Title: Signal Transducer and Activator of Transcription (STAT)-mediated epigenetic and epitranscriptomic regulation of T helper cell differentiation in non-small cell lung cancer
Abstract:
Non-small cell lung cancer (NSCLC) remains difficult to treat because nearly half of cases lack targetable mutations and often develop therapy resistance, making epigenetic reprogramming an attractive therapeutic strategy. The current study investigates how Signal Transducer and Activator of Transcription (STAT) proteins, especially, STAT1, STAT2, STAT3, and STAT4 regulate epigenetic and epitranscriptomic events during CD4+T helper (TH) cell differentiation in NSCLC, with the goal of enhancing antitumor immunity. Peripheral Blood Mononuclear Cells (PBMCs) from NSCLC patients and healthy donors were isolated by Ficoll-Hypaque density-gradient centrifugation, followed by CD4+T-cell purification using Magnetic-Activated Cell Sorting (MACS). STAT genes were individually knocked out or overexpressed using CRISPR/Cas9-based approaches, and qRT-PCR was used to assess 5-mC, m6A RNA methylation, gene expression, and transcription factor binding. The study also examined R-loop accumulation at TH-cell-specific loci, given that persistent DNA-RNA hybrids can drive genomic instability and DNA damage. Functionally, STAT1 and STAT4 depletion increased R-loop formation, DNA methylation, histone deacetylation, and repressive histone methylation, while reducing m6A RNA methylation and NSCLC cell cytotoxicity; their overexpression produced the opposite pattern. In contrast, STAT2 and STAT3 depletion or overexpression caused opposite effects, highlighting distinct roles among STAT family members. Overall, STAT1 and STAT4 emerge as key positive regulators of TH-cell differentiation and antitumor immunity in NSCLC, suggesting that targeting these pathways may offer a promising epigenetic therapeutic approach.
Keywords: STAT1, STAT2, STAT3, STAT4, R-loop, T helper cells, Epigenetic, Epitranscriptomic.

