A BET family protein degrader provokes senolysis by targeting NHEJ and autophagy in senescent cells
Open accessAbstract
Although cellular senescence acts primarily as a tumour suppression mechanism, the accumulation of senescent cells in vivo eventually exerts deleterious side effects through inflammatory/tumour-promoting factor secretion. Thus, the development of new drugs that cause the specific elimination of senescent cells, termed senolysis, is anticipated. Here, by an unbiased high-throughput screening of chemical compounds and a bio-functional analysis, we identify BET family protein degrader (BETd) as a promising senolytic drug. BETd provokes senolysis through two independent but integrated pathways; the attenuation of non-homologous end joining (NHEJ), and the up-regulation of autophagic gene expression. BETd treatment eliminates senescent hepatic stellate cells in obese mouse livers, accompanied by the reduction of liver cancer development. Furthermore, the elimination of chemotherapy-induced senescent cells by BETd increases the efficacy of chemotherapy against xenograft tumours in immunocompromised mice. These results reveal the vulnerability of senescent cells and open up possibilities for its control.
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Written from the paper’s full text.
TL;DR
An unbiased high-throughput screen of ~47,000 compounds identified BET family protein degraders/inhibitors as senolytic agents, with ARV825 showing strong senolysis at 5–10 nM. ARV825 kills senescent cells by inhibiting NHEJ and activating autophagy, reducing obesity-associated HCC and improving chemotherapy efficacy in mouse models.
Key findings
- Screening ~47,000 small molecules found 15 compounds that preferentially killed Ras-induced senescent cells; four top hits were BET inhibitors (JQ1, I-BET151, I-BET762, PFI-1). ARV825, a BET degrader, had the strongest senolytic activity, killing senescent HDFs at 5–10 nM regardless of senescence induction method, and reduced BRD3/BRD4 levels at 10 nM.
- In an obesity-induced HCC mouse model, ARV825 (5 mg/kg i.p.) substantially reduced HCC development and reduced senescent hepatic stellate cells, judged by αSMA with p21, IL-6, or Groα staining (HFD+vehicle n=20; HFD+ARV825 n=16).
- In HCT116 xenografts, DXR plus ARV825 significantly reduced tumour size versus DXR alone, with reduced p21 and 53BP1 and increased γH2AX, LC3B, and cleaved caspase-3 in tumour sections.
- Mechanistically, ARV825 downregulated xrcc4, blocked 53BP1 recruitment to DSB sites, exacerbated DSBs, and upregulated autophagic genes; autophagy inhibitors bafilomycin A1 or chloroquine reduced ARV825-induced senolysis, and autophagy preceded caspase-dependent apoptosis.
Methods
- HTS: IMR90-ER:HRAS cells were treated with 500 nM 4-hydroxytamoxifen for 7 days, plated at 500 cells/well in 384-well plates, incubated with ~47,000 Takeda compounds at 3 or 10 μM for 72 h, then assayed with CellTiter-Glo and Caspase-Glo3/7.
- Cell and in vivo models: TIG-3 HDFs were used as early-passage controls (<46 population doublings) or replicative senescent cells (>70 population doublings); senescence was also induced with doxorubicin (250 ng/ml for TIG-3, 200 ng/ml for HCT116) or RasV12. Mouse models included HFD-fed obesity-associated HCC mice treated with ARV825 (5 mg/kg i.p.) and HCT116 xenografts treated with DXR (1 mg/kg daily for 7 days) followed by ARV825 (5 mg/kg, 10 times over 2 weeks).
- Main analyses: RNA-seq, immunoblotting, immunoprecipitation, immunofluorescence/immunohistochemistry, RT-qPCR, neutral comet assay, cell proliferation/apoptosis assays, and standard statistical tests (t-test, ANOVA with Holm-Sidak or Tukey, Kruskal-Wallis with Dunn’s).
Limitations
- The paper states that not all aspects of BRD4 inhibition-induced senolysis may be explained by the described factors; it remains unclear whether BETd senolytic effects are common to all senescent cell types in vivo, partly due to lack of absolute senescence markers. It also cautions that healthy non-dividing cells rely on NHEJ and that high ARV825 concentrations (>50 nM) reduced control cell proliferation, so optimal in vivo dosing is crucial.
- Evident from the text: XRCC4 overexpression failed to rescue ARV825-induced DSBs and senolysis, and NU7026 alone increased DSBs without inducing senolysis, indicating additional mechanisms beyond NHEJ inhibition. The study relies on cultured cells and mouse models, with no human clinical data.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
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Claims the paper makes
0 of 38 cited sources checked · 0 supported · 0 flagged
- Findingown data
A high-throughput screen of about 47,000 small molecules identified 15 small molecules that preferentially induce cell death in Ras-induced senescent cells compared with control non-senescent cells.
“A cell viability analysis based on measurements of the ATP levels and Caspase3/7 activity revealed that 15 small molecules preferentially induce cell death in Ras-induced senescent cells, as compared to the control non-senescent cells.”
Quote in the paperSubstantial claim - Findingcitation
Four top-ranking hit molecules from the screen, JQ1, I-BET151, I-BET762, and PFI-1, are inhibitors of BET family proteins.
