The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Senolytic Targeting of Bcl-2 Anti-Apoptotic Family Increases Cell Death in Irradiated Sarcoma Cells
Abstract
Radiotherapy (RT) is a key component of cancer treatment. Most of the time, radiation is given after surgery but for soft-tissue sarcomas (STS), pre-surgical radiation is commonly utilized. However, despite improvements in RT accuracy, the rate of local recurrence remains high and is the major cause of death for patients with STS. A better understanding of cell fates in response to RT could provide new therapeutic options to enhance tumour cell killing by RT and facilitate surgical resection. Here, we showed that irradiated STS cell cultures do not die but instead undergo therapy-induced senescence (TIS), which is characterized by proliferation arrest, senescence-associated β-galactosidase activity, secretion of inflammatory cytokines and persistent DNA damage. STS-TIS was also associated with increased levels of the anti-apoptotic Bcl-2 family of proteins which rendered cells targetable using senolytic Bcl-2 inhibitors. As oppose to radiation alone, the addition of senolytic agents Venetoclax (ABT-199) or Navitoclax (ABT-263) after irradiation induced a rapid apoptotic cell death in STS monolayer cultures and in a more complex three-dimensional culture model. Together, these data suggest a new promising therapeutic approach for sarcoma patients who receive neoadjuvant RT. The addition of senolytic agents to radiation treatments may significantly reduce tumour volume prior to surgery and thereby improve the clinical outcome of patients.
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“Despite encouraging results, to date there are few known compounds with proven senolytic action11–19,23–28”
From Discovery of senolytics using machine learning (2023) · cites this paper as [23]
In the citing paper
“We assembled a list of 58 previously identified senolytics mined from 15 sources11–19,23–28 (Fig. 1b).”
From Discovery of senolytics using machine learning (2023) · cites this paper as [23]
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Cites
A DNA damage checkpoint response in telomere-initiated senescence
Fagagna, F. D. D., Reaper, P. M., Clay-Farrace, L., Fiegler, H., Carr, P., von Zglinicki, T., Saretzki, G., Carter, N. P., & Jackson, S. P. (2003) · Nature · doi:10.1038/nature02118 · Cited by 2,917 · cited 1×
“Senescent cells are characterized by several hallmarks associated with their biological function such as proliferation arrest [20,21], senescence associated beta-galactosidase (SA-β-gal) activity [22,23], persistent DNA damage [24,25] and active senescence associated secretory phenotype (SASP) [26–28].”
BackgroundThe Achilles' heel of senescent cells: from transcriptome to senolytic drugs
Zhu, Y., Tchkonia, T., Pirtskhalava, T., Gower, A. C., Ding, H., Giorgadze, N., Palmer, A. K., Ikeno, Y., Hubbard, G. B., Lenburg, M., et al. (2015) · Aging Cell · doi:10.1111/acel.12344 · Cited by 2,584 · cited 1×
“Thus, the administration of senolytics such as ABT-199 and ABT-263 may also reduce RT-induced fibrosis and organ dysfunctions, which is consistent with preclinical lung, liver, muscular and hematopoietic tissues models [36,37,40,41].”
Persistent DNA damage signalling triggers senescence-associated inflammatory cytokine secretion
Rodier, F., Coppé, J.-P., Patil, C. K., Hoeijmakers, W. A. M., Muñoz, D. P., Raza, S. R., Freund, A., Campeau, E., Davalos, A. R., & Campisi, J. (2009) · Nature Cell Biology · doi:10.1038/ncb1909 · Cited by 2,232
Self-citationOncogene-Induced Senescence Relayed by an Interleukin-Dependent Inflammatory Network
Kuilman, T., Michaloglou, C., Vredeveld, L. C. W., Douma, S., van Doorn, R., Desmet, C. J., Aarden, L. A., Mooi, W. J., & Peeper, D. S. (2008) · Cell · doi:10.1016/j.cell.2008.03.039 · Cited by 2,086 · cited 1×
“If so, those cells should also present a senescence-associated secretory phenotype (SASP) that is at least in part activated by DNA damage response signaling [24,25,27,28].”
BackgroundChemokine signaling via the CXCR2 receptor reinforces senescence
Acosta, J. C., O'Loghlen, A., Banito, A., Guijarro, M. V., Augert, A., Raguz, S., Fumagalli, M., Da Costa, M., Brown, C., Popov, N., et al. (2008) · Cell · doi:10.1016/j.cell.2008.03.038 · Cited by 1,801
Cellular senescence mediates fibrotic pulmonary disease
Schafer, M. J., White, T. A., Iijima, K., Haak, A. J., Ligresti, G., Atkinson, E. J., Oberg, A. L., Birch, J., Salmonowicz, H., Zhu, Y., et al. (2017) · Nature Communications · doi:10.1038/ncomms14532 · Cited by 1,613 · cited 1×
“Nevertheless, chronic RT side effects, such a fibrosis occur in up to 28% of long-term cancer survivors [85,86].”
