Cited by 183Telomeres, Telomerase, and SenescenceGenetics, Aging, and Longevity in Model OrganismsTGF-β signaling in diseases

The DOI matches its Crossref record; 85 of the 85 references it cites were found in a registry or an index; 12 of the 110 sources its claims cite were checked for support.

Paracrine roles of cellular senescence in promoting tumourigenesis

Open access
Gonzalez-Meljem, Jose Mario, Apps, John Richard, Fraser, Helen Christina, Martinez-Barbera, Juan Pedro·2018·British Journal of Cancer

Abstract

Senescent cells activate genetic programmes that irreversibly inhibit cellular proliferation, but also endow these cells with distinctive metabolic and signalling phenotypes. Although senescence has historically been considered a protective mechanism against tumourigenesis, the activities of senescent cells are increasingly being associated with age-related diseases, including cancer. An important feature of senescent cells is the secretion of a vast array of pro-inflammatory cytokines, chemokines, and growth factors collectively known as the senescence-associated secretory phenotype (SASP). Recent research has shown that SASP paracrine signalling can mediate several pro-tumourigenic effects, such as enhancing malignant phenotypes and promoting tumour initiation. In this review, we summarise the paracrine activities of senescent cells and their role in tumourigenesis through direct effects on growth and proliferation of tumour cells, tumour angiogenesis, invasion and metastasis, cellular reprogramming and emergence of tumour-initiating cells, and tumour interactions with the local immune environment. The evidence described here suggests cellular senescence acts as a double-edged sword in cancer pathogenesis, which demands further attention in order to support the use of senolytic or SASP-modulating compounds for cancer treatment.

Overview

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Written from the paper’s full text.

TL;DR

This review argues that senescent cells, through the senescence-associated secretory phenotype (SASP), can act in a paracrine manner to promote multiple pro-tumourigenic processes, challenging the view of senescence as purely tumour-suppressive. It concludes that senescence is a double-edged sword in cancer and highlights senolytic or SASP-modulating compounds as potential therapeutic strategies.

Key findings

  • SASP factors can directly promote tumour cell growth and proliferation: co-culture or co-injection of senescent fibroblasts increased tumourigenicity in xenograft models, including primary breast cancer tissues; AREG blockade reduced senescent-fibroblast-conditioned-media-induced growth of benign prostate epithelial cells; and deletion of IL1β reduced IL6 and CXCL1 expression and the number and size of liver tumours in an obesity-associated liver cancer model.
  • Senescent cells can promote angiogenesis, invasion, and metastasis: conditioned media from senescent cells induced EMT in non-aggressive breast cancer, mesothelioma, and melanoma cell lines; MMP2 and MMP3 secreted by senescent cells enhanced invasive properties; IL6 promoted tumour-supportive angiogenesis in a Ras-driven tumour model; and co-injection of senescent fibroblasts or peritoneal mesothelial cells with cancer cells increased tumour angiogenesis in xenografts.
  • SASP can inhibit differentiation and promote tumour-initiating/stem-like phenotypes: keratinocytes exposed to senescent-cell medium expressed tumour stem cell marker CD44; co-culture with senescent myeloma cells promoted cancer stem-like cells; mesothelioma SASP produced a highly clonogenic subpopulation with enhanced tumour formation in mice; and IL6 or CCL2 induced tumourigenic potential in melanoma cells in a STAT3-dependent manner with NANOG, SOX2, and OCT4 expression.
  • Senescent cells modulate local immunity in opposing ways: they can promote immune clearance via CCL2-mediated NK-T cell attraction, and p53 restoration in murine liver carcinomas triggered innate immune infiltration and complete tumour regression; however, senescent stromal cells and IL6 can increase suppressive myeloid cells, inhibit anti-tumour T-cell responses, and enhance tumour growth.

Methods

  • Narrative review of published literature, not a primary experimental study.
  • Synthesizes in vitro and in vivo evidence on paracrine effects of senescent cells and SASP components across tumour growth, angiogenesis/invasion/metastasis, cellular reprogramming/tumour-initiating cells, and immune interactions.
  • Main analysis is conceptual organization into four paracrine activity domains, with a table of example senolytic and SASP-modulating compounds; no systematic search strategy or quantitative meta-analysis is stated.

