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Control of the Reversibility of Cellular Quiescence by the Transcriptional Repressor HES1
Open accessAbstract
The mechanisms by which quiescent cells, including adult stem cells, preserve their ability to resume proliferation after weeks or even years of cell cycle arrest are not known. We report that reversibility is not a passive property of nondividing cells, because enforced cell cycle arrest for a period as brief as 4 days initiates spontaneous, premature, and irreversible senescence. Increased expression of the gene encoding the basic helix-loop-helix protein HES1 was required for quiescence to be reversible, because HES1 prevented both premature senescence and inappropriate differentiation in quiescent fibroblasts. In some human tumors, the HES1 pathway was activated, which allowed these cells to evade differentiation and irreversible cell cycle arrest. We conclude that HES1 safeguards against irreversible cell cycle exit both during normal cellular quiescence and pathologically in the setting of tumorigenesis.
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“However, interruption of this pathway is no longer sufficient to rescue growth once the cells have progressed towards an established senescent phenotype (d'Adda di Fagagna et al, 2003; Sang et al, 2008).”
From Feedback between p21 and reactive oxygen production is necessary for cell senescence (2010) · cites this paper as Sang et al, 2008
Experimental — accuracy not yet measuredIn the citing paper
“The apparent discrepancy in our results may relate to cell type or species differences or the status of the helix-loop-helix protein HES1, which may play a crucial role in determining the reversibility of the quiescent state (Sang et al., 2008).”
From Dissecting the Unique Role of the Retinoblastoma Tumor Suppressor during Cellular Senescence (2010) · cites this paper as Sang et al., 2008
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Laurent, M., Cordeddu, L., Zahedi, Y., & Ekwall, K. (2023) · Biomolecules · doi:10.3390/biom13111662 · Cited by 9
“Regarding transcription factors the basic helix-loop-helix HES1 (Hairy and Enhancer of Split-1) has been shown to be a key factor for exit from quiescence [7].”
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“It also plays a role in the development of certain human cancers (where it can become deregulated [31]) and in the differentiation of embryonic stem cells [17, 18, 19].”
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Transcriptional profiling of β-2M−SPα-6+THY1+ spermatogonial stem cells in human spermatogenesis
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“Ectopic constitutive expression of human HES1 has a protective effect in murine SSCs and progenitors when they are exposed to medium starvation conditions and poised for quiescence, as seen in other cell types (Sang et al., 2008).”
BackgroundInfluentialQuiescence does not affect p53 and stress response by irradiation in human lung fibroblasts
Dai, J., Itahana, K., & Baskar, R. (2015) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2015.01.076 · Cited by 8
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Cancer Immunoediting: Elimination, Equilibrium, and Immune Escape in Solid Tumors
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“Hes1 was shown to prevent irreversible cell cycle arrest and inappropriate differentiation.(43) Debranching enzyme homolog 1 (Dbr1), another gene of the top 10 genes upregulated in our study by Cd, functions in the quality control pathway of pre-mRNA processing during or after transcription.”
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Morizet, D., Foucher, I., Alunni, A., & Bally‐Cuif, L. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.02.27.530203 · Cited by 7
“Some of these are likely part of a core quiescent stem cell gene set such as HES1 which has been proposed to be a general marker of stemness(47), or those encoding the exosomal proteins CD9 and CD81 which are enriched in several types of quiescent cells(48).”
BackgroundEscape from Cellular Quiescence
Sotillo, E., & Graña, X. (2010) · Springer eBooks · doi:10.1007/978-1-4419-1770-6_1 · Cited by 6
“Because the transcriptional repressor Hairy and Enhancer of Split1 (HES1) is induced by signals that force fibroblasts into quiescence but is not regulated when cell cycle exit is induced by overexpression of CKIs (Coller et al., 2006), Sang et al. tested whether HES1 modulates the reversibility of cellular quiescence…”
BackgroundDynamical principles of cell-cycle arrest: Reversible, irreversible, and mixed strategies
Pfeuty, B. (2012) · Physical Review E · doi:10.1103/physreve.86.021917 · Cited by 6
Extracellular Fluid Flow Induces Shallow Quiescence Through Physical and Biochemical Cues
Liu, B., Wang, X., Jiang, L., Xu, J., Zohar, Y., & Yao, G. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.792719 · Cited by 7
“Recent studies, however, have revealed that quiescence is rather actively maintained and highly heterogeneous (Cheung and Rando, 2013; Coller et al., 2006; Sang et al., 2008; Spencer et al., 2013; Wang et al., 2017).”
