Nasal natural killer (NK)-cell
lymphoma was resistant to various
antitumor agents. Although high expression of
p-glycoprotein has been reported, other molecular mechanism of the chemo-resistance is largely unknown. Activation of STAT3 and expression of major apoptosis-related
proteins Bcl-2, Bcl-x, and Mcl-1 were analyzed by immunohistochemistry. Effects of STAT3 inhibitor
AG490 on NK-YS cell line were analyzed by Western blotting and flow cytometric apoptosis assay. STAT3 was activated in six of the nine nasal NK-cell
lymphomas (67%). In contrast, STAT3 activation was detected in 35% of
diffuse large B-cell lymphoma (DLBCL) and in 10% of
follicular lymphoma (FL). Frequent activation of STAT3 was significantly correlated with Mcl-1 expression in nasal NK-cell
lymphoma, i.e., Mcl-1 was positive in five of six STAT3-active cases and negative in all three STAT3-inactive ones. In DLBCL, not only six out of seven STAT3-active cases (86%) but also eight out of thirteen STAT3-inactive cases (62%) were positive for Mcl-1 expression. Latent membrane protein-1 was positive in four nasal NK-cell
lymphomas, among which three cases showed intermediate STAT3 activation. Inhibition of STAT3 activation by
JAK inhibitor AG490 decreased Mcl-1 expression and induced apoptosis in STAT3-active NK-YS cells. Serum
starvation rather increased the Mcl-1 level in NK-YS cells, and this effect was also canceled by
AG490. These results suggest that activation of STAT3-Mcl-1 axis may play a role in the
chemotherapy resistance of nasal NK-cell
lymphoma. The pathway may be one of the future therapeutic targets of this intractable disease.