Senescence aging and malignant transformation mediated by p53 in mice lacking the Brca1 full-length isoform
Genetics of Development and Diseases Branch, National Institutes of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland 20892, USA3r, http://www.100md.com
ABSTRACT3r, http://www.100md.com
Senescence may function as a two-edged sword that brings unexpected consequences to organisms. Here we provide evidence to support this theory by showing that the absence of the Brca1 full-length isoform causes senescence in mutant embryos and cultured cells as well as aging and tumorigenesis in adult mice. Haploid loss of p53 overcame embryonic senescence but failed to prevent the adult mutant mice from prematurely aging, which included decreased life span, reduced body fat deposition, osteoporosis, skin atrophy, and decreased wound healing. We further demonstrate that mutant cells that escaped senescence had undergone clonal selection for faster proliferation and extensive genetic/molecular alterations, including overexpression of cyclin D1 and cyclin A and loss of p53. These observations provide the first in vivo evidence that links cell senescence to aging due to impaired function of Brca1 at the expense of tumorigenesis.
[Key Words: p53; p21; senescence; aging; tumorigenesis]xed, 百拇医药
Introductionxed, 百拇医药
Senescence is considered the final phenotypic state displayed by cells in response to several distinct cellular physiologic processes, including DNA replication (Hayflick 1965), oncogene activation (Serrano et al. 1997; Zhu et al. 1998; Zindy et al. 1998), and oxidative damage (Chen et al. 1995; von Zglinicki et al. 1995). This physiologic response appears to trigger growth inhibition via activation of the tumor suppressor p53, which consequently up-regulates cyclin-dependent kinase (CDK) inhibitors p21, p19, and p16 (Brown et al. 1997; Lundberg et al. 2000). Senescent cells have a large, flat morphology and high acidic -galactosidase enzymatic activity and are accompanied by profound growth defects (Dimri et al. 1995). Because senescence prevents cell proliferation, it is considered as a mechanism to suppress tumorigenesis (for review, see Campisi 2001). On the other hand, senescence may render cells resistant to apoptosis (Sasaki et al. 2001) and may also allow cells to undergo clonal selection for mutations, as it was shown recently that high-frequency genomic changes were detected in cultured human mammary epithelial cells when they emerged from senescence (Romanov et al. 2001). The accumulated DNA damage could lead to the inactivation of p53, and/or p16, rendering growth advantages to the cells. This, in turn, would allow further cellular changes, leading to immortalization and malignant transformation. Thus, it has been hypothesized that senescence may protect organisms from cancers while young, but promote carcinogenesis in later life (for reviews, see Wynford-Thomas 1999; Campisi 2000, 2001; Fossel 2000; Reddel 2000).
Most combined familial breast and ovarian cancers and ~40% of familial breast cancer cases have been linked to mutations in the breast-cancer-associated gene 1 (BRCA1; Miki et al. 1994; Alberg and Helzlsouer 1997; Brody and Biesecker 1998; Paterson 1998; Rahman and Stratton 1998). In mouse, loss-of-function mutations of Brca1 result in embryonic lethality that is accompanied by pleiotropic effects, including growth retardation, apoptosis, defective DNA damage repair, centrosome amplification, loss of G2/M cell cycle checkpoint, and genetic instability (Deng and Scott 2000; Scully and Livingston 2000; Zheng et al. 2000; Venkitaraman 2002). In mutant mice where Brca1 is specifically disrupted in mammary epithelial cells, tumorigenesis requires long latency and is also associated with retarded ductal development, apoptosis, and chromosome abnormality (Xu et al. 1999a). Although these observations indicate that BRCA1 may play important roles in multiple biological processes, it raises questions about potential mechanisms through which BRCA1 represses tumor formation. In particular, how can BRCA1 mutations result in breast cancer if mutant cells fail to grow?
Investigations on the genetic interactions between Brca1 and p53 revealed that pleiotrophic phenotypes in Brca1 mutant mice are, at least in part, caused by deleterious effects of p53 activation. It has been shown that Brca1-null mutant embryos died at embryonic day 7-8 (E7-E8), and the embryonic lethality could be rescued partially by p53 or p21 deficiency (Hakem et al. 1997; Ludwig et al. 1997; Shen et al. 1998). Studying mutant embryos carrying a hypomorphic mutation of Brca1 (Brca111/11), we showed that haploid loss of p53 could completely rescue embryonic lethality (Xu et al. 2001). The absence of p53 was found to relax cell cycle control and decrease apoptosis. Therefore the mutant cells could survive and proliferate, leading to tumorigenesis (Xu et al. 2001). Consistently, it was found that BRCA1 familial breast cancer tumors contain significantly higher rates of p53 mutations than do sporadic cancers (Schuyer and Berns 1999).?[, 百拇医药
Activation of p53 also causes premature aging, which is characterized by the age-related deterioration of physiological functions necessary for the survival of an organism (Donehower 2002; Tyner et al. 2002). Aging happens to all organisms and, because of its complexity, very little is known about the underlying molecular mechanism. Recent studies indicate that proteins involved in DNA damage repair play an essential role in life-span determination, as a number of mouse mutants carrying targeted disruption of genes involving in DNA damage repair exhibit premature aging (Vogel et al. 1999; DePinho 2000; Kuro-o 2001; Mohaghegh and Hickson 2001; de Boer et al. 2002). Considering a role of BRCA1 in DNA damage repair and its extensive interactions with p53 (Scully et al. 1997; Gowen et al. 1998; Moynahan et al. 1999 Xu et al. 2001; Zhong et al. 2002), we hypothesize that Brca1 may also play a role in aging. Because human BRCA1 homozygous mutation carriers are not viable (Kuschel et al. 2001) and Brca1-null mutations in mouse result in embryonic lethality (for review, see Deng 2002), a link between BRCA1 and organismal aging processes has not been established. The survival of Brca111/11 p53+/- mice provides an opportunity to address this issue.
