
Here we show that pemetrexed-treated mesothelioma cells undergo accelerated senescence. This is characterized by the secretion of proinflammatory and mitogenic cytokines, reminiscent of an SASP (senescence-associated secretory phenotype). Conditioned media from senescent MPM (malignant pleural mesothelioma) cells trigger the emergence of EMT (epithelial-to-mesenchymal)-like, clonogenic and chemoresistant cell subpopulations, expressing high levels of ALDH (aldehyde dehydrogenase) activity (ALDH(bright) cells). We show by fluorescence-activated cell sorting of purified ALDH(bright) and ALDH(low) cells, that both cell-autonomous and cell-non-autonomous mechanisms converge to maintain the SASP-induced, EMT-like cell subpopulations. Chemoresistant ALDH(bright) cells exist within primary MPM specimens and enrichment for ALDH(bright) cells correlates with an earlier tumor onset into NOD/SCID mice. We show that RAS(v12) expression induces SASP-like changes in untransformed human mesothelial cells, and that p53 ablation increases the effect of RAS(v12) expression. We identify STAT3 activation as a crucial event downstream to SASP signaling. In fact, small hairpin RNA-mediated ablation of STAT3 deeply attenuates the induction of EMT genes and the increase of ALDH(bright) cells induced by SASP-cytokines. This strongly affects the chemoresistance of MPM cells in vitro and leads to anticancer effects in vivo.
Male, Mesothelioma, Epithelial-Mesenchymal Transition, Guanine, Cell Survival, chemoresistance; EMT; mesothelioma; SASP; Aldehyde Dehydrogenase; Animals; Cell Count; Cell Line, Tumor; Cell Survival; Cell Transformation, Neoplastic; Culture Media, Conditioned; Cytokines; Epithelial-Mesenchymal Transition; Gene Expression Regulation, Neoplastic; Gene Knockdown Techniques; Genes, ras; Glutamates; Guanine; Humans; Male; Mesoderm; Mesothelioma; Mice; Mitogens; Pemetrexed; RNA, Small Interfering; STAT3 Transcription Factor; Signal Transduction; Cellular Senescence; Drug Resistance, Neoplasm; Phenotype, Cell Count, Aldehyde Dehydrogenase, Gene Expression Regulation, Neoplastic, Mesoderm, Cell Transformation, Neoplastic, Genes, ras, Glutamates, Drug Resistance, Neoplasm, Cell Line, Tumor, Culture Media, Conditioned, Gene Knockdown Techniques, Animals, Cytokines, Humans, Cellular Senescence
Male, Mesothelioma, Epithelial-Mesenchymal Transition, Guanine, Cell Survival, chemoresistance; EMT; mesothelioma; SASP; Aldehyde Dehydrogenase; Animals; Cell Count; Cell Line, Tumor; Cell Survival; Cell Transformation, Neoplastic; Culture Media, Conditioned; Cytokines; Epithelial-Mesenchymal Transition; Gene Expression Regulation, Neoplastic; Gene Knockdown Techniques; Genes, ras; Glutamates; Guanine; Humans; Male; Mesoderm; Mesothelioma; Mice; Mitogens; Pemetrexed; RNA, Small Interfering; STAT3 Transcription Factor; Signal Transduction; Cellular Senescence; Drug Resistance, Neoplasm; Phenotype, Cell Count, Aldehyde Dehydrogenase, Gene Expression Regulation, Neoplastic, Mesoderm, Cell Transformation, Neoplastic, Genes, ras, Glutamates, Drug Resistance, Neoplasm, Cell Line, Tumor, Culture Media, Conditioned, Gene Knockdown Techniques, Animals, Cytokines, Humans, Cellular Senescence
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