“four top ranking hit molecules (JQ1, I-BET151, I-BET762, and PFI-1) turned out to be inhibitors of bromodomain and extra-terminal (BET) family proteins21,23”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [21] Shu, S. & Polyak, K. BET bromodomain proteins as cancer therapeutic targets. Cold Spring Harb. Sympo. Quant. Biol. 81, 123–129 (2016). source
Not checked in the free run.
- cites [23] Abedin, S. M., Boddy, C. S. & Munshi, H. G. BET inhibitors in the treatment of hematologic malignancies: current insights and future prospects. OncoTargets Ther. 9, 5943–5953 (2016). source
Not checked in the free run.
- Findingown data
Cultured senescent HCT116 cells provoked by doxorubicin were preferentially killed by ARV825 compared with control HCT116 cells.
“cultured senescent HCT116 cells (a human colon cancer cell line) provoked by doxorubicin (DXR) treatment were preferentially killed by the ARV825 treatment, as compared to control HCT116 cells”
Quote in the paperSubstantial claim - Findingown data
Expression of a series of autophagic genes was upregulated by ARV825 treatment in senescent HDFs.
“the expression of a series of autophagic genes was upregulated by the ARV825 treatment in senescent HDFs”
Quote in the paperSubstantial claim - Findingown data
Treatment of senescent HDFs with autophagy inhibitors bafilomycin A1 or chloroquine substantially reduced ARV825-induced senolysis.
“the treatment of senescent HDFs with autophagy inhibitors, such as bafilomycin A1 or chloroquine, substantially reduced the ARV825-induced senolysis”
Quote in the paperSubstantial claim
- Findingown data
siRNA-based depletion of XRCC4 or BRD4 phenocopied the ARV825-induced elevation of DNA double-strand breaks in senescent HDFs.
“These effects were phenocopied by the siRNA-based depletion of XRCC4 or BRD4 in senescent HDFs”
Quote in the paperSubstantial claim - Findingown data
The effects of ARV825 were phenocopied by depletion of 53BP1 in senescent HDFs.
“the effects of ARV825 were phenocopied by the depletion of 53BP1 in senescent HDFs”
Quote in the paperSubstantial claim - Findingown data
Expression of the xrcc4 gene substantially declined upon ARV825 treatment of senescent HDFs.
“the expression levels of the xrcc4 gene substantially declined upon the treatment of senescent HDFs with ARV825”
Quote in the paperSubstantial claim - Findingown data
Overexpression of XRCC4 failed to rescue 53BP1 foci formation in senescent cells treated with ARV825.
“the overexpression of XRCC4 failed to rescue 53BP1 foci formation in senescent cells treated with ARV825”
Quote in the paperSubstantial claim - Findingown data
ARV825 treatment caused elevation of DNA double-strand breaks in senescent HDFs, regardless of how senescence was induced.
“the ARV825 treatment caused the elevation of DSBs in senescent HDFs, as judged by the γH2AX foci formation assay and the neutral comet assay, regardless of how cellular senescence was induced”
Quote in the paperSubstantial claim - Findingown data
Treatment with 10 nM ARV825 significantly reduced BRD3 and BRD4 protein levels in senescent cells.
“the levels of the BRD3 and BRD4 BET family proteins were significantly reduced by the 10 nM ARV825 concentration treatment in senescent cells”
Quote in the paperSubstantial claim - Findingown data
Co-treatment with doxorubicin and ARV825 significantly reduced p21 and 53BP1 foci formation in xenograft tumours.
“coincident with a significant reduction of p21Waf1/Cip1/Sdi1 expression and 53BP1 foci formation, senescence markers”
Quote in the paperSubstantial claim - Findingown data
RNA-seq analysis did not detect substantial declines in expression of previously reported BRD4-targeted oncogenes in ARV825-treated senescent HDFs.
“we were unable to detect any substantial declines in the expression of previously reported BRD4-targeted oncogenes”
Quote in the paperSubstantial claim - Findingown data
siRNA-based depletion of BRD4, but not BRD2 or BRD3, robustly provoked senolysis in HDFs.
“the siRNA-based depletion of BRD4, but neither BRD2 nor BRD3, robustly provoked senolysis in HDFs”
Quote in the paperSubstantial claim - Findingown data
Knock-down of the long BRD4 isoform, but not the short isoform, efficiently provoked senolysis.
“the knock-down of the long isoform, but not the short isoform, efficiently provoked senolysis”
Quote in the paperSubstantial claim - Findingown data
Tumour size was significantly reduced when HCT116 xenograft mice were co-treated with doxorubicin and ARV825 compared with doxorubicin alone.
“the tumour size was significantly reduced when HCT116 xenograft mice were co-treated with DXR and ARV825 as compared to DXR treatment alone”
Quote in the paperSubstantial claim - Findingown data
ARV825 treatment substantially reduced hepatocellular carcinoma development in an obesity-induced HCC mouse model.
“the ARV825 treatment substantially reduced HCC development (Fig. 2a, b)”
Quote in the paperSubstantial claim - Findingown data
XRCC4 overexpression failed to rescue ARV825-induced DNA double-strand breaks and senolysis.
“XRCC4 overexpression failed to rescue the ARV825-induced DSBs and senolysis”
Quote in the paperSubstantial claim - Findingown data
ARV825 treatment reduced the number of senescent hepatic stellate cells in the obesity-induced HCC mouse model.