BackgroundReversal of human cellular senescence: roles of the p53 and p16 pathways
Beauséjour, C. M., Krtolica, A., Galimi, F., Narita, M., Lowe, S. W., Yaswen, P., & Campisi, J. (2003) · The EMBO Journal · doi:10.1093/emboj/cdg417 · Cited by 1,457
The MCL1 inhibitor S63845 is tolerable and effective in diverse cancer models
Kotschy, A., Szlavik, Z., Murray, J., Davidson, J., Maragno, A. L., Le Toumelin-Braizat, G., Chanrion, M., Kelly, G. L., Gong, J.-N., Moujalled, D. M., et al. (2016) · Nature · doi:10.1038/nature19830 · Cited by 1,047
Directed elimination of senescent cells by inhibition of BCL-W and BCL-XL
Yosef, R., Pilpel, N., Tokarsky-Amiel, R., Biran, A., Ovadya, Y., Cohen, S., Vadai, E., Dassa, L., Shahar, E., Condiotti, R., et al. (2016) · Nature Communications · doi:10.1038/ncomms11190 · Cited by 1,032
From basic apoptosis discoveries to advanced selective BCL-2 family inhibitors
Ashkenazi, A., Fairbrother, W. J., Leverson, J. D., & Souers, A. J. (2017) · Nature Reviews Drug Discovery · doi:10.1038/nrd.2016.253 · Cited by 903
Flagged first, then by citations
Research works printed but not linked: 66
- Beane, 2014, Efficacy of Adjuvant Radiation Therapy in the Treatment of Soft Tissue Sarcoma of the Extremity: 20-year Follow-Up of a Randomized Prospective Trial, Ann. Surg. Oncol., 21, 2484, 10.1245/s10434-014-3732-4 · DOI
- Davis, 2002, Preoperative versus postoperative radiotherapy in soft-tissue sarcoma of the limbs: A randomised trial, Lancet, 359, 2235, 10.1016/S0140-6736(02)09292-9 · DOI
- Rosenberg, 1982, The treatment of soft-tissue sarcomas of the extremities: Prospective randomized evaluations of (1) limb-sparing surgery plus radiation therapy compared with amputation and (2) the role of adjuvant chemotherapy, Ann. Surg., 196, 305, 10.1097/00000658-198209000-00009 · DOI
- Davis, 2005, Late radiation morbidity following randomization to preoperative versus postoperative radiotherapy in extremity soft tissue sarcoma, Radiother. Oncol., 75, 48, 10.1016/j.radonc.2004.12.020 · DOI
- Diamantis, 2020, Perioperative radiotherapy versus surgery alone for retroperitoneal sarcomas: A systematic review and meta-analysis, Radiol. Oncol., 54, 14, 10.2478/raon-2020-0012 · DOI
- Greto, 2013, Neoadjuvant treatment of soft tissue sarcoma, Radiol. Med., 119, 195, 10.1007/s11547-013-0331-6 · DOI
- Wong, 2014, Spatial and volumetric changes of retroperitoneal sarcomas during pre-operative radiotherapy, Radiother. Oncol., 112, 308, 10.1016/j.radonc.2014.08.004 · DOI
- Canter, 2010, Radiographic and histologic response to neoadjuvant radiotherapy in patients with soft tissue sarcoma, Ann. Surg. Oncol., 17, 2578, 10.1245/s10434-010-1156-3 · DOI
- Gui, 2019, Characterization and predictive value of volume changes of extremity and pelvis soft tissue sarcomas during radiation therapy prior to definitive wide excision, Radiat. Oncol. J., 37, 117, 10.3857/roj.2018.00549 · DOI
- Roberge, 2010, Radiological and pathological response following pre-operative radiotherapy for soft-tissue sarcoma, Radiother. Oncol., 97, 404, 10.1016/j.radonc.2010.10.007 · DOI
- Lauber, 2012, Dying cell clearance and its impact on the outcome of tumor radiotherapy, Front. Oncol., 2, 116, 10.3389/fonc.2012.00116 · DOI
- Wong, 2014, Combining Targeted Agents With Modern Radiotherapy in Soft Tissue Sarcomas, J. Natl. Cancer Inst., 106, dju329, 10.1093/jnci/dju329 · DOI
- Rebbaa, 2003, Caspase inhibition switches doxorubicin-induced apoptosis to senescence, Oncogene, 22, 2805, 10.1038/sj.onc.1206366 · DOI
