[HTML][HTML] A senescence program controlled by p53 and p16INK4a contributes to the outcome of cancer therapy

CA Schmitt, JS Fridman, M Yang, S Lee, E Baranov… - Cell, 2002 - cell.com
CA Schmitt, JS Fridman, M Yang, S Lee, E Baranov, RM Hoffman, SW Lowe
Cell, 2002cell.com
Abstract p53 and INK4a/ARF mutations promote tumorigenesis and drug resistance, in part,
by disabling apoptosis. We show that primary murine lymphomas also respond to
chemotherapy by engaging a senescence program controlled by p53 and p16 INK4a.
Hence, tumors with p53 or INK4a/ARF mutations—but not those lacking ARF alone—
respond poorly to cyclophosphamide therapy in vivo. Moreover, tumors harboring a Bcl2-
mediated apoptotic block undergo a drug-induced cytostasis involving the accumulation of …
Abstract
p53 and INK4a/ARF mutations promote tumorigenesis and drug resistance, in part, by disabling apoptosis. We show that primary murine lymphomas also respond to chemotherapy by engaging a senescence program controlled by p53 and p16INK4a. Hence, tumors with p53 or INK4a/ARF mutations—but not those lacking ARF alone—respond poorly to cyclophosphamide therapy in vivo. Moreover, tumors harboring a Bcl2-mediated apoptotic block undergo a drug-induced cytostasis involving the accumulation of p53, p16INK4a, and senescence markers, and typically acquire p53 or INK4a mutations upon progression to a terminal stage. Finally, mice bearing tumors capable of drug-induced senescence have a much better prognosis following chemotherapy than those harboring tumors with senescence defects. Therefore, cellular senescence contributes to treatment outcome in vivo.
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