In this study, we show that the Brca1"Delta " 11 deficiency triggers physiologic and pathologic responses, which are manifested as p53-dependent, p21-associated senescence at the cellular level and premature aging at the organismal level. We demonstrate that senescence, although limiting Brca111/11 cell proliferation, allows the cells to undergo clonal expansion and immortalization at the expense of genetic stability. The immortalized mutant cells also exhibit overexpression of cyclin A and cyclin D1, loss of p53, increased proliferation, and ultimately undergo malignant transformation.4p, 百拇医药
Results4p, 百拇医药
Brca111/11 p53+/- mice exhibit aging phenotypes4p, 百拇医药
Brca111/11 p53+/- mice survive to adulthood, and female mice develop mammary tumors, ovarian tumors, and/or lymphoma before 12 mo of age (Xu et al. 2001). As Brca111/11 p53+/- male mice usually do not develop mammary tumors, we have followed a cohort of mutant male mice and found that the majority of them also died within 1 yr of age. Our analysis indicated that ~30% of mice developed lymphoma and died before they were 7 mo old (Bachelier et al. 2003). Starting from 8 mo of age, the majority of mutant mice, although tumor-free, exhibited a variety of phenotypes usually found in aging mice and died from aging-related mortality . Compared with littermates or age-matched control (p53+/- ) mice, Brca111/11 p53+/- mice were smaller and had lower body weights . The differences became more profound with increasing ages of animals . We found that ~80% of mutant mice exhibited kyphosis at varying severity . All the mutant mice were thin with very little fat . By radiographic analysis, 70% of the mutant mice exhibited osteoporosis, as reflected by decreased bone radiodensity. Histologic analysis confirmed a decrease in the thickness of cortical bone and bone loss in trabecular bones relative to controls
fig.ommitted&|, 百拇医药
Table 1. Aging-related changes and tumorigenesis in p53+/- and Brca111/11 p53+/- mice&|, 百拇医药
fig.ommitted&|, 百拇医药
Figure 1. Aging-related phenotypes in Brca111/11 p53+/- mice. (A) Photograph of 3-month-old p53+/- (all p53+/- mice are wild type for Brca1 and are simply referred to as Wt) and Brca111/11 p53+/- (Mt) male mice. (B) Body weights of p53+/- and Brca111/11 p53+/- mice (including both male and female, n = 65). Photograph of 8-month-old p53+/- (C) and Brca111/11 p53+/- (D) female mice. (E) X-Ray radiograph of an 8-month-old Brca111/11 p53+/- male mouse showing kyphosis (5 out of 18 mice examined exhibited this phenotype). (F) Photograph of 8-month-old female mouse, showing that all examined mutant mice (n > 10) have less fat (arrows). (G) Long-bone radiograph of 9-month-old p53+/- and Brca111/11 p53+/- mice; 18 out of 25 mutant mice examined showed decreased bone density. (H-K) Haematoxylin-eosin staining section of 10-month-old p53+/- (H,I) and Brca111/11 p53+/- (J,K) female mice. The mutant mice exhibited decreased bone density (G), thinner cortical bone (J), and reduced trabecular bones (K). Most mice were tumor-free at the time when they were analyzed.
Reduced dermal thickness and subcutaneous adipose tissue is often associated with human aging. Histologic examinations of skin of 8-mo and older mutant mice revealed a reduction in the thickness of dermis and fat layer compared with age-matched control mice . No obvious skin changes were found in mutant mice at younger age (data not shown). Some older mutant mice also displayed unhealthy hair growth patterns (data not shown) and chronic skin lesions, perhaps caused by unhealed wounds from fighting (data not shown). These abnormalities are usually observed in naturally or genetically engineered aging mice (Chuttani and Gilchrest 1995; Kuro-o et al. 1997; Rudolph et al. 1999; Vogel et al. 1999; Tyner et al. 2002). Aging is also associated with decreased hair regeneration and a reduced capacity to respond to stresses such as wound healing. To see if this is the case, we performed hair regeneration and wound-healing studies. We found that the mutant mice showed impaired hair regeneration (data not shown) and delayed wound repair compared with control mice Histologic examinations of the wounds revealed a reduction in re-epithelialization from the wound edge in mutant mice compared with control mice . During the wounding experiment, some older mutant mice died, suggesting that the mutant mice had a reduced ability to tolerate the stress. Some aging mice (six males and four females) were also found dead without any apparent cause that would result in death . In addition to the targeted organ analysis, three male mutant mice at 6.5, 8, and 9.5 mo old were subjected to necropsy study. This analysis revealed more extensive abnormalities in multiorgan/tissue systems in the 9.5-month-old animal than the younger ones . This observation is consistent with a view that aging is characterized by a progressive decline of functions of many organs, ultimately leading to death.
fig.ommitted60z?f#0, 百拇医药
Figure 2. Skin-aging phenotypes in Brca111/11 p53+/- mice. (A,B) Haematoxylin-eosin-stained section of 8-month-old p53+/- (A) and Brca111/11 p53+/- (B) mice. The thickness of the dermal layer (d) and subcutaneous fat (f) is reduced in mutant mice. (C,D) Quantitative measurement of thickness of dermal layer (C) and fat layer (D; n = 14). (E,F) Haematoxylin-eosin-stained section at day 4 postwounding in 8-month-old p53+/- (E) and Brca111/11 p53+/- (F) female mice. Epithelialization is visible in control mice, but this process is delayed in mutant mice (arrow in F`). (G) Comparison of wound healing in 11-month-old p53+/- and Brca111/11 p53+/- male mice (data were summarized from 12 wounds in 4 mutant mice and 12 wounds in 4 control mice). (H) Western blot analysis of p53 expression in 1-month-old (1M) and 6-month-old (6M) p53+/- and Brca111/11 p53+/- mice. Protein extracts (50 µg/lane) from spleen were used for the assay. Three mutant and three control mice are shown at each time point.
fig.ommittedstr, 百拇医药
Table 2. Necropsy of Brca1 mutant mice at 6.5, 8, and 9.5 mostr, 百拇医药
We also examined female Brca1"Delta " 11/"Delta " 11 p53+/- mice and found that 13 out of 14 mice examined exhibited similar aging phenotypes when they were >8 mo old. Of note, we found that Brca111/11 p53+/- female mice were prone to tumorigenesis. In addition to mammary tumor formation, which is specific to females, 6 out of 19 developed tumors in other organs, including lung, liver, spleen, bone, thymus, and brain . The high incidence of tumorigenesis raises a possibility that premature aging in the Brca1 mutant female mice is secondary to tumor-associated cachexia. However, our analysis of these tumors indicated that five tumors (except for one brain tumor) were small (<1 cm in diameter), whereas the animals already showed pronounced aging phenotypes. In addition, our study of Brca1Co/Co MMTV-Crep53+/- female mice, all of which developed mammary tumors within 1 yr of age (Xu et al. 1999b), did not detect premature aging. These observations provide compelling evidence that impaired Brca1 function also caused premature aging of female mice.