BackgroundBukhari, S. I. A., Truesdell, S. S., & Vasudevan, S. (2017) · Methods in molecular biology · doi:10.1007/978-1-4939-7371-2_18 · Cited by 7
“Cells when subjected to specific stress conditions such as growth factor deprivation enter G0 transiently [3, 9].”
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HES1 in cancer: a key player in tumorigenesis and its prognostic significance
Magesh, V., Sekar, R., Alzahrani, A. M., Balasubramanian, R., Abdelsalam, S. A., & Rajendran, P. (2025) · Molecular Genetics and Genomics · doi:10.1007/s00438-025-02259-1 · Cited by 5
“HES1 is associated with the downregulation of p21 expression, highlighting its function in regulating the dynamics of the cell cycle and regulating the reversibility of cellular quiescence(Sang et al. 2008) .”
Sánchez‐Domínguez, R., Pereira-Mendez, S., Gómez, A., Torrabadella, M., Azqueta, C., Querol, S., Barquinero, J., & Gimeno, R. (2012) · Experimental Hematology · doi:10.1016/j.exphem.2012.08.009 · Cited by 5
“A role of Notch in the regulation of cell proliferation has been suggested previously by studies showing up-regulation of Hes1 in nonproliferating cells, such as quiescent fibroblasts or neural and hematopoietic stem cells [27–29].”
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Dynamics of Neurogenic Signals as Biological Switchers of Brain Plasticity
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“In addition to PTEN, MCFD2 also inhibits Akt after induction of quiescence, indicating that Hes1 is key to maintaining the reversibility of NSC quiescence [ 80].”
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Zhang, L., Zhang, Q., Guo, C., Ru, Z., Yang, Z., Geng, Y., Yang, J., Zhang, D.-G., Yang, Z., & Huang, S. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1585624 · Cited by 6
“In human rhabdomyosarcoma, sustained high levels of Hes1 prevent p21-mediated quiescent fi broblasts from entering prolonged cell cycle arrest-associated senescence, and its inactivation leads to spontaneous tumor cell differentiation (66).”
Stem Cell Senescence as the Memory of Past Injuries
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“, mitochondrial dysfunction and ROS [45], senescence associated secretory phenotype (SASP, see below) [46••], HES1 [43], retrotransposition [31•, 32•], and nuclear integrity [47]) have been considered to be crucial to sustain and deepen the senescent phenotype.”
BackgroundInfluentialHairy gene homolog increases nasopharyngeal carcinoma cell stemness by upregulating Bmi-1
Ye, L., Shen, H.-F., Li, Q., Yang, S., Xie, H.-T., Li, X., Chen, M., Xia, J., Wang, S., Dai, G., et al. (2023) · Aging · doi:10.18632/aging.204742 · Cited by 4
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Laporte, D., & Sagot, I. (2025) · Biomolecules · doi:10.3390/biom15070960 · Cited by 4
“It is now widely acknowledged that quiescence is not simply a passive resting condition but rather an actively initiated and maintained cellular state [5–7].”
Tomasin, R., Rodrigues, A. M., Manucci, A. C., & Bruni‐Cardoso, A. (2023) · Journal of Cell Science · doi:10.1242/jcs.261178 · Cited by 4
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“Previous study indicated that transcriptional repressor of Hes family BHLH transcription factor 1 (HES-1) protects cells from differentiation, and some tumor cells even relay on HES-1 to protect against differentiation, and down-regulation of HES-1 leads to the reduction of cellular proliferation in ovarian cancer cel…”
BackgroundA novel spliceosomopathy caused by de novo SF3B3 variants
Musante, L., Janoš, P., Pianigiani, G., Cappelli, S., Longo, A., Alves, C., Schwaibold, E. M. C., Wagner, M., Costain, G., Friðriksdóttir, R., et al. (2026) · Genome Medicine · doi:10.1186/s13073-026-01610-4 · Cited by 3
“These factors interact with Notch signaling, with ID4 modulating HES1 activity to control neural stem/ progenitor cell proliferation and differentiation [109– 117].”