- Chang, 1999, A senescence-like phenotype distinguishes tumor cells that undergo terminal proliferation arrest after exposure to anticancer agents, Cancer Res., 59, 3761
- Eriksson, 2010, Radiation-induced cell death mechanisms, Tumor Biol., 31, 363, 10.1007/s13277-010-0042-8 · DOI
- Okorokov, 2002, DNA damage is able to induce senescence in tumor cells in vitro and in vivo, Cancer Res., 62, 1876
- Gewirtz, 2008, Accelerated senescence: An emerging role in tumor cell response to chemotherapy and radiation, Biochem. Pharmacol., 76, 947, 10.1016/j.bcp.2008.06.024 · DOI
- Patel, 2020, The Roles of Autophagy and Senescence in the Tumor Cell Response to Radiation, Radiat. Res., 194, 103, 10.1667/RADE-20-00009 · DOI
- Dimri, 1995, A biomarker that identifies senescent human cells in culture and in aging skin in vivo, Proc. Natl. Acad. Sci. USA, 92, 9363, 10.1073/pnas.92.20.9363 · DOI · Paper page
- Itahana, 2007, Methods to detect biomarkers of cellular senescence: The senescence-associated beta-galactosidase assay, Methods Mol. Biol., 371, 21, 10.1007/978-1-59745-361-5_3 · DOI
- Rodier, 2010, DNA-SCARS: Distinct nuclear structures that sustain damage-induced senescence growth arrest and inflammatory cytokine secretion, J. Cell Sci., 124, 68, 10.1242/jcs.071340 · DOI · Paper page
- Nehme, 2018, Hallmarks of Cellular Senescence, Trends Cell Biol., 28, 436, 10.1016/j.tcb.2018.02.001 · DOI · Paper page
- Wang, 1995, Senescent human fibroblasts resist programmed cell death, and failure to suppress bcl2 is involved, Cancer Res., 55, 2284
- Quax, 2019, Regulation of Survival Networks in Senescent Cells: From Mechanisms to Interventions, J. Mol. Biol., 431, 2629, 10.1016/j.jmb.2019.05.036 · DOI · Paper page
- Rea, 2018, Age and Age-Related Diseases: Role of Inflammation Triggers and Cytokines, Front. Immunol., 9, 586, 10.3389/fimmu.2018.00586 · DOI · Paper page
- Milanovic, 2018, Senescence-associated reprogramming promotes cancer stemness, Nat. Cell Biol., 553, 96
- Lee, 2019, The dynamic nature of senescence in cancer, Nat. Cell Biol., 21, 94, 10.1038/s41556-018-0249-2 · DOI · Paper page
- Ruhland, 2016, Stromal senescence establishes an immunosuppressive microenvironment that drives tumorigenesis, Nat. Commun., 7, 11762, 10.1038/ncomms11762 · DOI · Paper page
- Chang, 2016, Clearance of senescent cells by ABT263 rejuvenates aged hematopoietic stem cells in mice, Nat. Med., 22, 78, 10.1038/nm.4010 · DOI · Paper page
- Pan, 2017, Inhibition of Bcl-2/xl With ABT-263 Selectively Kills Senescent Type II Pneumocytes and Reverses Persistent Pulmonary Fibrosis Induced by Ionizing Radiation in Mice, Int. J. Radiat. Oncol., 99, 353, 10.1016/j.ijrobp.2017.02.216 · DOI
- Fleury, 2019, Exploiting interconnected synthetic lethal interactions between PARP inhibition and cancer cell reversible senescence, Nat. Commun., 10, 1, 10.1038/s41467-019-10460-1 · DOI · Paper page
- Wong, 2015, Prognostic microRNAs modulate the RHO adhesion pathway: A potential therapeutic target in undifferentiated pleomorphic sarcomas, Oncotarget, 6, 39127, 10.18632/oncotarget.3926 · DOI
- Patra, 2019, On-chip combined radiotherapy and chemotherapy testing on soft-tissue sarcoma spheroids to study cell death using flow cytometry and clonogenic assay, Sci. Rep., 9, 2214, 10.1038/s41598-019-38666-9 · DOI
- Bavous, M., Kamio, Y., Vigneux-Foley, E., Lafontaine, J., Najyb, O., Refet, E., Carrier, J.-F., Gervais, T., and Wong, P. (2021). X-Ray on chip: Quantifying therapeutic synergies between radiotherapy and anticancer drugs using soft tissue sarcoma tumor spheroids. Radiother. Oncol., Accepted. · DOI
