase-3 protease activity was measured by the Caspase-3/CPP32 activity Colorimetric Assay kit (Biovision Incorporate, CA, USA). In brief, cells were seeded in 6-well plates (2x10 6 cells/ well) and treated with drugs for 24 hrs. The cells then were harvested and centrifuged at 4°C for 5 min. The cytosolic extracts were prepared by repeated cycles of freezing and thawing of the cells in 50 μl of lysis buffer. The lysates were centrifuged at 10,000 xg for 5 min. Protein concentrations were determined by the BCA assay kit (Thermo, USA) according to the manufacturer's instructions. Cell lysates (100 μg) were then diluted with 50μl of lysis buffer followed by addition of 50 μl of the 2X reaction buffer. After incubation in the presence of the fluorescence substrate Ac-DEVD-pNA (200 μM) at 37°C for 2 hrs in dark, the absorbance at 405 nm was determined using a SpectraMax 250 reader (Molecular Devices, CA, USA). For the Annexin V-fluorescein isothiocyanate (FITC)/PI assay, testing cells were washed with cold PBS twice, and then resuspended in the buffer containing Annexin V-FITC and PI. The mixture was kept in dark for 15 min at room temperature before analysis by flow cytometry.

Immunofluorescent staining and microscopy
For immunofluorescence microscopy, the cells were fixed with freshly prepared 3% paraformaldehyde (Merck, Whitehouse Station, NJ) for 10 min, permeabilized with 0.1% Triton-X/ PBS for 10 min, followed by blocking with 3% bovine serum albumin (BSA) in PBS at 37°C for 1 hr. The cells then were incubated with a mouse α-tubulin monoclonal antibody (MS-581-P, Thermo; diluted in 3% BSA/PBS) for 1 hr, followed by incubation with a FITC-conjugated secondary antibody (Santa Cruze) at room temperature for 1 hr in dark. Finally, the nuclei were counterstained with 4 0 , 6-diamidino-2-phenylindole (DAPI) at room temperature for 5 min. The coverslips were mounted with ProLong Gold anti-fade reagent (Invitrogen, Carlsbad, CA). The images were captured using the Leica TCS SP5 Confocal Microscopy Workstation (Leica, Wetzlar, Germany).

Statistical analysis
The data were expressed as the mean ± standard error (SE) from at least three independent experiments. Differences between various treatment groups were assessed by ANOVA and Student's t-test. A p-value < 0.05 was considered as significant. Calculations were performed using Graph Pad Prism Ver. 4.01 (San Diego, CA).

MPT0B098 inhibits the proliferation and tubulin polymerization in OSCC cells
In an initial study, the effect of MPT0B098 (Fig 1A) on cell viability was assessed in various human OSCC cells using the MTT assay. As shown in Fig 1B, MPT0B098 inhibited cell growth of all OSCC cell lines tested in a dose-dependent manner, and the IC 50 concentrations for these cell lines, including OEC-M1, HSC-3 SCC-25, Tu183, DOK and YD-15, were ranging from 0.14 to 0.45 μmol/L (Table 1).
On the other hand, the normal human oral keratinocytes (HOK) exhibited less susceptibility to the inhibitory effect of MPT0B098 with the IC 50 of 6.3 μmol/L ( Fig 1B and Table 1). The differential toxicity of MPT0B098 on normal keratinocytes and oral cancer cells indicates a potential of the compound for clinical use. We further examined whether tubulin depolymerization was induced by MPT0B098 in the OSCC cells. For this purpose, we isolated soluble non-polymerized tubulin and insoluble polymerized tubulin from OEC-M1 and HSC-3 cells after MPT0B098 treatment. The tubulin polymerization assay showed that MPT0B098 inhibited tubulin polymerization in a time-and concentration-dependent manner (Fig 1C and S1 Fig). The effect of MPT0B098 on microtubule structure then was determined by immuno-fluorescence microscopy using anti-α-tubulin antibody. The results showed that MPT0B098 disrupted microtubule network in a time-dependent manner similar to that of tubulin polymerization (Fig 1D). Furthermore, to test the capacity of MPT0B098 on depolymerization of the tubulin network, we treated ) assay, cells were treated with MPT0B098 for 60 min and then the drug was washed out to allow the microtubules to repolymerize for another the cancer cells with the compound and then measured the recovery of the tubulin network after MPT0B098 washout. We found that the recovery of microtubules network, as shown by the dense tubulin staining and longer microtubules fibers, could be observed in OSCC cells at 60 min after MPT0B098 washout (Fig 1E and 1F).