Recently, it was shown that activation of p53 results in premature aging in mouse (Tyner et al. 2002). Because the genetic instability associated with the Brca1 mutation could cause p53 activation, we were interested in determining p53 levels in Brca1"Delta " 11/"Delta " 11 p53+/- mice. Western blots on proteins extracted from the spleen of 1-month-old and 6-month-old mice detected higher levels of p53 in Brca111/11 p53+/- than in p53+/- mice . This observation suggests that p53 activation plays a role in premature aging of Brca111/11 p53+/- mice.g, 百拇医药
Brca1"Delta " 11/"Delta " 11 embryos show senescence and senescence-like growth defectsg, 百拇医药
We next investigated whether the embryonic lethality of Brca111/11 embryos is associated with senescence, a pivotal event in aging (Fossel 2000). We found that mutant embryos exhibit acidic -galactosidase activity, a characteristic marker of senescence (Dimri et al. 1995). Very strong X-gal staining patterns were found in mutant embryos at E16-E18 (Fig. 3A), especially in the tail and limbs , whereas weak staining was observed at E12-E15, and no staining was detected at E10-E11 (data not shown). These results indicate that the premature senescence occurred at late stages of embryonic development.
fig.ommittedo, 百拇医药
Figure 3. Senescence phenotypes in Brca111/11 embryos. (A-C) Photograph of acidic "beta " -galactosidase staining of Brca111/11 (Mt) and Brca1+/+ wild-type (Wt) E18 embryos. Strong staining was found in the tail (B) and limbs (C) of all tested mutant embryos (n = 6) that were E16.5 and older. (D,E) BrdU incorporation of Brca111/11 (D) and wild-type (E) E16 embryos in thoracic region. Mutant embryos contained fewer BrdU-positive cells than wild-type embryos. The boxed areas in D and E are shown in D` and E`. To provide a quantitative comparison, BrdU+ cells in comparable areas equivalent to the size shown in D` and E` in wild-type (n = 4) and mutant (n = 4) embryos were counted and subjected to the T-test. The average number of BrdU+ cells was 118 ± 11.9 cells/area and 88.5 ± 12.2 cells/area in wild-type and mutant, respectively (p " 0.017).o, 百拇医药
We demonstrated previously that the Brca111/11 embryos exhibited widespread apoptosis with significantly increased intensity in the central nervous system (Xu et al. 2001). This pattern of cell death is complementary to that revealed by acidic "beta " -galactosidase activity assays, which exhibited the highest levels on the ventral side of the mutant embryos and the lowest in the central nervous system. It is conceivable that senescence may represent a protection mechanism that puts cells into a quiescent state to avoid acute death. Therefore, we predict that the senescence that occurred in Brca1"Delta " 11/"Delta " 11 embryos might be related to the premature aging observed in adult Brca111/11 p53+/- mice.
Senescence is characterized in vitro by a spontaneous decline in growth rate and culmination of a terminal arrest in the G1 phase of the cell cycle (Noda et al. 1994; Atadja et al. 1995; Alcorta et al. 1996; Hara et al. 1996; Reznikoff et al. 1996; Serrano et al. 1997). Therefore, we investigated whether proliferation is affected in Brca111/11 embryos by BrdU incorporation assays. Examination of E16.5 embryos revealed significantly lower incorporation of BrdU in Brca111/11 embryos than in their littermates . Decreased cell proliferation, but less obvious than in E16.5 embryos, was also found in mutant embryos of E10.5-E13.5 (data not shown). These results suggested that the premature senescence observed in Brca111/11 embryos might result in the reduction of embryonic growth and could be responsible for the embryonic lethality arising from developmental defects.\7], 百拇医药
Brca111/11 MEF cells display premature senescence and senescence-like growth defect\7], 百拇医药
To study the molecular mechanisms underlying senescence in Brca111/11 embryos and aging in Brca111/11 p53+/- adult mice, we generated and characterized Brca111/11 MEF cells and monitored their replicative capacity. Our analysis confirmed our previous finding that Brca111/11 MEFs exhibited a stronger p53-mediated G1/S cell cycle checkpoint and proliferated significantly slower than wild-type controls (Xu et al. 2001). We also found that many Brca111/11 MEF cells displayed a flattened and enlarged senescence phenotypic morphology at early passages . With increases in passages, increasing number of cells displayed this morphology.
fig.ommitted-jp, 百拇医药
Figure 4. Senescence phenotypes in Brca111/11 MEF cells. Morphology (A,B) and X-gal staining (C,D) of passage 4 MEF cells. The mutant MEF cells show flattened and enlarged morphology (B) and strong staining of X-gal (D). (E) Percentage of senescent cells at each passages in Brca1+/+ MEF cells (closed squares) and Brca111/11 MEF cells (open squares). (F) Proliferation analysis of wild-type MEF cells (closed squares) and Brca111/11 MEF cells (open squares). (G) Expression analysis of p53, p21, p16, and p19, at passage 2 (P2), passage 3 (P3), and passage 5 (P5) cells.-jp, 百拇医药
To determine whether the flattened and enlarged MEF cells were in senescence, we checked the activity of acidic "beta " -galactosidase in these cells. Consistent with what was observed in embryos, Brca111/11 MEFs exhibited significantly stronger activity of senescence-associated "beta " -galactosidase than did control cells . Similar results were obtained in adult mutant skin fibroblasts (data not shown). Quantitative analysis indicated that the increased percentage of cells in senescence was inversely correlated with their growth rate as reflected by a dramatic decline in cell numbers . These results indicate that the Brca1"Delta " 11 mutation induces premature senescence and senescence-related growth defects in mutant cells and embryos. In addition, the Brca111/11 MEF cells also exhibited sensitivity to "gamma "
-irradiation and oxygen toxicity-induced senescence (data not shown).wi, http://www.100md.com
It has been shown that senescence is accompanied by the accumulation of p53, p21, p16, and/or p19 (Noda et al. 1994; Atadja et al. 1995; Alcorta et al. 1996; Hara et al. 1996; Reznikoff et al. 1996). To characterize the nature of the senescence and senescence-like growth arrest of Brca111/11 MEF cells, we examined the expression of these proteins in MEF cells from passages 1 through 5 by Western blot. The expression of p53 and p21 gradually increased in both wild-type and Brca1 mutant MEF cells with each passage . Notably, in Brca1 mutant cells, the increases of p53 and p21 were higher than those of wild-type cells, which is consistent with previous studies of p53 and p21 expression in Brca111/11 embryos (Xu et al. 2001). In contrast, expression of p16 and p19 was similar between mutant and wild-type cells, although the proteins increased with each passage . These observations suggest that the accumulation of p53 and/or its downstream mediator p21 may be responsible for the Brca1-associated premature senescence.
