# STAT6: Multidimensional analysis from hematopoietic immune regulation to pathogenesis mechanisms and therapeutic targets in hematologic malignancies

**Authors:** Shuni Zhang, Shuzhen Xiong, Xinyang Liu, Jiajia Cao, Ningning Yue, Chongyang Wu

PMC · DOI: 10.1007/s00277-026-06932-2 · Annals of Hematology · 2026-03-16

## TL;DR

This paper reviews the role of STAT6 in blood-related diseases and immune regulation, aiming to uncover new treatment strategies.

## Contribution

The paper systematically investigates STAT6's role in hematopoietic systems and hematologic malignancies, highlighting unique pathogenic mechanisms.

## Key findings

- STAT6 activation in hematologic malignancies is linked to a Th2-type immune microenvironment.
- Abnormal STAT6 activity may contribute to chemotherapy resistance in blood cancers.
- The study provides insights into STAT6's multifunctionality in immune regulation and disease progression.

## Abstract

Signal Transduction and Activation of Transcription 6 (STAT6) is a key molecule in the Janus Kinase/Signal Transducer and Activator of Transcription (JAK/STAT) signaling pathway. Primarily induced by Interleukin-4(IL-4) and Interleukin-13(IL-13), STAT6 undergoes phosphorylation and translocates to the nucleus, where it regulates gene transcription. While the abnormal activation and oncogenic functions of STAT6 in various solid tumors are well documented, its precise biological role in the hematopoietic system has not yet been systematically investigated. Compared with solid tumors, STAT6 activation in hematological malignancies occurs with the Type 2 T helper cell (Th2-type) immune microenvironment that it mediates, which is probably a unique pathogenic mechanism. This review, therefore, delves into the multifunctionality of STAT6 within the hematopoietic system (including viral infection and immune regulation) and hematologic malignancies, as well as its impact on chemotherapy resistance. The aim is to provide a theoretical basis for understanding the biological functions of STAT6 and developing new therapeutic approaches.

## Linked entities

- **Genes:** STAT6 (signal transducer and activator of transcription 6) [NCBI Gene 6778]
- **Proteins:** IL4 (interleukin 4)