“coincident with the reduction of the senescent HSC number in the obesity-induced HCC mouse model, as judged by the immunofluorescence (IF) staining analysis”
Quote in the paperSubstantial claim - Findingown data
ARV825 treatment reduced BRD3 and BRD4 but not BRD2 protein levels in senescent HDFs.
“the ARV825 treatment reduced the levels of BRD3 and BRD4, but not BRD2, in senescent HDFs”
Quote in the paperSubstantial claim - Findingown data
The levels of the cleaved form of caspase 3 correlated well with those of senolysis.
“It should be noted that the levels of the cleaved form of caspase 3, a sign of apoptosis, correlated well with those of senolysis (Fig. 1c, e, and Supplementary Fig. 2b, d, and f)”
Quote in the paperSubstantial claim - Findingown data
ARV825 exhibits robust senolysis activity even at nanomolar concentrations (5-10 nM).
“Unlike previously reported senolytic drugs17,19,20,25,42,43 (Fig. 1, Supplementary Fig. 1), ARV825 exhibits robust senolysis activity even at nanomolar concentrations (5–10 nM) (Fig. 1).”
Quote in the paperSubstantial claim - Findingown data
Co-treatment with an autophagy inhibitor and a caspase inhibitor attenuated senolysis at similar levels compared with single treatment with each inhibitor in ARV825-treated senescent cells.
“Moreover, the co-treatment with an autophagy inhibitor and a caspase inhibitor attenuated the senolysis at similar levels, as compared with the single treatment with each inhibitor, in ARV825-treated senescent cells (Fig. 7a)”
Quote in the paperSubstantial claim - Findingreasoning
ARV825 treatment provokes cell death preferentially in senescent cells, rather than quiescent cells.
“thus explaining why the ARV825 treatment provokes cell death preferentially in senescent cells, rather than quiescent cells (Fig. 1b, d and Supplementary Fig. 3).”
Quote in the paperSubstantial claim - Findingown data
The optimum concentration (10 nM) of ARV825 for senolysis does not provoke cell death in quiescent cells.
“These results, in conjunction with the observation that the optimum concentration (10 nM) of ARV825 for senolysis does not provoke cell death in quiescent cells (Supplementary Fig. 3), further support the idea that BETd could be a promising senolytic drug.”
Quote in the paperSubstantial claim - Findingown data
The tumour suppressive effect of ARV825 on HCT116 xenograft mice treated with DXR coincided with an increase of cleaved caspase-3, γH2AX, and LC3B in tumour tissues.
“Notably, the tumour suppressive effect of ARV825 on HCT116 xenograft mice treated with DXR coincided with an increase of cleaved caspase-3 (an apoptosis marker), together with γH2AX (a DNA damage marker), and LC3B (an autophagy marker) in tumour tissues (Fig. 3e).”
Quote in the paperSubstantial claim - Findingown data
Combined use of chloroquine with ARV825 significantly attenuated the tumour suppressive effect of ARV825 in HCT116 xenograft mice treated with DXR.
“Furthermore, the combined use of chloroquine with ARV825 significantly attenuated the tumour suppressive effect of ARV825 in HCT116 xenograft mice treated with DXR (Supplementary Fig. 13b).”
Quote in the paperSubstantial claim - Findingown data
Treatment with a high concentration (more than 50 nM) of ARV825 reduced the proliferation of control cells.
“However, because a treatment with a high concentration (more than 50 nM) of ARV825 reduced the proliferation of control cells (Fig. 1)”
Quote in the paperSubstantial claim - Interpretationown data
The long BRD4 isoform containing the carboxy-terminal domain plays more important roles in protecting senescent cells from senolysis.
“indicating that the long isoform containing the carboxy-terminal domain (CTD) plays more important roles in protecting senescent cells from senolysis”
Quote in the paperSubstantial claim - Interpretationown data
BRD4 is the major senolysis target of ARV825, at least in HDFs.
“indicate that BRD4 is the major senolysis target of ARV825, at least in HDFs.”
Quote in the paperSubstantial claim - Interpretationown data
Blockade of BRD4 by chemical inhibitors or RNA interference robustly provokes senolysis.
“The blockade of BRD4, a BET family protein, by chemical inhibitors or RNA interference robustly provokes senolysis.”
Quote in the paperSubstantial claim - Interpretationown data
BRD4 protects senescent cells from autophagy-induced cell death by NHEJ activation and autophagy gene repression.
“BRD4 protects senescent cells from autophagy-induced cell death by NHEJ activation and autophagy gene repression (left).”
Quote in the paperSubstantial claim - Interpretationown data
Mechanisms other than DNA double-strand break formation are also involved in ARV825-induced senolysis.
“These results suggest that mechanisms other than DSB formation are also involved in the ARV825-induced senolysis”
Quote in the paperSubstantial claim - Interpretationown data
BET family protein degrader is a promising senolytic drug.
“we identify BET family protein degrader (BETd) as a promising senolytic drug.”
Quote in the paperSubstantial claim - Interpretationown data
The autophagy machinery preceded apoptosis in ARV825-induced senolysis.
“Collectively, these results indicate that the autophagy machinery35 preceded the apoptosis in ARV825-induced senolysis.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [35] Mizushima, N. A brief history of autophagy from cell biology to physiology and disease. Nat. Cell Biol. 20, 521–527 (2018). source
Not checked in the free run.