Senescence of Brca111/11 embryos and MEF cells is p53-dependent and partially p21-mediated}u8tdh+, http://www.100md.com
Next, we investigated whether p53 and p21 were indeed involved in the senescence observed in Brca111/11 embryos and MEF cells using a genetic approach. By crossing Brca1+/11 mice with p53- /- or p21- /- mice, we generated embryos and MEF cells with full ranges of combinations of Brca1 and p53 or Brca1 and p21 mutations. Our analysis revealed that Brca111/11 embryos exhibited low levels of activity of acidic -galactosidase in either p53+/- or p53- /- genetic backgrounds (data not shown). However, in cultured MEFs, only complete loss of p53 could overcome senescence and growth defects . Brca111/11 p53+/- MEFs still displayed senescence, slow proliferation, and high levels of activity of acidic -galactosidase, although to lesser extents than Brca111/11 p53+/+ MEFs data not shown). Although these observations indicate that the activation of p53 is indeed a primary cause for the senescence of Brca111/11 embryos and MEFs, they also point out a differential requirement of p53 dosages for the induction of senescence in vivo and in vitro.
fig.ommitted(^7, 百拇医药
Figure 5. Effects of p53 and p21 on senescence of Brca111/11 embryos and MEF cells. (A,B) Morphology and X-gal staining of passage 4 Brca111/11 MEF cells (A) and Brca111/11 p53- /- MEF cells (B). The Brca111/11 MEF cells showed a senescence-like morphology, and strong X-gal staining. (C,D) Photograph of X-gal staining of E18 embryos (C), and postnatal (P) day 1 pups (D). All Brca111/11 p21- /- pups died within 24 h after birth. (E) Percentages of senescent MEF cells at passage 1 (P1), passage 3 (P3), and passage 5 (P5). (F) Cell proliferation of MEF cells at passages 1-5.(^7, 百拇医药
P21 is a downstream mediator of p53 in cell cycle regulation (Brugarolas et al. 1995; Deng et al. 1995). Our analysis revealed that absence of p21 could rescue the senescence-like phenotype observed in Brca111/11 embryos as manifested by the absence of obvious activity of acidic "beta " -galactosidase in Brca111/11 p21- /- embryos . The Brca111/11 p21- /- embryos also survived significantly longer than Brca111/11 p21+/+ embryos; however, they all died within 24 h after birth for reasons presently unknown . Because Brca111/11p53- /- and Brca111/11 p53+/- embryos survive to adulthood, the prenatal lethality of Brca111/11 p21- /- embryos suggests that although the absence of p21 rescues the embryonic lethality caused by the Brca111 mutation, the postnatal development of Brca1"Delta " 11/"Delta " 11 mice may involve other p53-mediated pathways that are p21-independent.
fig.ommitted+0k@2|[, 百拇医药
Table 3. Offspring obtained from Br/+ p21+/- × Br/+ p21+/- crosses+0k@2|[, 百拇医药
Notably, we found that the absence of p21 in cultured MEF cells could only partially rescue senescence and growth defects at early passages (1~3;). At later passages (4 and 5), the growth of Brca111/11 p21- /- MEF cells significantly decreased, and showed senescence-like morphology and acidic -galactosidase activity at extents similar to those of Brca1"Delta " 11/"Delta " 11 p53+/- MEF cells. These observations provide evidence for the existence of a culture shock-induced senescence that cannot be overcome by the loss of p21 or haploid loss of p53.+0k@2|[, 百拇医药
Immortalized Brca111/11 MEF cells exhibited faster proliferation and more extensive genetic/molecular alterations than immortalized controls+0k@2|[, 百拇医药
Our data so far demonstrated that the Brca111 mutation results in premature aging at organism levels and cellular senescence characterized by decreased cell proliferation in mutant embryos and cultured MEF cells. This observation seems contradictory to the tumor-suppressor functions of Brca1. To provide further insights into this phenomenon, we studied the growth properties of Brca111/11 MEF cells. Our attempts to pass Brca111/11 MEF cells by the 3T3 protocol failed to produce immortalized cells because of their profound senescence phenotype, whereas wild-type MEF cells could routinely be immortalized by this protocol. However, when Brca111/11 MEF cells were left in culture dishes for 2 mo, some foci (colonies) started to form. We picked a dozen individual colonies and pooled the remaining colonies (n > 20) from both Brca111/11 and wild-type MEFs. We found that most colonies and the pooled cells could continue to grow and became immortalized. We next analyzed the proliferation capacity of these cells. Opposite to what was observed in primary MEF cells , the immortalized Brca111/11 cells grew faster than wild-type controls that were immortalized in the same fashion . For long-term study, we monitored the growth properties of one individually picked colony and one pooled cell line from Brca111/11 and control cells for >2 yr by continuously passing them every 3-4 d. Our data indicated that Brca111/11 MEF cells exhibited significantly increased proliferative capacity compared with controls when assayed at multiple time points .
fig.ommitted{y{3d0@, 百拇医药
Figure 6. Transformation and tumorigenesis of immortalized Brca111/11 MEF cells. (A) Cell proliferation analysis of immortalized Brca1+/+ (Wt) and Brca111/11 (Mt) MEF cells at early (E, 5-10 passages), mediate (M, ~50 passages), and later (L, >150 passages) passages after immortalization. (B) Expression of cyclin A (CyA), cyclin D1 (CyD1), and p53 in MEF cells at early and late passages. (C) p53 activity as reflected by p21 induction upon "gamma "{y{3d0@, 百拇医药
-irradiation of immortalized Brca111/11 MEF cells at early passages. (D,E) Chromosome spreads of immortalized Wt control (D) and Brca111/11 (E) MEF cells. Note that only parts of spreads are shown in order to highlight the short chromosomes (arrows) found in mutant cells. (F-K) Soft agar colony formation assay of immortalized Brca111/11 (F,H,J) and control (G,I,K) MEF cells at early (F,G), mediate (H,I), and late (J,K) passages, respectively. (L,M) Tumorigenicity assay of MEF cells at mediate passages in nude mice. Nude mice were tumor-free even 3 mo after injection of wild-type MEF cells (L), whereas tumors (arrows) were observed 3 wk after injection of Brca111/11 MEF cells (M).
Next, we examined expression of several cell cycle-related proteins by Western blots. We found that expression of cyclin D1 and cyclin A went up in both wild-type and Brca111/11 MEF cells at late passages, and the increase was greater in mutant cells than in wild-type cells . This is consistent with the observation that Brca1 mutant cells grew significantly faster than wild-type cells. Cells from all the colonies analyzed at late passages were negative for p53, and 2 of 3 colonies at early passages contained detectable p53 . To test if the detected p53 was functional, we irradiated cells from 10 mutant colonies of early passages (less than passage 10 after cloning) to examine their p53 functions. We found that only one colony , Brca111/11-2) had functional p53, as indicated by p53 and p21 induction upon irradiation, but all others had lost the wild-type p53 function ( data not shown). This observation suggests that, in principle, escaping senescence by Brca111/11 cells requires loss of p53 function. It was recently shown that frequent genomic changes occurred in cultured human mammary epithelial cells immerging from senescence (Romanov et al. 2001). We prepared and analyzed chromosome spreads from immortalized mutant and control cells. We found that 90% of mutant MEF cells had >80 chromosomes, whereas only 40% of the control cells had >80 chromosomes (data not shown). About 30% of mutant MEF cells also contained many short chromosomes , which were rarely observed in wild-type MEF cells . These observations may suggest that Brca1"Delta " 11/11 MEF cells escape senescence through clonal selection of cells, which contain more extensive genetic and molecular alterations than control cells.