## Full-text entities

- **Genes:** MAVS (mitochondrial antiviral signaling protein) [NCBI Gene 57506] {aka CARDIF, IPS-1, IPS1, VISA}, CCL13 (C-C motif chemokine ligand 13) [NCBI Gene 6357] {aka CKb10, MCP-4, NCC-1, NCC1, SCYA13, SCYL1}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, IL4 (interleukin 4) [NCBI Gene 3565] {aka BCGF-1, BCGF1, BSF-1, BSF1, IL-4}, MAP2K7 (mitogen-activated protein kinase kinase 7) [NCBI Gene 5609] {aka JNKK2, MAPKK7, MEK, MEK 7, MKK7, PRKMK7}, PTP4A3 (protein tyrosine phosphatase 4A3) [NCBI Gene 11156] {aka PRL-3, PRL-R, PRL3}, TRAF3 (TNF receptor associated factor 3) [NCBI Gene 7187] {aka CAP-1, CD40bp, CRAF1, IIAE5, IMD132A, IMD132B}, CCL17 (C-C motif chemokine ligand 17) [NCBI Gene 6361] {aka A-152E5.3, ABCD-2, SCYA17, TARC}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, MYC (MYC proto-oncogene, bHLH transcription factor) [NCBI Gene 4609] {aka MRTL, MYCC, bHLHe39, c-Myc}, STAT6 (signal transducer and activator of transcription 6) [NCBI Gene 6778] {aka D12S1644, HIES6, IL-4-STAT, STAT6B, STAT6C}, SOCS1 (suppressor of cytokine signaling 1) [NCBI Gene 8651] {aka AISIMD, CIS1, CISH1, JAB, SOCS-1, SSI-1}, NFIL3 (nuclear factor, interleukin 3 regulated) [NCBI Gene 4783] {aka E4BP4, IL3BP1, NF-IL3A, NFIL3A}, IGHE (immunoglobulin heavy constant epsilon) [NCBI Gene 3497] {aka IgE}, BTK (Bruton tyrosine kinase) [NCBI Gene 695] {aka AGMX1, AT, ATK, BPK, IGHD3, IMD1}, BCL6 (BCL6 transcription repressor) [NCBI Gene 604] {aka BCL5, BCL6A, LAZ3, ZBTB27, ZNF51}, TBK1 (TANK binding kinase 1) [NCBI Gene 29110] {aka AIARV, FTDALS4, IIAE8, NAK, T2K}, MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) [NCBI Gene 25] {aka ABL, BCR-ABL, CHDSKM, JTK7, bcr/abl, c-ABL}, IL4R (interleukin 4 receptor) [NCBI Gene 3566] {aka CD124, IL-4RA, IL4RA}, STING1 (stimulator of interferon response cGAMP interactor 1) [NCBI Gene 340061] {aka ERIS, MITA, MPYS, NET23, SAVI, STING}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, CCR4 (C-C motif chemokine receptor 4) [NCBI Gene 1233] {aka CC-CKR-4, CD194, CKR4, CMKBR4, ChemR13, HGCN:14099}, CREBBP (CREB binding lysine acetyltransferase) [NCBI Gene 1387] {aka CBP, KAT3A, MKHK1, RSTS, RSTS1}, CCL2 (C-C motif chemokine ligand 2) [NCBI Gene 6347] {aka GDCF-2, HC11, HSMCR30, MCAF, MCP-1, MCP1}, AICDA (activation induced cytidine deaminase) [NCBI Gene 57379] {aka AID, ARP2, CDA2, HEL-S-284, HIGM2}, CD274 (CD274 molecule) [NCBI Gene 29126] {aka ADMIO5, B7-H, B7H1, PD-L1, PDCD1L1, PDCD1LG1}, IL19 (interleukin 19) [NCBI Gene 29949] {aka IL-10C, MDA1, NG.1, ZMDA1}, ALK (ALK receptor tyrosine kinase) [NCBI Gene 238] {aka ALK1, CD246, NBLST3}, CCL20 (C-C motif chemokine ligand 20) [NCBI Gene 6364] {aka CKb4, Exodus, LARC, MIP-3-alpha, MIP-3a, MIP3A}, HDAC9 (histone deacetylase 9) [NCBI Gene 9734] {aka HD7, HD7b, HD9, HDAC, HDAC7B, HDAC9B}, CCL8 (C-C motif chemokine ligand 8) [NCBI Gene 6355] {aka HC14, MCP-2, MCP2, SCYA10, SCYA8}, IL10 (interleukin 10) [NCBI Gene 3586] {aka CSIF, GVHDS, IL-10, IL10A, TGIF}, PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468] {aka CIMT1, FPLD3, GLM1, NR1C3, PPARG1, PPARG2}, STAT4 (signal transducer and activator of transcription 4) [NCBI Gene 6775] {aka DPMC, SLEB11}, QSOX1 (quiescin sulfhydryl oxidase 1) [NCBI Gene 5768] {aka Q6, QSCN6}, BCR (BCR activator of RhoGEF and GTPase) [NCBI Gene 613] {aka ALL, BCR1, CML, D22S11, D22S662, PHL}, CCL26 (C-C motif chemokine ligand 26) [NCBI Gene 10344] {aka IMAC, MIP-4a, MIP-4alpha, SCYA26, TSC-1}, HMOX1 (heme oxygenase 1) [NCBI Gene 3162] {aka HMOX1D, HO-1, HSP32, bK286B10}, FLT3 (fms related receptor tyrosine kinase 3) [NCBI Gene 2322] {aka CD135, FLK-2, FLK2, STK1}, BCL2L1 (BCL2 like 1) [NCBI Gene 598] {aka BCL-XL/S, BCL2L, BCLX, Bcl-X, PPP1R52}, PTPN1 (protein tyrosine phosphatase non-receptor type 1) [NCBI Gene 5770] {aka PTP1B}, XPO1 (exportin 1) [NCBI Gene 7514] {aka CRM-1, CRM1, emb, exp1}, FCER2 (Fc epsilon receptor II) [NCBI Gene 2208] {aka