STAT6: A review of a signaling pathway implicated in various diseases with a special emphasis in its usefulness in pathology

Pathol Res Pract. 2021 Jul:223:153477. doi: 10.1016/j.prp.2021.153477. Epub 2021 May 11.

Abstract

Signal Transducer and Activator of Transcription 6 (STAT6), belonging to a family of seven similar members is primarily stimulated by interleukin(IL)-4 and IL-13, and acts as a T helper type 2 (Th2)-inducing factor. Thus, it is implicated in the pathophysiology of various allergic conditions, such as asthma, atopic dermatitis, eosinophilic esophagitis and food allergies, but also in tumor microenvironment regulation. Furthermore, certain forms of lymphomas, notably the Hodgkin lymphoma group, the primary mediastinal and primary central nervous system lymphoma, as well as some follicular and T cell lymphomas are associated with dysregulation of the STAT6 pathway. STAT6 immunohistochemical expression also serves as a surrogate marker in the diagnosis of solitary fibrous tumor, despite not directly responsible for the tumorigenic effect. These pathophysiological implications of the STAT6 pathway, its diagnostic or prognostic role in pathology, as well its immunohistochemical detection with different antibodies will be discussed in this review.

Keywords: Allergy; Immunohistochemistry; Inflammation; JAK-STAT; Lymphoma; Microenvironment; Solitary fibrous tumor; pSTAT6.

Publication types

  • Review

MeSH terms

  • Animals
  • Biomarkers, Tumor / metabolism
  • Humans
  • Hypersensitivity / diagnosis
  • Hypersensitivity / immunology
  • Hypersensitivity / metabolism
  • Immunohistochemistry
  • Inflammation / diagnosis
  • Inflammation / immunology
  • Inflammation / metabolism
  • Inflammation Mediators / metabolism
  • Lymphoma / immunology
  • Lymphoma / metabolism
  • Lymphoma / pathology
  • Phosphorylation
  • Predictive Value of Tests
  • STAT6 Transcription Factor / metabolism*
  • Signal Transduction*
  • Solitary Fibrous Tumors / immunology
  • Solitary Fibrous Tumors / metabolism
  • Solitary Fibrous Tumors / pathology
  • Tumor Microenvironment / immunology

Substances

  • Biomarkers, Tumor
  • Inflammation Mediators
  • STAT6 Transcription Factor
  • STAT6 protein, human