Laboratory of Human Carcinogenesis, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Department of Pathology, Georgetown University Medical Center, Washington, DC, USA.
Neuro Oncol. 2019 Mar 18;21(4):474-485. doi: 10.1093/neuonc/noz001.
Cellular senescence and the senescence-associated secretory phenotype (SASP) may contribute to the development of radiation therapy-associated side effects in the lung and blood vessels by promoting chronic inflammation. In the brain, inflammation contributes to the development of neurologic disease, including Alzheimer's disease. In this study, we investigated the roles of cellular senescence and Δ133p53, an inhibitory isoform of p53, in radiation-induced brain injury.
Senescent cell types in irradiated human brain were identified with immunohistochemical labeling of senescence-associated proteins p16INK4A and heterochromatin protein Hp1γ in 13 patient cases, including 7 irradiated samples. To investigate the impact of radiation on astrocytes specifically, primary human astrocytes were irradiated and examined for expression of Δ133p53 and induction of SASP. Lentiviral expression of ∆133p53 was performed to investigate its role in regulating radiation-induced cellular senescence and astrocyte-mediated neuroinflammation.
Astrocytes expressing p16INK4A and Hp1γ were identified in all irradiated tissues, were increased in number in irradiated compared with untreated cancer patient tissues, and had higher labeling intensity in irradiated tissues compared with age-matched controls. Human astrocytes irradiated in vitro also experience induction of cellular senescence, have diminished Δ133p53, and adopt a neurotoxic phenotype as demonstrated by increased senescence-associated beta-galactosidase activity, p16INK4A, and interleukin (IL)-6. In human astrocytes, Δ133p53 inhibits radiation-induced senescence, promotes DNA double-strand break repair, and prevents astrocyte-mediated neuroinflammation and neurotoxicity.
Restoring expression of the endogenous p53 isoform, ∆133p53, protects astrocytes from radiation-induced senescence, promotes DNA repair, and inhibits astrocyte-mediated neuroinflammation.
细胞衰老和衰老相关分泌表型(SASP)可能通过促进慢性炎症,促进肺部和血管中放射治疗相关副作用的发展。在大脑中,炎症会导致神经疾病的发展,包括阿尔茨海默病。在这项研究中,我们研究了细胞衰老和 p53 的抑制性同工型 Δ133p53 在放射诱导的脑损伤中的作用。
通过对 13 例患者(包括 7 例照射样本)的免疫组织化学标记衰老相关蛋白 p16INK4A 和异染色质蛋白 Hp1γ,鉴定了照射人脑中的衰老细胞类型。为了专门研究辐射对星形胶质细胞的影响,用辐射照射原代人星形胶质细胞,并检查 Δ133p53 的表达和 SASP 的诱导。通过慢病毒表达 Δ133p53 来研究其在调节辐射诱导的细胞衰老和星形胶质细胞介导的神经炎症中的作用。
在所有照射组织中都鉴定出表达 p16INK4A 和 Hp1γ 的星形胶质细胞,与未照射的癌症患者组织相比,照射组织中星形胶质细胞的数量增加,并且照射组织中的标记强度更高。体外照射的人星形胶质细胞也经历细胞衰老的诱导,Δ133p53 减少,并表现出神经毒性表型,如衰老相关β-半乳糖苷酶活性、p16INK4A 和白细胞介素(IL)-6 的增加。在人星形胶质细胞中,Δ133p53 抑制辐射诱导的衰老,促进 DNA 双链断裂修复,并防止星形胶质细胞介导的神经炎症和神经毒性。
恢复内源性 p53 同工型 Δ133p53 的表达可保护星形胶质细胞免受辐射诱导的衰老,促进 DNA 修复,并抑制星形胶质细胞介导的神经炎症。