Limitations

  • The paper states that the relationship between senescence, tumourigenesis, and the immune system is complex and remains incompletely understood, and that further research is required to clarify factors controlling pro- and anti-tumour surveillance activities.
  • The paper states that its subdivisions of senescence-associated activities are mainly conceptual, because senescent cells exert compounded effects and current experimental approaches cannot easily distinguish these activities, especially in vivo.
  • Evident from the text: as a narrative review, it does not report a systematic literature search, quantitative effect sizes, or formal risk-of-bias assessment.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1038/s41416-018-0066-1

Cites

85 of 85 references verified0 citation errors · 0 not checkable

Statistics

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Figures

Fig. 1 Overview of senescence inducers, changes in cell physiology, and activation of the senescence-associated secretory phenotype (SASP). The senescence programme can be activated by different stress stimuli (shown in blue) such as: cytotoxic chemotherapeutic drugs, replicative stress (which occurs due to deficiencies in the DNA replication machinery or maintenance of cell cycle checkpoints), ionising radiation, oncogenic signalling, and oxidative stress. The main cellular and molecular effects are shown in red and include an expansion of the lysosomal compartment, metabolic and mitochondrial alterations, accumulation of DNA damage and rearrangement of the chromatin landscape, resistance to apoptosis, and an irreversible arrest of the cell cycle. Most senescent cells also activate a senescence-associated secretory phenotype (SASP), which is composed of growth factors, cytokines, chemokines, and metalloproteinases. Examples of common SASP factors are shown. These secreted factors can signal in an autocrine fashion to reinforce the senescence phenotype, or paracrinally with multiple effects on neighbouring cells. EGF epithelial growth factor, FGFs fibroblast growth factors, BMPs bone morphogenetic proteins, IL1 interleukin 1, IL6 interleukin 6, IL8 interleukin 8, CCL2 C–C motif chemokine ligand 2, MMP2 matrix metallopeptidase 2, MMP3 matrix metallopeptidase 3
Fig. 1 Overview of senescence inducers, changes in cell physiology, and activation of the senescence-associated secretory phenotype (SASP). The senescence programme can be activated by different stress stimuli (shown in blue) such as: cytotoxic chemotherapeutic drugs, replicative stress (which occurs due to deficiencies in the DNA replication machinery or maintenance of cell cycle checkpoints), ionising radiation, oncogenic signalling, and oxidative stress. The main cellular and molecular effects are shown in red and include an expansion of the lysosomal compartment, metabolic and mitochondrial alterations, accumulation of DNA damage and rearrangement of the chromatin landscape, resistance to apoptosis, and an irreversible arrest of the cell cycle. Most senescent cells also activate a senescence-associated secretory phenotype (SASP), which is composed of growth factors, cytokines, chemokines, and metalloproteinases. Examples of common SASP factors are shown. These secreted factors can signal in an autocrine fashion to reinforce the senescence phenotype, or paracrinally with multiple effects on neighbouring cells. EGF epithelial growth factor, FGFs fibroblast growth factors, BMPs bone morphogenetic proteins, IL1 interleukin 1, IL6 interleukin 6, IL8 interleukin 8, CCL2 C–C motif chemokine ligand 2, MMP2 matrix metallopeptidase 2, MMP3 matrix metallopeptidase 3CC BY · PubMed Central
Fig. 2 Summary of the paracrine effects of the SASP in promoting tumourigenesis
Fig. 2 Summary of the paracrine effects of the SASP in promoting tumourigenesisCC BY · PubMed Central

Verification

Claims the paper makes

43 Not checked yet · 6 Own interpretation · 2 Partly supported · 2 No basis given · 1 Supported · 1 Supported so far · accuracy not yet measured

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  • Probably not a substantial claim. 3
  • It may state two separate claims as one. 19
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  • The paper relies on this without support.

    The pro-tumourigenic paracrine effects of senescent cells observed in in vitro and mouse models are representative of human cancer pathogenesis.

    “The evidence described here suggests cellular senescence acts as a double-edged sword in cancer pathogenesis, which demands further attention in order to support the use of senolytic or SASP-modulating compounds for cancer treatment.”
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Metadata

Authors
Gonzalez-Meljem, J. M., Apps, J. R., Fraser, H. C., & Martinez-Barbera, J. P.
Affiliations
University College London (GB)
Venue
British Journal of Cancer
Published
2018-04-19
Volume
118
Issue
10
Pages
1283-1288
ISSN
  • 0007-0920 (ISSN-L)
  • 1532-1827
OpenAlex
W2800736744
Cited by
183
References
85
Citations by year
2026: 15 · 2025: 24 · 2024: 17 · 2023: 26 · 2022: 38 · 2021: 27 · 2020: 21 · 2019: 9 · 2018: 6
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • British Journal of Cancer (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer Research
  • Cancer Research UK (S_1731)
  • National Institute for Health and Care Research
  • University College London
  • CHILDREN with CANCER UK (15/190, W1055)
  • Brain Tumour Charity (GN-000382)
  • Consejo Nacional de Ciencia y Tecnología
  • Great Ormond Street Hospital for Children
  • Medical Research Council (MR/M000125/1, 1764958)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
Keywords
cellular senescence, senescence-associated secretory phenotype, paracrine signaling, tumourigenesis, tumor angiogenesis, tumor invasion and metastasis, cellular reprogramming, cancer stem cells, tumor microenvironment, senolytics, tumor immunology
MeSH terms
Cell Movement, Humans, Neoplasm Invasiveness, Neoplasm Metastasis, Neoplasms, Cellular Senescence, Paracrine Communication, Cell Proliferation, Carcinogenesis, Cellular Reprogramming

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