- Interpretationreasoning
The blockade of NHEJ is likely to have a relatively minor impact in quiescent cells.
“However, since DSBs occur less frequently in quiescent cells, the blockade of NHEJ is likely to have a relatively minor impact in quiescent cells”
Quote in the paperSubstantial claim- Rests on an assumption: DSBs occur less frequently in quiescent cells.
- Interpretationown data
BRD4 inhibition provokes senolysis in senescent cells by activating the autophagy machinery, through exacerbation of DSBs and up-regulated expression of several autophagic genes.
“Together, these results strongly suggest that BRD4 inhibition provokes senolysis by activating the autophagy machinery, through the exacerbation of DSBs and the up-regulated expression of several autophagic genes in senescent cells.”
- Also stated in: § Autophagy machinery preceded the apoptosis in senolysis · boosted
“These results, in conjunction with the recent observation that the aberrant activation of autophagy results in caspase-dependent apoptotic cell death38, strongly suggest that BRD4 inhibition provokes autophagy-induced apoptosis by exacerbating DSBs and upregulating the expression of several autophagic genes in senescent cells, thereby causing senolysis (Model in Fig. 7d).”
- Also stated in: § Discussion · boosted
“The blockade of BRD4 by ARV825, a recently developed small-molecule BETd24, robustly provokes autophagy-induced apoptosis in senescent cells.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [38] Chung, Y. et al. Dysregulated autophagy contributes to caspase-dependent neuronal apoptosis. Cell Death Dis. 9, 1189 (2018). source
Not checked in the free run.
- Also stated in: § Autophagy machinery preceded the apoptosis in senolysis · boosted
- Premisecitation
SA β-gal activity is induced when HDFs are rendered quiescent by contact inhibition or serum starvation.
“although the Senescence-Associated β-galactosidase (SA β-gal) activity is a widely used senescence marker, it is also induced when HDFs are rendered quiescent by contact-inhibition or serum starvation26,27.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [26] Dimri, G. P. et al. A biomarker that identifies senescent human cells in culture and in aging skin in vivo. Proc. Natl Acad. Sci. USA 92, 9363–9367 (1995). source
Not checked in the free run.
- cites [27] Imai, Y. et al. Crosstalk between the Rb pathway and AKT signaling forms a quiescence-senescence switch. Cell Rep. 7, 194–207 (2014). source
Not checked in the free run.
- Premisecitation
The cationic lipids used for siRNA-mediated depletion are known to induce autophagy.
“The cationic lipids used for the siRNA-mediated depletion are known to induce autophagy34”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [34] Man, N., Chen, Y., Zheng, F., Zhou, W. & Wen, L. P. Induction of genuine autophagy by cationic lipids in mammalian cells. Autophagy 6, 449–454 (2010). source
Not checked in the free run.
- Interpretationown data
Autophagy and apoptosis act on the same pathway in ARV825-induced senolysis.
“further supporting the above idea that autophagy and apoptosis act on the same pathway in ARV825-induced senolysis.”
Quote in the paperSubstantial claim - Premisecitation
NHEJ, but not homologous recombination, is the major DNA repair mechanism for DNA double-strand breaks in non-dividing cells such as senescent cells.
“Since NHEJ, but not homologous recombination (HR), is the major DNA repair mechanism for DSBs in non-dividing cells31, such as senescent cells”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [31] Polo, S. E. & Jackson, S. P. Dynamics of DNA damage response proteins at DNA breaks: a focus on protein modifications. Genes Dev. 25, 409–433 (2011). source
Not checked in the free run.
- Premisecitation
ARV825 is a hetero-bifunctional PROTAC that recruits BET family proteins to the E3 ubiquitin ligase CEREBLON, leading to fast, efficient, and prolonged degradation of BET family proteins.
“ARV825 is a hetero-bifunctional PROTAC (Proteolysis Targeting Chimera) that recruits BET family proteins to the E3 ubiquitin ligase CEREBLON, leading to the fast, efficient, and prolonged degradation of BET family proteins24.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] Lu, J. et al. Hijacking the E3 Ubiquitin ligase cereblon to efficiently target BRD4. Chem. Biol. 22, 755–763 (2015). source
Not checked in the free run.
- Interpretationown data
BRD4 inhibition up-regulates autophagic gene expression.
“This is due, at least in part, to two independent but integrated pathways: (1) exacerbation of DNA double-strand breaks (DSBs) by blocking non-homologous end joining (NHEJ) repair, and (2) up-regulation of autophagic gene expression (see Model in Fig. 7d).”
Quote in the paperSubstantial claim - Premisecitation
DNA double-strand breaks activate autophagy.
“This is consistent with accumulating evidence that DSBs activate autophagy37.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [37] Eliopoulos, A. G., Havaki, S. & Gorgoulis, V. G. DNA damage response and autophagy: a meaningful partnership. Front. Genet. 7, 204 (2016). source
Not checked in the free run.
- Interpretationown data
BRD4 inhibition exacerbates DNA double-strand breaks (DSBs) by blocking non-homologous end joining (NHEJ) repair.