MPT0B098 induces cell cycle arrest and apoptosis in OSCC cells
To determine the effects of MPT0B098 on cell cycle and apoptosis, OEC-M1 cells were treated with different concentrations of MPT0B098 and the cell cycle progression and the alteration of apoptotic markers in the cells were analyzed. As shown in Fig 2A, MPT0B098 induced a dosedependent G 2 /M arrest at 12 h following the drug exposure. At the drug concentrations of 0.25 and 0.5 μmol/L, the population of OEC-M1 cells in G 2 /M phase was 46.03% and 61.53%, respectively (Fig 2A). In addition, exposure of MPT0B098 for 12 h also caused a dose-dependent induction of cell apoptosis as determined by annexin V-FITC staining but not PI staining (Annexin V + /PI -) ( Fig 2B). Notably, dose-dependent increases in caspase-3 activation and PARP cleavage were also observed in MPT0B098-treated cells (Fig 2C and 2D). Moreover, the effect of MPT0B098 on the levels of anti-apoptotic proteins in OSCC cells was also investigated. As shown in Fig 2E, MPT0B098 caused a dose-dependent down-regulation of Bcl-2, Pim-1, Survivin, and Mcl-1 proteins. These findings suggest that in OSCC cells the induction of apoptosis by MPT0B098 may be mediated by its inhibition on the expression of these antiapoptotic proteins.
MPT0B098 down-regulates the protein level and activity of JAK2, TYK2 and STAT3 protein Recent evidence indicates that the transcription factor STAT3 may act as an oncogene by activating the expression of several anti-apoptotic genes, such as Bcl-2, Pim-1, Survivin, and Mcl-1 [3]. To determine whether STAT3 is involved in the apoptotic effect of MPT0B098on cancer cells, we examined STAT3 activation and expression in MPT0B098 treated OSCC cell lines. The results showed that the STAT3 phosphorylation and STST3 protein level were markedly decreased at 1 h and 2 h, respectively, after MPT0B098 treatment, while the level of STAT3 mRNA was not changed (Fig 3A). Using the shRNA knockdown approach to down-regulate the STAT3 protein level, we found that the MPT0B098-induced apoptosis in OEC-M1 cells was significantly enhanced (Fig 3B). Furthermore, MPT0B098-induced apoptosis was inversely correlated with the endogenous STAT3 protein levels (Fig 3C and 3D), indicating that STAT3 60 min. Cell lysates were analyzed by western blot using the anti-α-tubulin antibody. (F) The recovery assay was also done in OEC-M1 cells for immunostaining. After drug treatment, OEC-M1 cells were fixed and then immunostained with anti-α-tubulin (green) antibody and then stained with DAPI (blue), followed by confocal microscopy. Scale bar = 7.5 μm.  activity is involved in the chemoresistance of OSCC. Because the JAK/STAT3 pathway is the canonical signaling pathway of STAT3 activation, we further investigated whether the JAK activity is affected by MPT0B098. Similar to the effect on STAT3 inhibition, MPT0B098 also showed an inhibition of JAK2 and TYK2 tyrosine phosphorylation in OEC-M1 and HSC-3 cells, but it did not affect JAK1 expression or phosphorylation (Fig 3E). Taken together, our data suggest that the STAT3 signaling is involved in the MPT0B098-induced apoptosis in OSCC cells.
MPT0B098 down-regulates JAK2, TYK2 and STAT3 through SOCS3 negative feedback modulation The STAT signaling can be inhibited by two signal pathways that involve the SOCS family and the PIAS family members. These signal molecules act as negative feedback regulators to prevent further JAK/STAT signal activation [24,25]. Thus, it was hypothesized that these negative feedback regulators may be involved in the MPT0B098 regulation of the JAK/STAT activity. To address this, the protein levels of the SOCS and PIAS family members in MPT0B098treated OEC-M1 and HSC-3 cells were measured. The immunoblotting results showed that only SOCS2 and SOCS3 levels were markedly elevated in these cells, whereas the levels of PIAS1, PIAS3 and SOCS1 proteins remained unchanged (Fig 4A). We further explored the effect of SOCS2 and SOCS3 on JAK/STAT signaling pathway in OSCC cells. We found that the total protein and phosphorylation levels of JAK2, TYK2 and STAT3 were significantly decreased in the OSCC cells transfected with a SOCS3 cDNA construct (Fig 4B). However, overexpression of SOCS2 did not change the total protein and phosphorylation levels of JAK2, TYK2 and STAT3 (S2 Fig). We then investigated the role of SOCS3 in MPT0B098-induced apoptosis in OSCC cells. Overexpression of SOCS3 protein in OEC-M1 and HSC-3 cells markedly increased the MPT0B098-induced apoptosis (Fig 4C).However, knockdown of SOCS3 protein in DOK and YD-15 cells significantly attenuated the MPT0B098-induced apoptosis ( Fig 4D). These results suggest that the induction of cancer cell apoptosis by MPT0B098 may be mediated by a negative modulation of SOCS3 on JAK2/STAT3 signaling pathway.

