The molecular mechanisms charged with preventing tumor initiation and disease progression remain to be fully elucidated. Replicative senescence arising from telomere shortening was first described in 1961 by Hayflick and Moorehead (i.e., Hayflick limit) and has since been established to serve as a major suppressor of disease development in humans, including cancer.1 Moreover, the anticancer activities of senescence programs can be induced by a variety of stimuli and cellular stressors, including DNA damage, oncogene activation, and oxidative stress. Likewise, whereas high dose chemotherapy typically induces apoptosis, low doses of these same agents often promote senescence, an event that enhances T cell-mediated immunosurveillance and cytolysis.1 It should also be noted that senescent cells are readily detected in premalignant neoplasms, but not in their fully malignant counterparts, suggesting that (i) senescence programs suppress tumorigenesis, and (ii) escaping the grasp of senescence represents a key step in the progression of human neoplasms.2 As such, it stands to reason that enhancing our understanding of how senescence is initiated and maintained may provide for novel strategies designed to inhibit tumorigenesis by reactivating senescence in developing and progressing carcinomas.
Senescence and its tumor suppressing functions are most frequently associated with the activation of 2 signaling nexuses, namely p16INK4A→Rb and p19ARF→p53.1,3 Previous investigations by the Jackson Laboratory established that Oncostatin M (OSM)-mediated Stat3 activation could elicit senescence in p16- and p53-deficient human mammary epithelial cells (HMECs), and that this event could be circumvented by robust expression of c-Myc, leading to malignant transformation.4 Similarly, aberrant c-Myc expression was also determined to be sufficient in overriding the senescent promoting activities of the TGF-β pathway in p16/p53-deficient HMECs engineered to express oncogenic Ras.5 Based on the parallels between OSM- and TGF-β-mediated senescence in HMECs, Bryson et al 6 hypothesized that OSM may commandeer the TGF-β signaling system to elicit senescence in p16/p53-deficient HMECs. Accordingly, pharmacologic and genetic inactivation of the TGF-β signaling system prevented OSM from inducing senescence in HMECs, indicating a role for autocrine TGF-β signaling in coupling OSM to senescent programs. More importantly, OSM-mediated activation of Stat3 led to its physical interaction with Smad3, leading to their nuclear accumulation and induction of a TGF-β-responsive gene signature. Interestingly, c-Myc expression was repressed robustly by both OSM and TGF-β in HMECs, consistent with the role of c-Myc as a proto-oncogene and inhibitor of senescence. Indeed, engineering p16/p53-deficient HMECs to constitutively express c-Myc engendered their malignant transformation and ability to grow in an anchorage-independent manner, as well as elicited their acquisition of invasive and epithelial-mesenchymal transition (EMT) phenotypes in response to OSM and TGF-β. Moreover, following its inactivation of cellular senescence, aberrant c-Myc expression also imparted oncogenic activity upon OSM and enabled this cytokine to stimulate HMEC invasion and extracellular matrix remodeling in a manner reflective of those operant in supporting tumor development and metastatic progression. Collectively, these important findings highlight the cooperative functions that Stat3:Smad3 complexes play in stimulating senescence, and consequently, in inhibiting mammary tumorigenesis. Equally important, these findings also reinforce the central necessity of aberrant c-Myc activity to override senescence programs, and in doing so, convert OSM from a tumor suppressor to a tumor promoter (Fig. 1).
A provocative facet of this study relates to the dichotomous roles of OSM to both suppress and promote mammary tumorigenesis, an event governed by aberrant c-Myc expression. Although intriguing, the findings of this study raise several important unanswered questions related to OSM-mediated senescence (Fig. 1). For instance, as a member of the interleukin-6 (IL-6) family of cytokines, OSM shares the common transmembrane signaling receptor, gp130,7 suggesting that cytokines belonging to this family hold the potential recapitulate OSM activity in breast cancers. Indeed, upregulated expression and activity of IL-6, IL-11, or leukemia inhibitory factor have all been associated with disease progression and poor prognoses in breast cancer patients. As such, future studies need to ascertain the role of other IL-6 family members in regulating senescence via the formation of Stat3:Smad3 complexes, as well as determine the relative contribution of Stat3-independent signaling systems in mediating the dichotomous actions of these cytokines, particularly in response to tumor inflammation and immune surveillance. Similar research efforts need to be directed at identifying the specific subsets of genes activated by Stat3:Smad3 complexes in senescent cells, and at determining the impact of aberrant c-Myc activity on the formation and function of Stat3:Smad3 complexes as premalignant cells escape senescent programs. Likewise, while it is clear that autocrine TGF-β signaling is essential for OSM-mediated senescence, it remains entirely unclear as to precisely how OSM drives the formation and nuclear translocation of Stat3:Smad3 complexes in the absence of Smad3 phosphorylation by TGF-β type I receptors. Along these lines, future studies also need to assess whether (i) the oncogenic activities of c-Myc directly or indirectly target Stat3:Smad3 complexes, and (ii) c-Myc inactivation restores senescent phenotypes, thereby suppressing disease progression and enhancing immunologic clearance of arrested tumors. Finally, given the important associations between EMT programs and the expansion of cancer stem cells, additional research efforts aimed at establishing the specificity of Stat3:Smad3 complexes in “stem” versus “non-stem” breast cancer cells is warranted. Ultimately, answering these intriguing questions will provide the necessary foundation to advance senescence-based therapies against developing and progressing human breast cancers.
Disclosure of potential conflicts of interest
No potential conflicts of interest were disclosed.
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