One-Two Punch Therapy for the Treatment of T-Cell Malignancies Involving p53-Dependent Cellular Senescence

Oxid Med Cell Longev. 2021 Sep 21:2021:5529518. doi: 10.1155/2021/5529518. eCollection 2021.

Abstract

T-cell malignancies are still difficult to treat due to a paucity of plans that target critical dependencies. Drug-induced cellular senescence provides a permanent cell cycle arrest during tumorigenesis and cancer development, particularly when combined with senolytics to promote apoptosis of senescent cells, which is an innovation for cancer therapy. Here, our research found that wogonin, a well-known natural flavonoid compound, not only had a potential to inhibit cell growth and proliferation but also induced cellular senescence in T-cell malignancies with nonlethal concentration. Transcription activity of senescence-suppression human telomerase reverse transcriptase (hTERT) and oncogenic C-MYC was suppressed in wogonin-induced senescent cells, resulting in the inhibition of telomerase activity. We also substantiated the occurrence of DNA damage during the wogonin-induced aging process. Results showed that wogonin increased the activity of senescence-associated β-galactosidase (SA-β-Gal) and activated the DNA damage response pathway mediated by p53. In addition, we found the upregulated expression of BCL-2 in senescent T-cell malignancies because of the antiapoptotic properties of senescent cells. Following up this result, we identified a BCL-2 inhibitor Navitoclax (ABT-263), which was highly effective in decreasing cell viability and inducing apoptotic cell death in wogonin-induced senescent cells. Thus, the "one-two punch" approach increased the sensibility of T-cell malignancies with low expression of BCL-2 to Navitoclax. In conclusion, our research revealed that wogonin possesses potential antitumor effects based on senescence induction, offering a better insight into the development of novel therapeutic methods for T-cell malignancies.

MeSH terms

  • Aniline Compounds / pharmacology
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Cell Cycle Checkpoints / drug effects
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Cellular Senescence / drug effects*
  • DNA Damage / drug effects
  • Drugs, Chinese Herbal / therapeutic use
  • Flavanones / pharmacology
  • Flavanones / therapeutic use
  • Heterochromatin / drug effects
  • Heterochromatin / genetics
  • Heterochromatin / metabolism
  • Humans
  • Lymphoma, T-Cell / drug therapy
  • Lymphoma, T-Cell / pathology
  • RNA Interference
  • RNA, Small Interfering / metabolism
  • Sulfonamides / pharmacology
  • Tumor Suppressor Protein p53 / antagonists & inhibitors
  • Tumor Suppressor Protein p53 / genetics
  • Tumor Suppressor Protein p53 / metabolism*

Substances

  • Aniline Compounds
  • Antineoplastic Agents
  • Drugs, Chinese Herbal
  • Flavanones
  • Heterochromatin
  • RNA, Small Interfering
  • Sulfonamides
  • Tumor Suppressor Protein p53
  • wogonin
  • navitoclax