Malignant transformation of immortalized Brca111/11 MEFs\%8ri], 百拇医药
The immortalized mutant MEF cells also showed loss of contact inhibition, reduced cell sizes and cell adhesion, as well as decreased response to apoptotic stimulation, including serum-free culture, H2O2, and doxorubicin treatment, which are hallmarks of transformed cells (data not shown). To further investigate the tumorigenicity of immortalized mutant MEF cells, we analyzed their foci formation properties in soft agar and tumorigenesis in nude mice. The mutant MEF cells at late passages exhibited malignant features as reflected by foci formation in soft agar and tumorigenesis in nude mice . In contrast, matched control MEFs showed much fewer and smaller colonies and failed to form tumors in nude mice . These observations indicate that immortalized Brca1 mutant MEFs have greater potential to become malignantly transformed than controls.\%8ri], 百拇医药
Discussion\%8ri], 百拇医药
In this study, we demonstrated that the impaired function of Brca1 in mouse causes senescence in mutant MEFs and embryos as well as premature aging in adult animals. We further demonstrated that the involvement of Brca1 in senescence and aging is dependent on wild-type functions of tumor suppressor p53. As the absence of p21, which mediates a p53-dependent G1-S cell cycle checkpoint (Brugarolas et al. 1995; Deng et al. 1995), could also rescue senescence in Brca111/11 embryos, we conclude that senescence is most likely caused by the activation of a p53-dependent cell cycle checkpoint that prevents cell proliferation.
Senescence is a phenotypic state that a cell adapts in response to a variety of stimuli, including DNA damage (Chen et al. 1995; von Zglinicki et al. 1995), telomere shortening (Harley et al. 1990; Allsopp et al. 1992), activation of oncogenes (Serrano et al. 1997; Zhu et al. 1998; Zindy et al. 1998), and the inappropriate activation of mitogenic signals (Lin et al. 1998). Consistently, expression changes of many genes involved in some of these processes, including Ras, Raf, E2F1, MEK, p53, p16, Rb, and telomerase, resulted in senescence in mutant MEF cells (for review, see Campisi 2001). Several previous investigations demonstrated that the absence of Brca1 resulted in defective DNA damage repair, abnormal G2-M cell cycle checkpoint, and centrosome duplication, all of which are essential for maintaining genetic stability (for review, see Deng and Brodie 2000). Thus, the cell senescence observed in Brca111/11 embryos and MEF cells is most likely triggered by genetic instability. The extensive chromosome alterations, both numeric and structural, found in Brca111/11 embryos and MEF cells (Xu et al. 1999b; this study) are consistent with this claim. Notably, we found that the increased expression of p53 and p21 was detected in E14.5 embryos (Xu et al. 2001) and P2 MEF cells, whereas high activity of "beta " -galactosidase only became obvious in E16.5 embryos and P3 MEF cells. Because increased levels of p53 and p21 are detected at stages prior to the onset of senescence, it is conceivable that p53 activation due to the accumulation of DNA damage, which in turn activates a p21-mediated cell cycle checkpoint, is a primary cause for the observed premature senescence.
Despite the fact that the removal of only one p53 allele enables Brca1 mutant embryos to bypass senescence and survive to adulthood, the Brca111/11 MEFs, however, require the removal of both p53 alleles to escape senescence, indicating a stronger activation of the p53 checkpoint in vitro than in vivo. Although this may reflect an intrinsic differential requirement of p53 dosage for the initiation of senescence, a number of factors need to be considered. The senescence observed in Brca111/11 embryos is mainly triggered by genetic instability due to the absence of Brca1, whereas senescence occurring in cultured Brca1"Delta " 11/"Delta " 11 MEFs may also be triggered by physiologic and environmental changes. An acute response of cells to this "culture shock" (Sherr and DePinho 2000) is the alteration of gene expression, including the up-regulation of p16, p19, p21, and p53 . This may provide a possible explanation for why p53 haploinsufficiency or absence of p21 fails to overcome senescence of Brca111/11 MEFs in culture.
Although p53 haploinsufficiency enables Brca111/11 p53+/- embryos to bypass senescence and survive to adulthood, it does not prevent them from prematurely aging, which is characterized by a progressive decline of functions of many organs, ultimately leading to aging-related diseases, tumorigenesis, and death. This is perhaps because of the fact that such a rescue is established on the relaxed G1-S checkpoint and attenuated apoptosis, which never corrects any deficiency caused by the Brca1 mutation. Therefore, the "rescue" enables mutant cells to propagate without being properly checked. Because of the important roles of Brca1 in DNA damage repair (Scully et al. 1997; Gowen et al. 1998; Moynahan et al. 1999), the proliferation of Brca111/11 p53+/- cells is expected to accumulate more and more DNA damage during the development and growth of the mutant animals. Thus, analogous to what was observed in the cultured Brca1"Delta " 11/"Delta " 11 p53+/- MEF cells, we hypothesize that the remaining wild-type allele of p53 in Brca111/11 p53+/- mice could be activated by the accumulation of DNA damage when they reach a threshold, leading to the initiation of cell senescence in vivo. When the number of senescent cells in organs reaches a critical level, these organs cannot function properly, which eventually results in a decreased life span. This explanation is consistent with many recent investigations, which demonstrated that mutations of genes that are involved in DNA damage repair could result in premature aging in both human and mouse (Vogel et al. 1999; DePinho 2000; Fossel 2000; Mohaghegh and Hickson 2001; de Boer et al. 2002).
Cell senescence has been considered as a mechanism to repress tumorigenesis, as it irreversibly arrests the growth of cells at risk of neoplastic transformation (Campisi 2001). An intriguing finding here is that Brca1 mutant MEFs exhibit both premature senescence and greater potential for malignant transformation. We found that mutant cells always underwent senescence earlier than controls, and were also more difficult to immortalize using the 3T3 procedure. However, once immortalized, the mutant cells proliferated faster and gradually exhibited many features often observed in malignantly transformed cells, that is, loss of contact inhibition, anchorage-independent growth (formation of colonies in soft agar), and tumorigenesis in nude mice. Concomitant to these phenotypic changes at the cellular level, mutant cells showed extensive genetic and molecular alterations as manifested by chromosomal changes and increased expression of cyclin A and cyclin D1 as well as the loss of p53. These observations suggest that cells escaping senescence may have gone through a selective process for mutations that promote cell proliferation. Such mutations, as they promote cell proliferation, are often associated with malignant transformation. This may account for the reason that both premature cell senescence and tumorigenesis occur in the same type of cells.