“This is due, at least in part, to two independent but integrated pathways: (1) exacerbation of DNA double-strand breaks (DSBs) by blocking non-homologous end joining (NHEJ) repair, and (2) up-regulation of autophagic gene expression (see Model in Fig. 7d).”
Quote in the paperSubstantial claim - Premisecitation
Healthy non-dividing cells such as quiescent cells rely on NHEJ for DSB repair.
“Moreover, unlike proliferating cells, healthy non-dividing cells such as quiescent cells also rely on NHEJ for DSB repair31.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [31] Polo, S. E. & Jackson, S. P. Dynamics of DNA damage response proteins at DNA breaks: a focus on protein modifications. Genes Dev. 25, 409–433 (2011). source
Not checked in the free run.
- May combine two claims. 22
- Classified as probably not a substantial claim. 12
May combine two claims.
Findingown dataCo-treatment with NU7026 and cationic lipids provoked increases of LC3 puncta and senolysis in senescent HDFs.
“the co-treatment with NU7026 and cationic lipids provoked increases of LC3 puncta and senolysis in senescent HDFs”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe interaction between BRD4 and 53BP1 was observed in senescent cells and was reduced by ARV825 treatment.
“the interaction between BRD4 and 53BP1 was observed in senescent cells, but was reduced when senescent HDFs were treated with ARV825”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataLong-term ABT263 treatment caused apoptotic cell death in confluence-induced quiescent cells even at 500 nM, whereas ARV825 treatment did not.
“although a long term treatment with ABT263 caused apoptotic cell death in confluence (contact-inhibition)-induced reversible cell-cycle arrest (quiescence), even at an optimal concentration for senolysis (500 nM), this was not the case with the ARV825 treatment”
Quote in the paperSubstantial claimMay combine two claims.
Findingown datasiRNA-based depletion of XRCC4 exacerbated DNA double-strand breaks without blocking 53BP1 localisation to DSB sites in senescent cells.
“the siRNA-based depletion of XRCC4 exacerbated the formation of DSBs without blocking the 53BP1 localisation to DSB sites in senescent cells”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data53BP1 foci formation was abolished upon ARV825 treatment or BRD4 depletion, accompanied by exacerbation of DNA double-strand breaks in senescent HDFs.
“53BP1 foci formation was abolished upon ARV825 treatment or BRD4 depletion, accompanied by the exacerbation of DSBs in senescent HDFs”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataARV825 had the strongest senolytic activity among tested drugs and killed senescent HDFs at 5 to 10 nM regardless of the manner of senescence induction.
“ARV825 had the strongest senolytic activity and killed senescent HDFs at a five to ten nanomolar concentration, regardless of the manner of cellular senescence induction”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNU7026 treatment failed to induce senolysis in senescent HDFs although DNA double-strand breaks increased to the same levels as with ARV825 treatment.
“the NU7026 treatment failed to induce senolysis in senescent HDFs, although the DSBs were increased to the same levels as those seen with the ARV825 treatment”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSeparate treatment with either cationic lipids or the DNA-PK inhibitor did not provoke increases of LC3 puncta and senolysis in senescent HDFs.
“this was not the case when senescent HDFs were separately treated with either the cationic lipids or the DNA-PK inhibitor”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataBafilomycin A1 treatment attenuated ARV825-induced senolysis, accompanied by a substantial reduction of activated caspase 3 levels.
“On the other hand, although the bafilomycin A1 treatment attenuated the ARV825-induced senolysis, this was accompanied by a substantial reduction of the activated caspase 3 levels (Fig. 7a and c).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataTreatment with the caspase inhibitor Q-VD-OHT attenuated the senolysis provoked by ARV825, without reducing the number of LC3 puncta in senescent HDFs.
“and a treatment with a caspase inhibitor (Q-VD-OHT) attenuated the senolysis provoked by ARV825, without reducing the number of LC3 puncta in senescent HDFs (Fig. 7a and b).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe combination of dasatinib and quercetin exhibited remarkable cell-type specificity.
“the combination of dasatinib and quercetin (D + Q), another previously reported senolytic drug20, apparently exhibited remarkable cell-type specificity15”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [15] Childs, B. G. et al. Senescent cells: an emerging target for diseases of ageing. Nat. Rev. Drug Discov. 16, 718–735 (2017). source
Not checked in the free run.
- cites [20] Zhu, Y. et al. The Achilles’ heel of senescent cells: from transcriptome to senolytic drugs. Aging Cell 14, 644–658 (2015). source
Not checked in the free run.
May combine two claims.
Interpretationown dataARV825 has the potential to eliminate senescent hepatic stellate cells in vivo and thereby reduce HCC development, at least in the obesity mouse model.
“strongly suggest that ARV825 has the potential to eliminate senescent HSCs in vivo, thereby reducing HCC development, at least in our obesity mouse model.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe senescence-associated secretory phenotype exhibits deleterious side effects such as chronic inflammation and/or tumourigenesis depending on biological context.
“it also exhibits deleterious side effects such as chronic-inflammation and/or tumourigenesis, depending on the biological context2,3,11–13.”
Quote in the paperSubstantial claim0 of 5 sources checked- cites [2] Chan, A. S. L. & Narita, M. Short-term gain, long-term pain: the senescence life cycle and cancer. Genes Dev. 33, 127–143 (2019). source
Not checked in the free run.
