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Oncogene inactivation-induced senescence facilitates tumor relapse

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Item Type:Preprint
Title:Oncogene inactivation-induced senescence facilitates tumor relapse
Creators Name:Schmitt, P., Hönig, K., Milojkovic, A., Anders, K., Schröck, E., Sauer, S., Uyar, B., Akalin, A., Martínez-Reyes, I. and Blankenstein, T.
Abstract:Oncogene-targeted therapy has emerged as a promising avenue for delaying tumor progression. However, patients often develop drug resistance and early tumor recurrence. We analyzed the effects of oncogene inactivation in vitro, and identified the induction of senescence and metabolic reprogramming as two major adaptive mechanisms. In vivo, we observed that senescent cells exhibited an increased propensity for tumor relapse, accompanied by notable chromosomal abnormalities and the acquisition of alternative oncogenic pathways. Oncogene inactivation- induced senescence rendered cells reliant on autophagy, making them more susceptible to autophagy inhibition in vitro. However, combining oncogene inactivation with autophagy-targeted senolysis in vivo in immunocompetent mice, unexpectedly facilitated tumor growth compared to oncogene inactivation alone. Similarly, oncogene inactivation in established tumors followed by autophagy inhibition led to increased tumor relapse in immunodeficient mice compared to the placebo group. Our results underscore senescence as a main mechanism allowing cancer cells to survive oncogene deprivation. Oncogene inactivation-induced senescence induces genetic abnormalities and is a main driver of tumor relapse. Our results suggest different metabolic dependencies of senescent cells in vitro and in vivo and underscore the importance of evaluating potential drug candidates in relevant preclinical mouse models, as therapeutic effects observed in vitro may not necessarily translate to meaningful clinical outcomes in vivo.
Keywords:Animals, Mice
Source:bioRxiv
Publisher:Cold Spring Harbor Laboratory Press
Article Number:2024.07.13.603369
Date:17 July 2024
Official Publication:https://doi.org/10.1101/2024.07.13.603369

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