Department of Urology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin 53705-2275, USA.
Prostate. 2013 Mar;73(4):337-45. doi: 10.1002/pros.22571. Epub 2012 Aug 21.
The treatment of non-localized prostate cancer involves androgen deprivation (AD) therapy which results in tumor regression. Apoptosis has been implicated in the tumor response to AD, but constitutes a small fraction of the total tumor at any time. Cellular senescence is a response to sub-lethal stress in which cells are persistently growth arrested and develop distinct morphological and biochemical characteristics. The occurrence of senescence in prostate tumor tissue after AD therapy has not previously been investigated.
Phenotypic and molecular characteristics of senescence were examined in models of androgen-sensitive prostate cancer after AD and compared with androgen-intact controls.
In vitro in LNCaP cells, AD induced elevated senescence-associated β-galactosidase (SA-β-gal) staining, decreased proliferation, and increased flow cytometric side scatter while minimally affecting cell viability. The increased expression of the senescence-related proteins Glb1, the cyclin-dependent kinase inhibitor p27(Kip1) and chromatin-regulating heterochromatin protein 1γ (HP1γ) were detected in LNCaP cells after AD in vitro by immunoblot and immunofluorescence microscopy. In mice bearing LuCaP xenograft tumors in vivo, surgical castration similarly increased SA-β-gal staining, increased expression of p27(Kip1) and HP1γ, and decreased expression of the proliferation marker KI-67, with minimal induction of apoptosis identified by detection of cleaved caspase 3 and TUNEL. Immunohistochemical analysis of human prostate tumors removed after AD shows similar induction of Glb1, HP1γ and decreased KI-67.
We conclude that AD induces characteristics consistent with cellular senescence in androgen-sensitive prostate cancer cells. This finding may explain incomplete tumor regression in response to AD.
局部晚期前列腺癌的治疗涉及去势治疗(AD),这会导致肿瘤消退。细胞凋亡与 AD 治疗后的肿瘤反应有关,但在任何时候都只构成肿瘤的一小部分。细胞衰老(cellular senescence)是对亚致死应激的一种反应,在此过程中,细胞持续生长停滞,并表现出独特的形态和生化特征。AD 治疗后前列腺肿瘤组织中衰老的发生尚未被研究过。
在 AD 后的雄激素敏感型前列腺癌模型中检查衰老的表型和分子特征,并与雄激素完整的对照进行比较。
在体外的 LNCaP 细胞中,AD 诱导高水平的衰老相关β-半乳糖苷酶(SA-β-gal)染色、降低增殖、增加流式细胞术侧散射,而对细胞活力的影响最小。通过免疫印迹和免疫荧光显微镜,在体外 AD 处理后的 LNCaP 细胞中检测到衰老相关蛋白 Glb1、细胞周期蛋白依赖性激酶抑制剂 p27(Kip1)和染色质调节异染色质蛋白 1γ(HP1γ)的表达增加。在体内携带 LuCaP 异种移植肿瘤的小鼠中,手术去势同样增加了 SA-β-gal 染色、p27(Kip1)和 HP1γ 的表达,减少了增殖标志物 KI-67 的表达,通过检测裂解的 caspase 3 和 TUNEL 仅检测到最小程度的细胞凋亡。AD 后切除的人前列腺肿瘤的免疫组织化学分析显示 Glb1、HP1γ 的诱导相似,KI-67 减少。
我们得出结论,AD 诱导雄激素敏感型前列腺癌细胞具有细胞衰老的特征。这一发现可能解释了 AD 治疗后不完全的肿瘤消退。