Leukemic stem cells as drivers of therapeutic resistance in acute myeloid leukemia
Silva, S. L. R., Barbosa, G. A. D. C., Rios, J. V. B., & Bezerra, D. P. (2026) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2026.119295 · Cited by 6
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“This exemplifies how tumor cells may adopt pathways normally used by quiescent cells, to suppress entry into irreversibly arrested states.(29) Furthermore, in an in vitro study investigating the role of Notch-Hey1 pathway inhibition in ERMS cell lines, it was found that reduction of Notch target gene Hey1 resulted in…”
BackgroundGarcía-Chávez, J. N., Vásquez-Garzón, V. R., López, M. G., Villa‐Treviño, S., & Montiel, R. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256016 · Cited by 3
“However, as previously shown [35], HES1 allows cancer cells to evade differentiation and irreversible cell cycle arrest, indicating an active role of HES1 in the carcinogenic process.”
BackgroundRadiation-induced chromosomal instability under constrained growth of irradiated cells
Pyatenko, V. S., Eidelman, Y. A., Ik, K., & Andreev, S. G. (2013) · Doklady Biochemistry and Biophysics · doi:10.1134/s1607672913040066 · Cited by 3
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“The products of gas genes contribute directly to growth arrest (2, 3), enhance survival under conditions of oxidative stress (4), are components of the extracellular matrix (5–7), are involved in lipid metabolism (8–11), and prepare the cell to reenter the cell cycle (12, 13).”
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UNIVERSITA' POLITECNICA DELLE MARCHE AND MARCHE REGION, ITALY: MEDICAL PHARMACOTOXICOLOGY TODAY
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“…patient tissues and preclinical models, overexpression of NOTCH1 −3, compared to normal muscle, is accompanied by increased expression of the transcriptional targets HES1 and HEY1 and is associated with increases in proliferation, migration, invasion and prevention of differentiation [112, 113].”
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“It has been found to be deregulated in some forms of cancer [42] and is known to play a role in somitogenesis, the developmental process responsible for segmentation of the vertebrate embryo.”
BackgroundHooked on Hes: A T-ALL of Addiction
Pear, W. S. (2010) · Immunity · doi:10.1016/j.immuni.2010.11.018 · Cited by 2
Keith's MAGIC: Cloning and the Cell Cycle
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“…2013); stable E2F–p130 complex (Smith et al., 1996); and the upregulation of statin, growth-arrest-specific genes (Pellicciari et al., 1995), as well as the transcriptional repressor HES1, allowing quiescence to be reversible by preventing premature cell death or differentiation (Sang et al., 2008).”
Heinrichs, A. A. J. (2008) · Nature reviews. Cancer · doi:10.1038/nrc2514 · Cited by 2
Hughes, C., Corona, M. M., Kültz, D., & Podrabsky, J. E. (2026) · BMC Biology · doi:10.1186/s12915-026-02674-9
What Is the Meaning of Notch Pathway and How Can We Selectively Do the Targeting?
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“However, recent reports evidenced differences between “arrested” cells in various conditions (Coller et al., 2006; Sang et al., 2008).”
Slow-Cycling Cancer Cells: A Dissertation
Moore, N. F. (2012) · The Journal of the American Medical Association (JAMA) Network (American Medical Association) · doi:10.13028/0rvq-7r49 · Cited by 1
“Increased expression of Hes1 has been observed in ovarian, breast, and non-small cell lung carcinomas, suggesting active regulation of Notch signaling (31).”
Maintenance of Neural Stem Cells in the Brain: Role of Notch Signaling
Kageyama, R., Shimojo, H., Ohtsuka, T., & Imayoshi, I. (2011) · Springer eBooks · doi:10.1007/978-94-007-2828-8_3 · Cited by 1
Notch Signaling in Pediatric Soft Tissue Sarcoma
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“which was shown to be necessary for maintenance of the quiescent status (Sang et al., 2008).”
BackgroundInfluentialOxidative Mechanisms in Liver Senescence and Regeneration
Marongiu, F., Serra, M. P., & Laconi, E. (2015) · Oxidative stress in applied basic research and clinical practice · doi:10.1007/978-3-319-15539-5_3
Signaling Networks Controlling Cellular Senescence
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Immunotherapies Towards Tumor Initiating Cells and Cancer Stem Cells
Rajan, P., & Srinivasan, R. (2008) · The Open Cancer Immunology Journal · doi:10.2174/1876401000801010001
“A recent report indicates that HES1 causes cells to remain in quiescent state without inducing senescence [52].”
