Department of Urology, University of Wisconsin, School of Medicine and Public Health, 1111 Highland Ave, Madison, WI 53705-2275, USA.
J Natl Cancer Inst. 2010 Oct 20;102(20):1536-46. doi: 10.1093/jnci/djq364. Epub 2010 Sep 21.
Cellular senescence is a response to nonlethal stress that results in persistent cytostasis with a distinct morphological and biochemical phenotype. The senescence phenotype, detected in tumors through the expression of mRNA and protein markers, can be generated in cancer cells lacking functional p53 and retinoblastoma protein. Current research suggests that therapy-induced senescence (TIS) represents a novel functional target that may improve cancer therapy. TIS can be induced in immortal and transformed cancer cells by selected anticancer compounds or radiation, and accumulating data indicate that TIS may produce reduced toxicity-related side effects and increased tumor-specific immune activity. This review examines the current status of TIS-regulated mechanisms, agents, and senescence biomarkers with the goal of encouraging further development of this approach to cancer therapy. Remaining hurdles include the lack of efficient senescence-inducing agents and incomplete biological data on tumor response. The identification of additional compounds and other targeted approaches to senescence induction will further the development of TIS in the clinical treatment of cancer.
细胞衰老(Cellular senescence)是一种对非致死性应激的反应,导致持续的细胞静止,并具有明显的形态和生化表型。通过表达 mRNA 和蛋白质标记物,在肿瘤中检测到的衰老表型,可以在缺乏功能性 p53 和视网膜母细胞瘤蛋白的癌细胞中产生。目前的研究表明,治疗诱导的衰老(Therapy-induced senescence,TIS)代表了一种新的功能靶点,可能改善癌症治疗。通过选择抗癌化合物或辐射,可以在永生和转化的癌细胞中诱导 TIS,并且越来越多的证据表明,TIS 可能会产生降低毒性相关副作用和增加肿瘤特异性免疫活性的效果。这篇综述检查了 TIS 调节机制、药物和衰老生物标志物的现状,旨在鼓励进一步开发这种癌症治疗方法。仍然存在的障碍包括缺乏有效的诱导衰老的药物和肿瘤反应的不完全生物学数据。鉴定更多的化合物和其他针对衰老诱导的靶向方法将进一步推动 TIS 在癌症临床治疗中的发展。