- cites [3] Lee, S. & Schmitt, C. A. The dynamic nature of senescence in cancer. Nat. Cell Biol. 21, 94–101 (2019). source
Not checked in the free run.
- cites [11] Rodier, F. & Campisi, J. Four faces of cellular senescence. J. Cell Biol. 192, 547–556 (2011). source
Not checked in the free run.
- cites [12] Baker, D. J. et al. Naturally occurring p16Ink4a-positive cells shorten healthy lifespan. Nature 530, 184–189 (2016). source
Not checked in the free run.
- cites [13] Yoshimoto, S. et al. Obesity-induced gut microbial metabolite promotes liver cancer through senescence secretome. Nature 499, 97–101 (2013). source
Not checked in the free run.
May combine two claims.
Interpretationown dataARV825 has senolytic activity in vivo and could have a beneficial impact on deleterious side effects of senescent cells depending on biological context.
“Collectively, these results strongly suggest that ARV825 also has senolytic activity in vivo and could have some beneficial impact on the deleterious side effects of senescent cells, depending on the biological context.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationIn a phase II study of ABT263 for advanced and recurrent small-cell lung carcinoma, transient thrombocytopenia and neutropenia were reported as side-effects.
“in a phase II study of ABT263 (a specific inhibitor of the anti-apoptotic proteins BCL2 and BCL-xL)19 for the treatment of advanced and recurrent small-cell lung carcinoma patients, transient thrombocytopenia and neutropenia were reported as side-effects15.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [15] Childs, B. G. et al. Senescent cells: an emerging target for diseases of ageing. Nat. Rev. Drug Discov. 16, 718–735 (2017). source
Not checked in the free run.
- cites [19] Chang, J. et al. Clearance of senescent cells by ABT263 rejuvenates aged hematopoietic stem cells in mice. Nat. Med 22, 78–83 (2016). source
Not checked in the free run.
May combine two claims.
Interpretationown dataBETd provokes senolysis through two independent but integrated pathways: attenuation of non-homologous end joining and up-regulation of autophagic gene expression.
“BETd provokes senolysis through two independent but integrated pathways; the attenuation of non-homologous end joining (NHEJ), and the up-regulation of autophagic gene expression.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationElimination of therapy-induced senescent cells reduced several side-effects of chemotherapy and cancer recurrence in mice.
“the elimination of therapy-induced senescent cells reduced several side-effects of chemotherapy and even cancer recurrence in mice14.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [14] Demaria, M. et al. Cellular senescence promotes adverse effects of chemotherapy and cancer relapse. Cancer Disco. 7, 165–176 (2017). source
Not checked in the free run.
May combine two claims.
PremisecitationSenolytic drugs identified to date were not discovered by a truly unbiased high-throughput screening method and appear to have limitations in clinical applications.
“However, the senolytic drugs identified to date were not discovered by a truly unbiased high-throughput screening (HTS) method, and thus appear to have limitations in clinical applications15,17–19.”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [15] Childs, B. G. et al. Senescent cells: an emerging target for diseases of ageing. Nat. Rev. Drug Discov. 16, 718–735 (2017). source
Not checked in the free run.
- cites [17] Yosef, R. et al. Directed elimination of senescent cells by inhibition of BCL-W and BCL-XL. Nat. Commun. 7, 11190 (2016). source
Not checked in the free run.
- cites [18] Baar, M. P. et al. Targeted apoptosis of senescent cells restores tissue homeostasis in response to chemotoxicity and aging. Cell 169, 132–147.e116 (2017). source
Not checked in the free run.
- cites [19] Chang, J. et al. Clearance of senescent cells by ABT263 rejuvenates aged hematopoietic stem cells in mice. Nat. Med 22, 78–83 (2016). source
Not checked in the free run.
May combine two claims.
Interpretationown dataTreatment with cationic lipids and exacerbation of DNA double-strand breaks are both required for full activation of the autophagic machinery in senescent cells.
“indicating that the treatment with cationic lipids and the exacerbation of DSBs are both required for the full activation of the autophagic machinery in senescent cells.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductreasoningA combination of other senescence markers, including p21 induction, Lamin B1 reduction, and 53BP1 foci formation, was used throughout the study.
“we decided to use a combination of other senescence markers, such as the induction of p21Waf1/Cip1/Sdi1 expression28, the reduction of Lamin B1 expression29,30, and the increase of DNA damage response (DDR) marker, such as 53BP1 foci formation27, throughout this study.”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [28] Noda, A., Ning, Y., Venable, S. F., Pereira-Smith, O. M. & Smith, J. R. Cloning of senescent cell-derived inhibitors of DNA synthesis using an expression screen. Exp. Cell Res. 211, 90–98 (1994). source
Not checked in the free run.
- cites [29] Freund, A., Laberge, R. M., Demaria, M. & Campisi, J. Lamin B1 loss is a senescence-associated biomarker. Mol. Biol. Cell 23, 2066–2075 (2012). source
Not checked in the free run.
- cites [30] Shimi, T. et al. The role of nuclear lamin B1 in cell proliferation and senescence. Genes Dev. 25, 2579–2593 (2011). source
Not checked in the free run.
- cites [27] Imai, Y. et al. Crosstalk between the Rb pathway and AKT signaling forms a quiescence-senescence switch. Cell Rep. 7, 194–207 (2014). source
Not checked in the free run.
