A Transient Pseudosenescent Secretome Promotes Tumor Growth after Antiangiogenic Therapy Withdrawal
Open accessAbstract
VEGF receptor tyrosine kinase inhibitors (VEGFR TKIs) approved to treat multiple cancer types can promote metastatic disease in certain limited preclinical settings. Here, we show that stopping VEGFR TKI treatment after resistance can lead to rebound tumor growth that is driven by cellular changes resembling senescence-associated secretory phenotypes (SASPs) known to promote cancer progression. A SASP-mimicking antiangiogenic therapy-induced secretome (ATIS) was found to persist during short withdrawal periods, and blockade of known SASP regulators, including mTOR and IL-6, could blunt rebound effects. Critically, senescence hallmarks ultimately reversed after long drug withdrawal periods, suggesting that the transition to a permanent growth-arrested senescent state was incomplete and the hijacking of SASP machinery ultimately transient. These findings may account for the highly diverse and reversible cytokine changes observed in VEGF inhibitor-treated patients, and suggest senescence-targeted therapies ("senotherapeutics")-particularly those that block SASP regulation-may improve outcomes in patients after VEGFR TKI failure.
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Continuous transcriptional or functional changes in senescent cells, and the permanent need to actively maintain senescence-supporting transcription, puts the stability of cell cycle arrest at risk, occasionally leading to restoration of proliferative properties with a potentially detrimental effect on tumour suppression.
“Continuous transcriptional or, more generally, functional changes in senescent cells, and the permanent need to actively maintain senescencesupporting transcription puts the stability of cell cycle arrest at risk, occasionally leading to the restoration of proliferative properties with a potentially detrimental effect on tumour suppression 5,79 .”
From Senescence and cancer — role and therapeutic opportunities (2022) · cites this paper as [79]
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Senescence and cancer — role and therapeutic opportunities
Schmitt, C. A., Wang, B., & Demaria, M. (2022) · Nature Reviews Clinical Oncology · doi:10.1038/s41571-022-00668-4 · Cited by 794 · see citing works
- Authors
- Mastri, M., Tracz, A., Lee, C. R., Dolan, M., Attwood, K., Christensen, J. G., Liu, S., & Ebos, J. M. L.
- Affiliations
- Roswell Park Comprehensive Cancer Center (US)
- Sunnybrook Research Institute (CA)
- Pfizer (United States) (US)
- Corresponding author
- Ebos, John M.L.
- ORCID
- Venue
- Cell Reports
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 25
- Issue
- 13
- Pages
- 3706-3720.e8
- ISSN
- 2211-1247 (ISSN-L)
- PMC
- PMC13277708
- OpenAlex
- W2906196013
- Cited by
- 28
- References
- 15
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 6 · 2019: 2
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cell Reports (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Defense (W81XWH-14-1-0210)
- American Cancer Society (IRG-14-194-11SUB, RSG-18-064-01-TBG)
- National Cancer Institute (P30CA016056)
- Roswell Park Cancer Institute
- Roswell Park Alliance Foundation, Roswell Park Cancer Institute
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
- Keywords
- senescence-associated secretory phenotype, VEGFR inhibitors, secretome, drug resistance, mTOR, interleukin-6, senotherapeutics, tumor progression
- MeSH terms
- Animals, Humans, Mice, Inbred BALB C, Neoplasm Metastasis, Neoplasms, Phenotype, Interleukin-6, Cellular Senescence, Drug Resistance, Neoplasm, Angiogenesis Inhibitors, Proteome, Receptors, Vascular Endothelial Growth Factor, Cell Line, Tumor, Protein Kinase Inhibitors, Cell Proliferation, TOR Serine-Threonine Kinases
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