• Reduction in plasma membrane-associated EGFR triggers EGFR transcription via pSTAT3 nuclear localization, maintaining EGFR protein homeostasis.
• Erlotinib promotes pSTAT3 nuclear accumulation, leading to increased EGFR transcription and acquired resistance to EGFR-TKIs.
• Pharmacological inhibition of pSTAT3 significantly overcomes erlotinib resistance in cancer cells.
• The pSTAT3-EGFR axis represents a novel molecular mechanism underlying EGFR-TKI resistance in non-small cell lung cancer.