May combine two claims.
PremisecitationBRD4 can bind 53BP1 and recruit it to DNA double-strand break sites, thereby facilitating NHEJ in a transcriptionally independent manner.
“BRD4 has the potential to bind 53BP1, a DNA damage response protein serving as an adaptor for the assembly and activation of the DNA repair machinery, and recruit it to DSB sites, thereby facilitating NHEJ in a transcriptionally independent manner32,33.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [32] Stanlie, A., Yousif, A. S., Akiyama, H., Honjo, T. & Begum, N. A. Chromatin reader Brd4 functions in Ig class switching as a repair complex adaptor of nonhomologous end-joining. Mol. Cell 55, 97–110 (2014). source
Not checked in the free run.
- cites [33] Li, X. et al. BRD4 promotes DNA repair and mediates the formation of TMPRSS2-ERG gene rearrangements in prostate cancer. Cell Rep. 22, 796–808 (2018). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAll experiments except Fig. 1a were repeated at least twice independently with similar results.
“All experiments except Fig. 1a was repeated at least twice independently with similar results.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationSenescent cells are viable for long periods and accumulate with age in various organs and tissues.
“senescent cells are viable for long periods of time and thereby accumulate with age in various organs and tissues5–7.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [5] Krishnamurthy, J. et al. Ink4a/Arf expression is a biomarker of aging. J. Clin. Invest. 114, 1299–1307 (2004). source
Not checked in the free run.
- cites [6] Herbig, U., Ferreira, M., Condel, L., Carey, D. & Sedivy, J. M. Cellular senescence in aging primates. Science 311, 1257 (2006). source
Not checked in the free run.
- cites [7] Yamakoshi, K. et al. Real-time in vivo imaging of p16Ink4a reveals cross talk with p53. J. Cell Biol. 186, 393–407 (2009). source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationBRD4 inhibition induces autophagic gene expression.
“BRD4 inhibition has recently been reported to induce autophagic gene expression22.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [22] Sakamaki, J. I. et al. Bromodomain protein BRD4 is a transcriptional repressor of autophagy and lysosomal function. Mol. Cell 66, 517–532.e519 (2017). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe senolytic effects of BETd have not been shown to be common to all types of senescent cells in vivo.
“it remains unclear whether the senolytic effects of BETd are common to all types of senescent cells in vivo.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationCurrent knowledge of senescent cells is largely based on cell culture systems, and efforts to characterise senescent cells in vivo have been limited due to the lack of absolute markers for senescent cells.
“Since our current knowledge of senescent cells is largely based on cell culture systems, and efforts to characterise senescent cells in vivo have been limited due to the lack of absolute markers for senescent cells1”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] Gorgoulis, V. et al. Cellular senescence: defining a path forward. Cell 179, 813–827 (2019). source
Not checked in the free run.
May combine two claims.
Interpretationown dataBETd is a promising senolytic drug, identified through an unbiased high-throughput screening of around 47,000 small molecules.
“In the present study, we have identified BETd as a promising senolytic drug, through an unbiased high-throughput screening of chemical compound libraries consisting of around 47,000 small molecules.”
- Also stated in: § Discussion · hedged
“further support the idea that BETd could be a promising senolytic drug.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · hedged
May combine two claims.
PremisecitationXRCC4 forms a complex with DNA ligase IV and plays an important role in non-homologous end joining repair for DNA double-strand breaks.
“The protein encoded by the xrcc4 gene (XRCC4) forms a complex with DNA ligase IV (LIG4) and plays an important role in non-homologous end joining (NHEJ) repair for DNA double-strand breaks (DSBs)31.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [31] Polo, S. E. & Jackson, S. P. Dynamics of DNA damage response proteins at DNA breaks: a focus on protein modifications. Genes Dev. 25, 409–433 (2011). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe tissue culture cells were confirmed to be free of mycoplasma contamination.
“We have confirmed the absence of mycoplasma contamination in our tissue culture cells.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationAberrant activation of autophagy results in caspase-dependent apoptotic cell death.
“the recent observation that the aberrant activation of autophagy results in caspase-dependent apoptotic cell death38”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [38] Chung, Y. et al. Dysregulated autophagy contributes to caspase-dependent neuronal apoptosis. Cell Death Dis. 9, 1189 (2018). source
Not checked in the free run.
May combine two claims.
Interpretationown dataBETd treatment overrides the steady-state of NHEJ activation and autophagy gene repression, causing autophagy.
“BETd treatment, however, over-rides this steady-state and thereby causing autophagy (right).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningAll aspects of BRD4 inhibition-induced senolysis might not be explained by the factors described in the paper.
“It should be noted, however, that all aspects of the BRD4 inhibition-induced senolysis might not be explained by the factors described here.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
DSBs occur less frequently in quiescent cells.
“However, since DSBs occur less frequently in quiescent cells, the blockade of NHEJ is likely to have a relatively minor impact in quiescent cells”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A small molecule that degrades BRD4 has senolytic activity.
“However, a recent chemical screen identified a small molecule that degrades BRD4 and has senolytic activity104.”