Of note, the phenotypes exhibited by Brca111/11 p53+/- mice are reminiscent of those observed in the late-generation (i.e., G6) telomerase knockout mice (Rudolph et al. 1999). This suggests that there is nothing unique about telomere malfunction that contributes to organismal aging, but that instability produced by many mechanisms can produce a similar phenotype. In the light of our finding, we propose that the genomic instability caused by the absence of Brca1 activates p53, which initiates multiple p53-dependent processes, including cell cycle arrest, senescence, and apoptosis, that result in embryonic lethality in mutant embryos . This physiologic response of p53 activation in Brca1 mutant MEF cells and mice should, in theory, prevent tumorigenesis as demonstrated recently by an activating mutation of p53, which results in aging and decreases in tumor formation (Tyner et al. 2002). However, the genetic instability triggered by the absence of Brca1 could mutate p53 and other genes and eventually lead to tumorigenesis. p53 mutation is emphasized in this model as we found that 9 out of 10 Brca1 mutant colonies emerging from senescence have lost p53 function, suggesting that this protein is a primary target during the selection process for growth advantages. Thus, our study provides an excellent example for the hypothesis that senescence could serve as a two-edged sword that suppresses tumorigenesis early in life but may have deleterious effects later, leading to aging and tumor formation (Wynford-Thomas 1999; Campisi 2000; Fossel 2000; Reddel 2000; Sharpless and DePinho 2002). The Brca111/11 p53+/- mice should serve as a good animal model for future aging and tumorigenesis studies.
fig.ommitted$df;]m, 百拇医药
Figure 7. A working model summarizing how the Brca1 deficiency causes cell senescence, premature aging, and tumorigenesis.$df;]m, 百拇医药
Materials and methods$df;]m, 百拇医药
Mice, MEF cells, immortalization, and analysis$df;]m, 百拇医药
Brca111/11 embryos, Brca111/11 p21- /- embryos, and Brca111/11 p53+/- mice were generated as described (Xu et al. 2001). The genetic background of these mice is 50% FVB, 25% 129, and 25% Black Swiss. MEF cells were derived from E14.5 embryos generated from intercrosses of Brca1+/1 p53+/- mice. Because of difficulties in immortalizing Brca111/11 MEF cells by the regular 3T3 protocol, we seeded 1 × 106 cells in a 10-cm dish and left them untouched (except for the medium change every 3 d) for 2 mo. We then picked individual colonies and passed them sequentially through 24-well, 12-well, 6-well, and 10-cm plates. For proliferation analysis, 5 × 104 wild-type and Brca111/11 MEF cells were plated on 6 wells in DMEM supplemented with 10% FBS. Cell numbers were counted every day for up to 6 d.
Cell senescence analysis\:/.@)?, http://www.100md.com
We plated 5 × 104 MEF cells in a 1-well FALCON culture slide (Becton Dickinson) for 3 d, and then processed them for acidic -galactosidase activity as described (Dimri et al. 1995). Staining for embryos was carried out at 37°C for 6-8 h.\:/.@)?, http://www.100md.com
Immunoblot analysis\:/.@)?, http://www.100md.com
Western blot analysis was accomplished according to standard procedures using ECL detection (Amersham). The following primary antibodies were used: p53 (Ab-7, Oncogene); p21WAF1 (Ab-6, Oncogene); p16 (M-156, Santa Cruz); p19ARF (NOVUS); Cyclin D1 (C-20, Santa Cruz); and Cyclin A (H-432, Santa Cruz). Horseradish peroxidase-conjugated donkey anti-rabbit or sheep anti-mouse antibodies (Amersham) were used as secondary antibodies.\:/.@)?, http://www.100md.com
Wound-healing experiments\:/.@)?, http://www.100md.com
Mice were anaesthetized with methoxyfluorane, and the dorsum was shaved and cleaned with alcohol. Four equidistant 1-cm full-thickness incisional wounds were made through the skin and panniculus carnosus muscle. Wounded skin specimens were collected at day 4 postwounding and were bisected for histology.
Bone X-ray imaging and histologic analysis1/?*c, 百拇医药
Mice were killed by CO2. The skin and the viscera were removed. Photographs were taken in an X-ray machine (Faxitron X-ray). We used an X-ray dose of 15 kV for 100 sec. For histologic analysis, bones were fixed in 4% paraformaldehyde at 4°C overnight and decalcified in 0.5 M EDTA/PBS. Decalcified tissues were dehydrated, embedded in wax, and sectioned using standard procedures.1/?*c, 百拇医药
BrdU labeling of embryos1/?*c, 百拇医药
BrdU labeling of the cells in the S phase of the cell cycle was performed as described. BrdU (100 mg/g of body weight) was injected i.p. into pregnant females at E16.5. The females were killed 2 h after injection; the embryos were fixed in 4% paraformaldehyde at 4°C overnight and processed for immunohistochemistry. The tissues were stained with BrdU staining bulk kit (ZYMED).1/?*c, 百拇医药
Colony formation in soft agar and tumorigenicity assay1/?*c, 百拇医药
For colony formation, 5 × 104 immortalized wild-type and Brca111/11 MEF cells were suspended in 0.3% agar (in DMEM supplemented with 10% FBS) and plated on 6-well plates containing a solidified bottom layer (0.5% agar in growth medium). For the tumorigenicity assay, 2 × 106 immortalized wild-type and Brca111/11 MEF cells were injected into 6-week-old female nude nice for 3 wk to 3 mo.
Acknowledgments}(8, 百拇医药
We thank R. Bachelier, W. Qiao, C. Li, R. Wang, X. Wang, and X. Xu for their technical assistance and critical discussion of this work.}(8, 百拇医药
The publication costs of this article were defrayed in part by payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734 solely to indicate this fact.}(8, 百拇医药
References}(8, 百拇医药
Alberg, A.J. and Helzlsouer, K.J. 1997. Epidemiology, prevention, and early detection of breast cancer. Curr. Opin. Oncol. 9: 505-511 .}(8, 百拇医药
Alcorta, D.A., Xiong, Y., Phelps, D., Hannon, G., Beach, D., and Barrett, J.C. 1996. Involvement of the cyclin-dependent kinase inhibitor p16INK4a in replicative senescence of normal human fibroblasts. Proc. Natl. Acad. Sci. 93: 13742-13747 .}(8, 百拇医药
Allsopp, R.C., Vaziri, H., Patterson, C., Goldstein, S., Younglai, E.V., Futcher, A.B., Greider, C.W., and Harley, C.B. 1992. Telomere length predicts replicative capacity of human fibroblasts. Proc. Natl. Acad. Sci. 89: 10114-10118 .
