IL6/JAK1/STAT3 signaling blockade in endometrial cancer affects the ALDHHICD126+-like component and reduces tumor burden

Cancer stem-like cells (CSC) may be critical to maintain the malignant behavior of solid and hematopoietic cancers. Recently, endometrial cancer patients whose tumors expressed high levels of aldehyde dehydrogenase (ALDH), a detoxifying enzyme characteristic of many progenitor and stem cells, exhibited a relative reduction in survival compared to patients with low levels of ALDH. Given evidence of its role as a CSC marker, we hypothesized that high level of ALDH activity (ALDHhi) in a tumor might positively correlates with the presence of stem- and progenitor-like tumor cells in this disease setting. In support of this hypothesis, ALDH could be employed to enrich for CSC in endometrial cancer cell lines and primary tumors, as illustrated by the increased tumor-initiating capacity of ALDHhicells in immune-deficient mice. ALDH cells also exhibited greater clonogenic and organoid-forming capacity compared to ALDHlocells. Notably, the number of ALDHhicells in tumor cell lines and primary tumors inversely correlated with differentiation grade. Expression analysis revealed upregulation of IL-6 receptor subunits and signal transducers CD126 and GP130 in ALDHhi cancer cells. Accordingly, targeted inhibition of the IL-6 receptor and its downstream effectors JAK1 and STAT3 dramatically reduced tumor cell growth. Overall, our results provide a preclinical rationale to target IL-6 or its effector functions as a novel therapeutic option in endometrial cancer.