From Cellular senescence in ageing: from mechanisms to therapeutic opportunities (2021) · cites this paper as [104]
The Results section reports that ARV825 degrades BRD4 and has strong senolytic activity. However, the high-throughput screen identified BET inhibitors; ARV825 was tested afterward to confirm and extend the screening results, not identified as a screen hit. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn mice with doxorubicin-induced senescence, the BET family protein degrader ARV-825 had effective senolytic activity against senescent hepatic stellate cells and delayed liver cancer development.
“In mice with doxorubicin- induced senescence, the BET family protein degrader ARV-825 had effective senolytic activity against senescent hepatic stellate cells and delayed liver cancer development 206 .”
From Senescence and cancer — role and therapeutic opportunities (2022) · cites this paper as [206]
The Results (‘ARV825 provokes senolysis in vivo,’ Fig. 2) report fewer senescent hepatic stellate cells and reduced liver cancer development after ARV825 treatment, but in an obesity-induced HCC mouse model, not a doxorubicin-induced one. The doxorubicin experiments in the same section (Fig. 3) instead concern HCT116 colon-cancer cells and xenograft tumours. The claim combines findings from two different models. (LLM, conf=0.90)
Experimental — accuracy not yet measuredBETd reactivates autophagy in senescent cells to execute autophagic cell death.
“autophagy is suppressed in senescent cells and reactivated by BETd to execute autophagic cell death”
From The role of cellular senescence and SASP in tumour microenvironment (2023) · cites this paper as [114]
BETd effectively suppressed liver cancer development in mice.
“this study showed that BETd effectively suppressed liver cancer development in mice [114]”
From The role of cellular senescence and SASP in tumour microenvironment (2023) · cites this paper as [114]
Neutralizing antibodies against key SASP components or their receptors, including IL-6, IL-1α, IL-1β, and TNF, have demonstrated senomorphic effects.
“A number of neutralizing antibodies directed against key components of the SASP or their receptors, including IL-6, IL-1α, IL-1β and TNF, also have shown senomorphic properties104,240–248 (TABLE 1).”
From Cellular senescence in ageing: from mechanisms to therapeutic opportunities (2021) · cites this paper as [104]
The Discussion (page unavailable) mentions that BET inhibition may downregulate SASP factors, but does not report senomorphic effects of neutralizing antibodies. The Methods (page unavailable) list an IL-6 antibody for staining, not for neutralization; searches for neutralizing antibodies against IL-6, IL-1α, IL-1β, and TNF found no supporting passage. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Autophagy is suppressed in senescent cells.
“autophagy is suppressed in senescent cells”
From The role of cellular senescence and SASP in tumour microenvironment (2023) · cites this paper as [114]
The Results section, “Autophagy is required for ARV825-induced senolysis” (page unavailable), reports that treatment increased autophagy markers in senescent cells. It does not say that autophagy is generally suppressed in senescent cells. Searches for suppression and reduced basal autophagy found no passage establishing that claim. (LLM, conf=0.77)
Experimental — accuracy not yet measuredHigh throughput screening of commercial chemical compound libraries has led to the discovery of new families of senolytics: HSP90 inhibitors, the BET family protein degraders, and cardiac glycosides.
“To date, high throughput screening of commercial chemical compound libraries has led to the discovery of new families of senolytics: HSP90 inhibitors, 107 the BET family protein degraders, 108 and cardiac glycosides.37”
From The costs and benefits of senotherapeutics for human health (2022) · cites this paper as [108]
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Cardiac glycosides are broad-spectrum senolytics
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Self-citationBET inhibitors in the treatment of hematologic malignancies: current insights and future prospects
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- Authors
- Wakita, M., Takahashi, A., Sano, O., Loo, T. M., Imai, Y., Narukawa, M., Iwata, H., Matsudaira, T., Kawamoto, S., Ohtani, N., Yoshimori, T., & Hara, E.
- Affiliations
- Research Institute for Microbial Diseases, The University of Osaka (JP)
- Japanese Foundation For Cancer Research (JP)
- Takeda (Japan) (JP)
- Immunology Frontier Research Center, The University of Osaka (JP)
- Osaka City University (JP)
- The University of Osaka (JP)
- Corresponding author
- Hara, Eiji
- ORCID
- Venue
- Nature Communications
- Published
- 2020-04-22
- Volume
- 11
- Issue
- 1
- Pages
- 1935-1935
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC7176673
- OpenAlex
- W3018442280
- Semantic Scholar
- 8d288c9c73c0318686a20d8a31079c416b93b2c8
- Cited by
- 206
- References
- 54
- Citations by year
- 2026: 16 · 2025: 36 · 2024: 35 · 2023: 30 · 2022: 42 · 2021: 34 · 2020: 12 · 2019: 1
- FWCI
- 17.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Japan Agency for Medical Research and Development (19gm501000h0003, 19cm0106401h0004)
- Topics
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Keywords
- senolysis, cellular senescence, non-homologous end joining, autophagy, senolytics, hepatic stellate cells, obesity, liver cancer, chemotherapy-induced senescence, tumor xenografts
- MeSH terms
- Bromodomain Containing Proteins, Animals, Antineoplastic Agents, Autophagy, Humans, Mice, Inbred C57BL, Mice, Nude, Neoplasms, Transcription Factors, Cellular Senescence, Cell Cycle Proteins, Cell Line, Tumor, Mice, DNA End-Joining Repair
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
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