Atadja, P., Wong, H., Garkavtsev, I., Veillette, C., and Riabowol, K. 1995. Increased activity of p53 in senescing fibroblasts. Proc. Natl. Acad. Sci. 92: 8348-8352 .f, 百拇医药
Bachelier, R., Xu, X., Wang, X., Li, W., Naramura, M., Gu, H., and Deng, C.X. 2003. Normal lymphocyte development and thymic lymphoma formation in Brca1 exon 11-deficient mice. Oncogene (In Press).f, 百拇医药
Brody, L.C. and Biesecker, B.B. 1998. Breast cancer susceptibility genes. BRCA1 and BRCA2. Medicine (Baltimore) 77: 208-226 .f, 百拇医药
Brown, J.P., Wei, W., and Sedivy, J.M. 1997. Bypass of senescence after disruption of p21CIP1/WAF1 gene in normal diploid human fibroblasts. Science 277: 831-834 .f, 百拇医药
Brugarolas, J., Chandrasekaran, C., Gordon, J.I., Beach, D., Jacks, T., and Hannon, G.J. 1995. Radiation-induced cell cycle arrest compromised by p21 deficiency. Nature 377: 552-557 .f, 百拇医药
Campisi, J. 2000. Cancer, aging and cellular senescence. In Vivo 14: 183-188 .-----. 2001. Cellular senescence as a tumor-suppressor mechanism. Trends Cell Biol. 11: S27-S31 .
Chen, Q., Fischer, A., Reagan, J.D., Yan, L.J., and Ames, B.N. 1995. Oxidative DNA damage and senescence of human diploid fibroblast cells. Proc. Natl. Acad. Sci. 92: 4337-4341 .$alz7, 百拇医药
Chuttani, A. and Gilchrest, B.A. 1995. Aging. In Handbook of physiology (ed. E.J. Masoro). , Section 11, pp. 309-324. Oxford Univ. Press, New York.$alz7, 百拇医药
de Boer, J., Andressoo, J.O., de Wit, J., Huijmans, J., Beems, R.B., van Steeg, H., Weeda, G., van der Horst, G.T., van Leeuwen, W., Themmen, A.P. et al. 2002. Premature aging in mice deficient in DNA repair and transcription. Science 296: 1276-1279 .$alz7, 百拇医药
Deng, C.X. 2002. Tumor formation in Brca1 conditional mutant mice. Environ. Mol. Mutagen. 39: 171-177 .$alz7, 百拇医药
Deng, C.X. and Brodie, S.G. 2000. Roles of BRCA1 and its interacting proteins. Bioessays 22: 728-737 .$alz7, 百拇医药
Deng, C.X. and Scott, F. 2000. Role of the tumor suppressor gene Brca1 in genetic stability and mammary gland tumor formation. Oncogene 19: 1059-1064 .$alz7, 百拇医药
Deng, C., Zhang, P., Harper, J.W., Elledge, S.J., and Leder, P. 1995. Mice lacking p21CIP1/WAF1 undergo normal development, but are defective in G1 checkpoint control. Cell 82: 675-684 .
DePinho, R.A. 2000. The age of cancer. Nature 408: 248-254 .'8';), http://www.100md.com
Dimri, G.P., Lee, X., Basile, G., Acosta, M., Scott, G., Roskelley, C., Medrano, E.E., Linskens, M., Rubelj, I., Pereira-Smith, O. et al. 1995. A biomarker that identifies senescent human cells in culture and in aging skin in vivo. Proc. Natl. Acad. Sci. 92: 9363-9367 .'8';), http://www.100md.com
Donehower, L.A. 2002. Does p53 affect organismal aging? J. Cell Physiol. 192: 23-33 .'8';), http://www.100md.com
Fossel, M. 2000. Cell senescence in human aging: A review of the theory. In Vivo 14: 29-34 .'8';), http://www.100md.com
Gowen, L.C., Avrutskaya, A.V., Latour, A.M., Koller, B.H., and Leadon, S.A. 1998. BRCA1 required for transcription-coupled repair of oxidative DNA damage. Science 281: 1009-1012 .'8';), http://www.100md.com
Hakem, R., de la Pompa, J.L., Elia, A., Potter, J., and Mak, T.W. 1997. Partial rescue of Brca1 (5-6) early embryonic lethality by p53 or p21 null mutation. Nat. Genet. 16: 298-302 .'8';), http://www.100md.com
Hara, E., Smith, R., Parry, D., Tahara, H., Stone, S., and Peters, G. 1996. Regulation of p16CDKN2 expression and its implications for cell immortalization and senescence. Mol. Cell. Biol. 16: 859-867 .
Harley, C.B., Futcher, A.B., and Greider, C.W. 1990. Telomeres shorten during ageing of human fibroblasts. Nature 345: 458-460 .anup, 百拇医药
Hayflick, L. 1965. The limited in vitro lifetime of human diploid cell strains. Exp. Cell Res. 37: 614-636 .anup, 百拇医药
Kuro-o, M. 2001. Disease model: Human aging. Trends Mol. Med. 7: 179-181 .anup, 百拇医药
Kuro-o, M., Matsumura, Y., Aizawa, H., Kawaguchi, H., Suga, T., Utsugi, T., Ohyama, Y., Kurabayashi, M., Kaname, T., Kume, E. et al. 1997. Mutation of the mouse klotho gene leads to a syndrome resembling ageing. Nature 390: 45-51 .anup, 百拇医药
Kuschel, B., Gayther, S.A., Easton, D.F., Ponder, B.A., and Pharoah, P.D. 2001. Apparent human BRCA1 knockout caused by mispriming during polymerase chain reaction: Implications for genetic testing. Genes Chromosomes Cancer 31: 96-98 .anup, 百拇医药
Lin, A.W., Barradas, M., Stone, J.C., van Aelst, L., Serrano, M., and Lowe, S.W. 1998. Premature senescence involving p53 and p16 is activated in response to constitutive MEK/MAPK mitogenic signaling. Genes & Dev. 12: 3008-3019 .