- Xu, B., Sun, Z., Liu, Z., Guo, H., Liu, Q., Jiang, H., Zou, Y., Gong, Y., Tischfield, J.A., and Shao, C. (2011). Replication Stress Induces Micronuclei Comprising of Aggregated DNA Double-Strand Breaks. PLoS ONE, 6. · DOI
- Zhu, 2016, Identification of a novel senolytic agent, navitoclax, targeting the Bcl-2 family of anti-apoptotic factors, Aging Cell, 15, 428, 10.1111/acel.12445 · DOI · Paper page
- Tse, 2008, ABT-263: A Potent and Orally Bioavailable Bcl-2 Family Inhibitor, Cancer Res., 68, 3421, 10.1158/0008-5472.CAN-07-5836 · DOI · Paper page
- Souers, 2013, ABT-199, a potent and selective BCL-2 inhibitor, achieves antitumor activity while sparing platelets, Nat. Med., 19, 202, 10.1038/nm.3048 · DOI · Paper page
- Teicher, 2015, Sarcoma Cell Line Screen of Oncology Drugs and Investigational Agents Identifies Patterns Associated with Gene and microRNA Expression, Mol. Cancer Ther., 14, 2452, 10.1158/1535-7163.MCT-15-0074 · DOI
- Virgone-Carlotta, A., Lemasson, M., Mertani, H.C., Diaz, J.-J., Monnier, S., Dehoux, T., Delanoë-Ayari, H., Rivière, C., and Rieu, J.-P. (2017). In-depth phenotypic characterization of multicellular tumor spheroids: Effects of 5-Fluorouracil. PLoS ONE, 12. · DOI
- Blay, 2019, Surgery in reference centers improves survival of sarcoma patients: A nationwide study, Ann. Oncol., 30, 1143, 10.1093/annonc/mdz124 · DOI
- Feeney, 2019, Neoadjuvant radiotherapy for rectal cancer management, World J. Gastroenterol., 25, 4850, 10.3748/wjg.v25.i33.4850 · DOI
- Wang, 2018, Long-term effects of neoadjuvant radiotherapy, adjuvant radiotherapy, and chemotherapy-only on survival of locally advanced non-small cell lung Cancer undergoing surgery: A propensity-matched analysis, BMC Cancer, 18, 1, 10.1186/s12885-018-4900-x · DOI
- Singh, 2019, Neoadjuvant Radiotherapy to Facilitate Immediate Breast Reconstruction: A Systematic Review and Current Clinical Trials, Ann. Surg. Oncol., 26, 3312, 10.1245/s10434-019-07538-x · DOI
- Oltersdorf, 2005, An inhibitor of Bcl-2 family proteins induces regression of solid tumours, Nat. Cell Biol., 435, 677
- Zhang, 2007, Bcl-2 family proteins are essential for platelet survival, Cell Death Differ., 14, 943, 10.1038/sj.cdd.4402081 · DOI · Paper page
- Vandenberg, 2013, ABT-199, a new Bcl-2–specific BH3 mimetic, has in vivo efficacy against aggressive Myc-driven mouse lymphomas without provoking thrombocytopenia, Blood, 121, 2285, 10.1182/blood-2013-01-475855 · DOI
- Pan, 2014, Selective BCL-2 Inhibition by ABT-199 Causes On-Target Cell Death in Acute Myeloid Leukemia, Cancer Discov., 4, 362, 10.1158/2159-8290.CD-13-0609 · DOI
- Cang, 2015, ABT-199 (venetoclax) and BCL-2 inhibitors in clinical development, J. Hematol. Oncol., 8, 129, 10.1186/s13045-015-0224-3 · DOI
- Roberts, 2016, Targeting BCL2 with Venetoclax in Relapsed Chronic Lymphocytic Leukemia, N. Engl. J. Med., 374, 311, 10.1056/NEJMoa1513257 · DOI
- Salem, 2017, Pharmacokinetics of Venetoclax, a Novel BCL-2 Inhibitor, in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia or Non-Hodgkin Lymphoma, J. Clin. Pharmacol., 57, 484, 10.1002/jcph.821 · DOI
- Leverson, 2015, Potent and selective small-molecule MCL-1 inhibitors demonstrate on-target cancer cell killing activity as single agents and in combination with ABT-263 (navitoclax), Cell Death Dis., 6, e1590, 10.1038/cddis.2014.561 · DOI · Paper page
- Caenepeel, 2018, AMG 176, a Selective MCL1 Inhibitor, is Effective in Hematological Cancer Models Alone and in Combination with Established Therapies, Cancer Discov., 8, CD-18, 10.1158/2159-8290.CD-18-0387 · DOI · Paper page
