Consequences of cellular senescence and prospects for reversal
Judith Campisi
Lawrence Berkeley National Laboratory, MS 84-171, 1 Cyclotron Road, Berkeley, CA 94720 USA
Normal cells can respond to DNA damage, telomere dysfunction, and other
potentially oncogenic events by entering an essentially irreversible
state of arrested growth and altered function termed cellular
senescence. Multiple lines of evidence indicate that the senescence
response is an important mechanism for preventing the development of
cancer among mammals. However, there is also evidence that cellular
senescence may be an example of evolutionary antagonistic pleiotropy.
That is, whereas the senescence response curtails malignant
tumorigenesis early in life, the accumulation of dysfunctional
senescent cells later in life may promote aging phenotypes and certain
age-related pathologies, including late life cancers. One can imagine
two possible strategies for ameliorating the deleterious effects of
senescent cells. The first is to eliminate them, for example by
apoptosis. This strategy depends on the ability to identify
senescence-specific antigens or promoters in order to selectively
target toxins or express pro-apoptotic proteins in senescent cells.
The second strategy is to reverse the senescent phenotype, ideally
without reversing the senescence growth arrest. This strategy requires
a better understanding of the apparently irreversible nature of the
senescent phenotype. We and others have recently gained insights into
this phenomenon. Some senescent human fibroblasts apparently acquire a
heterochromatin structure owing the activity of the RB tumor
suppressor. This chromatin persists, even if RB or its upstream
regulator p16, is subsequently inactivated. Other human fibroblasts,
however, do not acquire this irreversible chromatin. We were recently
successful in reversing the senescence growth arrest of such cells.
Key words:
tumor suppression; antagonistic pleiotropy; cellular senescence; cancer; aging
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