Molecular Pathways of Glioblastoma and Glioblastoma Stem Cells
Tso, C.-L. (2011) · InTech eBooks · doi:10.5772/20027
“Several Notch effector genes, including inhibitor of differentiation 4 (ID4) (65), hairy and enhancer of split 1 (HES1) (66), hairy/enhancer-of-split related with YRPW motif 1 (HEY1) (67) and fatty acid binding protein 7 (FABP7) (68), have been detected in GSC by expression microarray analysis, thereby reflecting the…”
BackgroundRoy, H. L., & POLAKOWSKA, R. (2009) · OpenGrey (Institut de l'Information Scientifique et Technique)
Translational Control of Cell Proliferation and Viability in Normal and Neoplastic Cells
Avdulov, S. V., Gómez-García, J. R., Bitterman, P. B., & Polunovsky, V. A. (2014) · Springer eBooks · doi:10.1007/978-94-017-9078-9_18
Heinrichs, A. A. J. (2008) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm2506
Thrombospondin Inhibits VEGF-Induced Endothelial Survival and Cell Cycle Progression
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Ion homeostasis in control of stem cell proliferation
Abdelhady, S. (2015) · Figshare
Ling, E. K. M. (2012) · TSpace (University of Toronto)
Investigating the Failure of Myogenesis in the Pediatric Tumor Rhabdomyosarcoma
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The role of MITF in the regulation of CDKN2A in melanoma
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Stochastic model analysis for Hes1/MiR-9 brain cell division system
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“As a member of the bHLH family, Hes1 is involved in brain development, cell lineage decision, cell differentiation [3], and cellular senescence [4].”
BackgroundWaters, A. M. (2009) · TSpace (University of Toronto)
An Introduction to Proliferation and Migration of Stem and Cancer Cells
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Dissecting the molecular mechanism and spatiotemporal dynamics controlling senescence entry
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HES1 expression associates with survival in triple negative breast cancer.Preprint
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Kaldis, P. (2010) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.3090956.2774054
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Proteome profiling reveals HES1-driven mitotic catastrophe in ovarian serous carcinomaPreprint
Bao, J., Pikkusaari, S., Dai, J., Leppiniemi, S., Huang, W., Yang, W., Anil, A., Pääkkönen, M., Lei, C., Ortiz, E. D. M., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.08.20.671256
“This HES1-induced cell cycle arrest has been considered as irreversible senescence [64], reinforcing HES1 as a promising anti-cancer target.”
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Metadata
- Authors
- Sang, L., Coller, H. A., & Roberts, J. M.
- Affiliations
- Princeton University (US)
- Corresponding author
- Roberts, James M.
- Venue
- Science
- Published
- 2008-08-22
- Volume
- 321
- Issue
- 5892
- Pages
- 1095-1100
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC2721335
- OpenAlex
- W2018341322
- Cited by
- 313
- References
- 29
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 12 · 2023: 10 · 2022: 7 · 2021: 10 · 2020: 12 · 2019: 16 · 2018: 14 · 2017: 16 · 2016: 13 · 2015: 17 · 2014: 25 · 2013: 23 · 2012: 33
- FWCI
- 18.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Howard Hughes Medical Institute
- National Cancer Institute (R01CA118043)
- National Institute of General Medical Sciences (P50GM071508)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Developmental Biology and Gene Regulation
- Keywords
- quiescent cells, Hes1, bHLH transcription factors, cell cycle arrest, premature senescence, fibroblasts, adult stem cells, carcinogenesis, cell cycle exit
- MeSH terms
- Transcription Factor HES-1, Cell Cycle, Cell Differentiation, Cell Line, Fibroblasts, Humans, Recombinant Fusion Proteins, Repressor Proteins, Rhabdomyosarcoma, Transduction, Genetic, Signal Transduction, Cellular Senescence, MyoD Protein, Homeodomain Proteins, Muscle Development, Cell Line, Tumor, Cell Proliferation, Cyclin-Dependent Kinase Inhibitor p21, Basic Helix-Loop-Helix Proteins, Receptors, Notch, Co-Repressor Proteins
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