- Tron, 2018, Discovery of Mcl-1-specific inhibitor AZD5991 and preclinical activity in multiple myeloma and acute myeloid leukemia, Nat. Commun., 9, 1, 10.1038/s41467-018-07551-w · DOI
- Jeng, 2017, Targeting the differential addiction to anti-apoptotic BCL-2 family for cancer therapy, Nat. Commun., 8, 16078, 10.1038/ncomms16078 · DOI
- Tahir, 2017, Potential mechanisms of resistance to venetoclax and strategies to circumvent it, BMC Cancer, 17, 1, 10.1186/s12885-017-3383-5 · DOI
- Lee, 2019, BCL-XL and MCL-1 are the key BCL-2 family proteins in melanoma cell survival, Cell Death Dis., 10, 1, 10.1038/s41419-019-1568-3 · DOI
- Chang, 2002, Molecular determinants of terminal growth arrest induced in tumor cells by a chemotherapeutic agent, Proc. Natl. Acad. Sci. USA, 99, 389, 10.1073/pnas.012602599 · DOI · Paper page
- Ianzini, 2006, Lack of p53 function promotes radiation-induced mitotic catastrophe in mouse embryonic fibroblast cells, Cancer Cell Int., 6, 11, 10.1186/1475-2867-6-11 · DOI
- Boden, 2006, Surgical management of soft tissue sarcoma in patients over 80 years, Eur. J. Surg. Oncol. (EJSO), 32, 1154, 10.1016/j.ejso.2006.05.016 · DOI
- Farshadpour, 2005, Soft tissue sarcoma: Why not treated?, Crit. Rev. Oncol., 54, 77, 10.1016/j.critrevonc.2004.10.006 · DOI
- Lahat, 2009, Complete Soft Tissue Sarcoma Resection is a Viable Treatment Option for Select Elderly Patients, Ann. Surg. Oncol., 16, 2579, 10.1245/s10434-009-0574-6 · DOI
- Blumenfeld, 2016, Advances in Radiation Therapy for Primary and Metastatic Adult Soft Tissue Sarcomas, Curr. Oncol. Rep., 18, 36, 10.1007/s11912-016-0523-z · DOI
- Chen, 2019, Advances in Molecular Mechanisms and Treatment of Radiation-Induced Pulmonary Fibrosis, Transl. Oncol., 12, 162, 10.1016/j.tranon.2018.09.009 · DOI
- Campeau, E., Ruhl, V.E., Rodier, F., Smith, C.L., Rahmberg, B.L., Fuss, J.O., Campisi, J., Yaswen, P., Cooper, P.K., and Kaufman, P.D. (2009). A Versatile Viral System for Expression and Depletion of Proteins in Mammalian Cells. PLoS ONE, 4. · DOI
- Lansu, J., Bovée, J.V., Braam, P., Van Boven, H., Flucke, U., Bonenkamp, J.J., Miah, A.B., Zaidi, S.H., Thway, K., and Bruland, Ø.S. (2020). Dose Reduction of Preoperative Radiotherapy in Myxoid Liposarcoma: A Nonrandomized Controlled Trial. JAMA Oncol. · DOI
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Sorted by citations
Discovery of senolytics using machine learning
Smer-Barreto, V., Quintanilla, A., Elliott, R. J. R., Dawson, J. C., Sun, J., Campa, V. M., Lorente-Macías, Á., Unciti-Broceta, A., Carragher, N. O., Acosta, J. C., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-39120-1 · Cited by 139
Senolytics for Cancer Therapy: Is All that Glitters Really Gold?
Carpenter, V. J., Saleh, T., & Gewirtz, D. A. (2021) · Cancers · doi:10.3390/cancers13040723 · Cited by 124
Ye, Y., Su, T., Gao, J., & Ming, D. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26189004
Metadata
- Authors
- Lafontaine, J., Cardin, G. B., Malaquin, N., Boisvert, J.-S., Rodier, F., & Wong, P.
- Affiliations
- Institut du Cancer de Montréal (ICM), Centre de Recherche du Centre Hospitalier de l’Université de Montréal (CRCHUM), 900 St. Denis Street, Montreal, QC H2X 0A9, Canada
- Venue
- Cancers
- Publisher
- MDPI AG
- Published
- 2021-01-21
- Volume
- 13
- Issue
- 3
- Pages
- 386
- ISSN
- 2072-6694
- PMC
- PMC7866159
- Cited by
- 54
- References
- 21
- Language
- en
- Funders
- Cancer Research Society (20276)
- Fonds de Recherche du Québec – AUDACE (262832)
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