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A STAT3 degrader demonstrates efficacy in venetoclax resistant acute myeloid leukemia

  • Samarpana Chakraborty
  • , Claudia Morganti
  • , Kimberly Zaldana
  • , Bianca Rivera Pena
  • , Hui Zhang
  • , Divij Verma
  • , Nadege Gitego
  • , Feiyang Ma
  • , Srinivas Aluri
  • , Kith Pradhan
  • , Shanisha Gordon-Mitchell
  • , Ioannis Mantzaris
  • , Mendel Goldfinger
  • , Eric Feldman
  • , Kira Gritsman
  • , Yang Shi
  • , Stefan Hubner
  • , Yi Hua Qiu
  • , Brandon D. Brown
  • , Abdullah Khasawneh
  • Anna Skwarska, Eduardo Sabino de Camargo Magalhães, Amit Verma, Marina Konopleva, Yoko Tabe, Evripidis Gavathiotis, Simona Colla, Jared Gollob, Joyoti Dey, Steven M. Kornblau, Sergei B. Koralov, Keisuke Ito, Aditi Shastri

Research output: Contribution to journalArticlepeer-review

Abstract

Acute myeloid leukemia (AML) is an aggressive myeloid malignancy with a poor prognosis. Venetoclax (Ven), a BCL2 inhibitor, has shown promising results but often leads to relapse due to mitochondrial dysregulation, particularly due to upregulation of the anti-apoptotic protein MCL1. Overexpression of the transcription factor STAT3 has been linked to poor survival in AML patients. Overexpression of STAT3 in a transgenic murine model induces a myeloid malignancy with a short latency period and inflammatory upregulation. The current study identifies STAT3 upregulation as a key mechanism of Ven resistance. A clinically relevant STAT3 degrader effectively reduces both total and phosphorylated STAT3, corrects mitochondrial structural and functional dysregulation, and induces apoptosis in Ven-resistant AML cell lines. KT-333 significantly decreases STAT3 and MCL1 protein levels and improves survival in Ven-resistant (Ven-Res) AML murine models. In summary, STAT3 hyperactivation is leukemogenic, is further potentiated in Ven-resistance and can be clinically targeted with a novel and specific STAT3 degrader. (Figure presented.)

Original languageEnglish (US)
Pages (from-to)717-729
Number of pages13
JournalLeukemia
Volume40
Issue number4
DOIs
StatePublished - Apr 2026

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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