MPT0B098 promotes SOCS3 binding to JAK2 and TYK2
A recent study has indicated that a microtubule-depolymerizing drug, nocodazole, can delay the protein turnover of SOCS1 [26]. This report, together with our observations that MPT0B098 induced SOCS3 protein accumulation and then enhanced the apoptosis of OSCC cells (Fig 4), led us to hypothesize that this microtubule-targeting drug MPT0B098 may trigger an interaction between SOCS3 and tubulin, which then negatively regulates STAT3 activity by inactivating JAK2 and TYK2 via ubiquitination and degradation. To test this hypothesis, we first evaluated the ability of MPT0B098 to induce protein ubiquitination. Western blot analysis revealed that the ubiquitination of cellular proteins was markedly elevated in OEC-M1 and HSC-3 cells treated with MPT0B098 ( Fig 5A). This finding was consistent with the result observed in the cells overexpressing SOCS3 protein (Fig 5B). To examine whether the interaction between SOCS3 and JAK2 or TYK2 was affected by MPT0B098, we performed pull-down assay with anti-JAK2 or anti-TYK2 antibodies and Western blot for detection of SOCS3 and ubiquitin in OEC-M1 cells. As shown in Fig 5C,   SOCS3 were significantly increased following treatment with MPT0B098, and the JAK2 and TYK2 levels were decreased by ubiquitination and degradation. Furthermore, cycloheximide treatment of OEC-M1 and HSC-3 cells in the presence of MPT0B098 showed a dramatic increase in the level of SOCS3 protein compared with the cells treated with the vehicle DMSO, indicating that the turnover rate of SOCS3 can be prolonged by MPT0B098 (Fig 5D). These data suggest that the SOCS3 protein level is affected by intact microtubule structure and the microtubule-depolymerizing drug MPT0B098 can induce the accumulation of SOCS3 protein for further ubiquitination and degradation of its binding partners.

MPT0B098 in combination with cisplatin or 5-FU significantly induces apoptosis in OSCC cells
We further examined the effect of MPT0B098 alone or in combination with two clinical drugs, cisplatin and 5-FU, on cell survival and apoptosis. Treatment of OEC-M1 cells with MPT0B098 (0.25 μM), cisplatin (5 μM) or 5-FU (5 μM) alone produced 26%, 19% and 26% inhibition, respectively, of cell survival (Fig 6A). The combination treatments, including cisplatin (5 μM) plus 5-FU (5 μM), MPT0B098 (0.25 μM) plus cisplatin (5 μM) or MPT0B098 (0.25 μM) plus 5-FU (5 μM), resulted in greater inhibition of cell survival at 43%, 62% and 68% inhibition, respectively (Fig 6A). Among these combinations, MPT0B098 plus cisplatin or plus 5-FU showed higher inhibition of cell survival as compared to the combination treatment of cisplatin and 5-FU (Fig 6A). Parallel to their inhibitory effect on cell survival, the combination of MPT0B098 with cisplatin or 5-FU produced greater induction of apoptosis in OEC-M1 cells as compared to the drugs treated alone or the combination of cisplatin and 5-FU (Fig 6B). Growing evidence suggests that JAK2/STAT3 signaling can be activated by IL-6 and this activation is required for tumor initiation and progression [27,28]. To test whether MPT0B098 can block IL-6 induced JAK2/STAT3 signaling, we treated OEC-M1 and HSC-3 cells with IL-6 in the presence or absence of MPT0B098. The results showed that the phosphorylation of JAK2 and STAT3 was significantly increased by IL-6, and this induction was suppressed by MPT0B098 ( Fig 6C). Moreover, MPT0B098 significantly induced apoptosis in OEC-M1 and HSC-3 cells, even in the presence of IL-6 ( Fig 6D). These results clearly demonstrated that MPT0B098, by itself or in combination with other cancer drugs, can be useful therapy for OSCC.