BLAST-2, CD23, CD23A, CLEC4J, FCE2, FCErII}, TGFB1 (transforming growth factor beta 1) [NCBI Gene 7040] {aka CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1}, GATA3 (GATA binding protein 3) [NCBI Gene 2625] {aka HDR, HDRS}, JAK1 (Janus kinase 1) [NCBI Gene 3716] {aka AIIDE, JAK1A, JAK1B, JTK3}, CDA (cytidine deaminase) [NCBI Gene 978] {aka CDD}, IL13 (interleukin 13) [NCBI Gene 3596] {aka IL-13, P600}, JAK2 (Janus kinase 2) [NCBI Gene 3717] {aka JTK10}, OPN1SW (opsin 1, short wave sensitive) [NCBI Gene 611] {aka BCP, BOP, CBT}, PARP14 (poly(ADP-ribose) polymerase family member 14) [NCBI Gene 54625] {aka ARTD8, BAL2, PARP-14, pART8}, MAPK1 (mitogen-activated protein kinase 1) [NCBI Gene 5594] {aka ERK, ERK-2, ERK2, ERT1, MAPK2, NS13}, TNFRSF8 (TNF receptor superfamily member 8) [NCBI Gene 943] {aka CD30, D1S166E, Ki-1}, IGF1R (insulin like growth factor 1 receptor) [NCBI Gene 3480] {aka CD221, IGFIR, IGFR, JTK13}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, LTA (lymphotoxin alpha) [NCBI Gene 4049] {aka LT, TNFB, TNFSF1, TNLG1E}
- **Diseases:** Viral Infections (MESH:D014777), CLL (MESH:D015451), Allergic rhinitis (MESH:D065631), T-cell acute lymphoblastic leukemia (MESH:D054218), T-cell lymphoma (MESH:D016399), skin and respiratory tract infections (MESH:D012141), infected (MESH:D007239), autoimmune diseases (MESH:D001327), PTCL (MESH:D016411), HRS (MESH:C535516), Atopic dermatitis (MESH:D003876), AML (MESH:D015470), monocytic leukemia (MESH:D007951), tumorigenesis (MESH:D063646), renal fibrosis (MESH:D005355), FL (MESH:D008224), leukemia (MESH:D007938), pathological fractures (MESH:D005598), SS (MESH:D012751), anaplastic large cell lymphoma (MESH:D017728), cancer (MESH:D009369), osteoporosis (MESH:D010024), hypotrichosis (MESH:D007039), NHL (MESH:D008228), GVHD (MESH:D006086), Lymphoproliferation disorders (MESH:C565232), MF (MESH:D009182), immunodeficiency-related disorders (MESH:D019973), Asthma (MESH:D001249), Ph (MESH:D010677), anemia (MESH:D000740), Lymphoma (MESH:D008223), Acute lymphoblastic leukemia (MESH:D054198), joint hyperextensibility (MESH:C536192), EGIDs (MESH:D005767), SARS-CoV-2 (MESH:D000086382), CTCL (MESH:D016410), BIA-ALCL (MESH:D061325), allergic diseases (MESH:D004342), DLBCL (MESH:D016403), B-cell acute lymphoblastic leukemia (MESH:D015456), short stature (MESH:D006130), inflammation (MESH:D007249), blood diseases (MESH:D006402), HL (MESH:D006689), B-cell lymphoma (MESH:D016393), Hematologic malignancies (MESH:D019337)
- **Chemicals:** Zanubrutinib (MESH:C000629551), HSP110 inhibitor3 (-), azacitidine (MESH:D001374), methotrexate (MESH:D008727), AS1517499 (MESH:C544923), Ara- (MESH:D016718), disulfide (MESH:D004220), Vorinostat (MESH:D000077337), Selinexor (MESH:C585161), Ruxolitinib (MESH:C540383), rituximab (MESH:D000069283), gemcitabine (MESH:D000093542), dexamethasone (MESH:D003907), cytarabine (MESH:D003561), Gilteritinib (MESH:C000609080), lipid (MESH:D008055), Fedratinib (MESH:C528327), doxorubicin (MESH:D004317)
- **Species:** Human immunodeficiency virus (species) [taxon 12721], Human immunodeficiency virus 1 (no rank) [taxon 11676], Homo sapiens (human, species) [taxon 9606], human gammaherpesvirus 4 (Epstein Barr virus, no rank) [taxon 10376]
- **Mutations:** D419H
- **Cell lines:** P190 — Homo sapiens (Human), Induced pluripotent stem cell (CVCL_JU64), HL — Homo sapiens (Human), AIDS-related non-Hodgkin lymphoma, Cancer cell line (CVCL_M572), THP-1 — Homo sapiens (Human), Childhood acute monocytic leukemia, Cancer cell line (CVCL_0006), P210 — Homo sapiens (Human), Induced pluripotent stem cell (CVCL_JU81)

## Full text

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## Figures

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## References

3 references — full list in the complete paper: https://tomesphere.com/paper/PMC12992403/full.md

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Source: https://tomesphere.com/paper/PMC12992403