Discussion
Microtubule inhibitors, including microtubule stabilizers and destabilizers, are among the most active drugs used in cancer treatment. In this study, we identified a novel microtubule destabilizer, MPT0B098, which causes SOCS3 protein accumulation and consequently inhibits  JAK2 and TYK2 activity, resulting in a loss of STAT3 phosphorylation and function. The loss of STAT3 activity sensitizes OSCC cells to MPT0B098-induced apoptosis. The mechanism by which MPT0B098 causes SOCS3 protein accumulation remains to be clarified. Because   [30]. These findings point out a complex role of microtubule targeting agents for the negative regulating mechanism of SOCS3 in JAK2/STAT3 signaling. However, the precise molecular mechanisms of MPT0B098 in modulating SOCS3 stability must be further performed to elucidate.
Our results also indicate that MPT0B098-induced apoptosis ability was inverse correlation with endogenous STAT3 protein level. TW2.6 and SCC-15 which express high level of STAT3 protein are less sensitive to the cytotoxic effects of MPT0B098 than other OSCC cells which express low level of STAT3 protein. Inhibition of STAT3 leads to a sensitization of OSCC cells to MPT0B098 cytotoxicity, indicating that STAT3 is a key mediator of drug resistance and anti-apoptosis in oral carcinogenesis. Thus, in addition to its role in disrupting microtubule structure, microtubule-targeted agent MPT0B098 also suppress STAT3 signaling. Recently, the role of STAT3 has attracted significant attention as constitutive activation has been demonstrated in HNSCC, including OSCC [4,31,32]. Constitutive activation of STAT3 contributes to metastasis and chemotherapy resistance [33]. As such, targeting STAT3 is a potentially feasible approach to the treatment of cancer and several inhibitors of STAT3 are currently under development [34][35][36]. However, our results presented here suggest that inhibition of STAT3 may be an important effect of the MPT0B098 on OSCC cells that contain overexpressed STAT3. In addition, 5-FU and cisplatin are Food and Drug Administration (FDA) approved combinational drugs and routinely used following surgery or radiotherapy in HNSCC [15,37]. A combinatorial treatment may improve the efficacy of these chemotherapeutic drugs and reduce their non-specific toxicities [18]. Our results showed that the combination of MTP0B098 with 5-FU or cisplatin exhibited significant higher growth inhibition and enhanced apoptosis in oral cancer cells as compared to treatment with a single drug or in combination of 5-FU and cisplatin. Therefore, we herein report the promising therapeutic potential and provide a novel strategy of MPT0B098 with 5-FU or cisplatin combinations as a new treatment for OSCC.
In conclusion, we identified a unique microtubule inhibitor, MPT0B098, which displays a novel mechanism to inhibit JAK2/STAT3 activity through SOCS3. In addition, we also provide a possibility that the combination of MPT0B098 with STAT3 inhibitors, 5-FU or cisplatin may work in synergy to present a useful therapeutic strategy in OSCC. OEC-M1 cells were tranfected with control vector (VC) and construct containing the SOCS2-coding region (SOCS2) for 48 hrs. The phosphorylated proteins (p-JAK2, p-TYK2, p-STAT3 and p-STAT5) and total level of proteins (SOCS3, JAK2, TYK2, p-STAT3 and p-STAT5) were determined by Western blotting. GAPDH was used as loading control. (PDF)