Ludwig, T., Chapman, D.L., Papaioannou, V.E., and Efstratiadis, A. 1997. Targeted mutations of breast cancer susceptibility gene homologs in mice: Lethal phenotypes of Brca1, Brca2, Brca1/Brca2, Brca1/p53, and Brca2/p53 nullizygous embryos. Genes & Dev. 11: 1226-1241 .oq@3&gy, http://www.100md.com
Lundberg, A.S., Hahn, W.C., Gupta, P., and Weinberg, R.A. 2000. Genes involved in senescence and immortalization. Curr. Opin. Cell Biol. 12: 705-709 .oq@3&gy, http://www.100md.com
Miki, Y., Swensen, J., Shattuck-Eidens, D., Futreal, P.A., Harshman, K., Tavtigian, S., Liu, Q., Cochran, C., Bennett, L.M., Ding, W. et al. 1994. A strong candidate for the breast and ovarian cancer susceptibility gene BRCA1. Science 266: 66-71 .oq@3&gy, http://www.100md.com
Mohaghegh, P. and Hickson, I.D. 2001. DNA helicase deficiencies associated with cancer predisposition and premature ageing disorders. Hum. Mol. Genet. 10: 741-746 .oq@3&gy, http://www.100md.com
Moynahan, M.E., Chiu, J.W., Koller, B.H., and Jasin, M. 1999. Brca1 controls homology-directed DNA repair. Mol. Cell 4: 511-518 .oq@3&gy, http://www.100md.com
Noda, A., Ning, Y., Venable, S.F., Pereira-Smith, O.M., and Smith, J.R. 1994. Cloning of senescent cell-derived inhibitors of DNA synthesis using an expression screen. Exp. Cell Res. 211: 90-98 .
Paterson, J.W. 1998. BRCA1: A review of structure and putative functions. Dis. Markers 13: 261-274 .\#f99, http://www.100md.com
Rahman, N. and Stratton, M.R. 1998. The genetics of breast cancer susceptibility. Annu. Rev. Genet. 32: 95-121 .\#f99, http://www.100md.com
Reddel, R.R. 2000. The role of senescence and immortalization in carcinogenesis. Carcinogenesis 21: 477-484 .\#f99, http://www.100md.com
Reznikoff, C.A., Yeager, T.R., Belair, C.D., Savelieva, E., Puthenveettil, J.A., and Stadler, W.M. 1996. Elevated p16 at senescence and loss of p16 at immortalization in human papillomavirus 16 E6, but not E7, transformed human uroepithelial cells. Cancer Res. 56: 2886-2890 .\#f99, http://www.100md.com
Romanov, S.R., Kozakiewicz, B.K., Holst, C.R., Stampfer, M.R., Haupt, L.M., and Tlsty, T.D. 2001. Normal human mammary epithelial cells spontaneously escape senescence and acquire genomic changes. Nature 409: 633-637 .\#f99, http://www.100md.com
Rudolph, K.L., Chang, S., Lee, H.W., Blasco, M., Gottlieb, G.J., Greider, C., and DePinho, R.A. 1999. Longevity, stress response, and cancer in aging telomerase-deficient mice. Cell 96: 701-712 .
Sasaki, M., Kumazaki, T., Takano, H., Nishiyama, M., and Mitsui, Y. 2001. Senescent cells are resistant to death despite low Bcl-2 level. Mech. Ageing Dev. 122: 1695-1706 .|{w2-48, http://www.100md.com
Schuyer, M. and Berns, E.M. 1999. Is TP53 dysfunction required for BRCA1-associated carcinogenesis? Mol. Cell Endocrinol. 155: 143-152 .|{w2-48, http://www.100md.com
Scully, R. and Livingston, D.M. 2000. In search of the tumour-suppressor functions of BRCA1 and BRCA2. Nature 408: 429-432 .|{w2-48, http://www.100md.com
Scully, R., Chen, J., Plug, A., Xiao, Y., Weaver, D., Feunteun, J., Ashley, T., and Livingston, D.M. 1997. Association of BRCA1 with Rad51 in mitotic and meiotic cells. Cell 88: 265-275 .|{w2-48, http://www.100md.com
Serrano, M., Lin, A.W., McCurrach, M.E., Beach, D., and Lowe, S.W. 1997. Oncogenic ras provokes premature cell senescence associated with accumulation of p53 and p16INK4a. Cell 88: 593-602 .|{w2-48, http://www.100md.com
Sharpless, N.E. and DePinho, R.A. 2002. p53: Good cop/bad cop. Cell 110: 9-12 .|{w2-48, http://www.100md.com
Shen, S.X., Weaver, Z., Xu, X., Li, C., Weinstein, M., Chen, L., Guan, X.Y., Ried, T., and Deng, C.X. 1998. A targeted disruption of the murine Brca1 gene causes "gamma "
-irradiation hypersensitivity and genetic instability. Oncogene 17: 3115-3124 .4%mh, http://www.100md.com
Sherr, C.J. and DePinho, R.A. 2000. Cellular senescence: Mitotic clock or culture shock? Cell 102: 407-410 .4%mh, http://www.100md.com
Tyner, S.D., Venkatachalam, S., Choi, J., Jones, S., Ghebranious, N., Igelmann, H., Lu, X., Soron, G., Cooper, B., Brayton, C. et al. 2002. p53 mutant mice that display early ageing-associated phenotypes. Nature 415: 45-53 .4%mh, http://www.100md.com
Venkitaraman, A.R. 2002. Cancer susceptibility and the functions of BRCA1 and BRCA2. Cell 108: 171-182 .4%mh, http://www.100md.com
Vogel, H., Lim, D.S., Karsenty, G., Finegold, M., and Hasty, P. 1999. Deletion of Ku86 causes early onset of senescence in mice. Proc. Natl. Acad. Sci. 96: 10770-10775 .4%mh, http://www.100md.com
von Zglinicki, T., Saretzki, G., Docke, W., and Lotze, C. 1995. Mild hyperoxia shortens telomeres and inhibits proliferation of fibroblasts: A model for senescence? Exp. Cell Res. 220: 186-193 .4%mh, http://www.100md.com
Wynford-Thomas, D. 1999. Cellular senescence and cancer. J. Pathol. 187: 100-111 .
Xu, X., Wagner, K.U., Larson, D., Weaver, Z., Li, C., Ried, T., Hennighausen, L., Wynshaw-Boris, A., and Deng, C.X. 1999a. Conditional mutation of Brca1 in mammary epithelial cells results in blunted ductal morphogenesis and tumour formation. Nat. Genet. 22: 37-43 .5m, 百拇医药
Xu, X., Weaver, Z., Linke, S.P., Li, C., Gotay, J., Wang, X.W., Harris, C.C., Ried, T., and Deng, C.X. 1999b. Centrosome amplification and a defective G2-M cell cycle checkpoint induce genetic instability in BRCA1 exon 11 isoform-deficient cells. Mol. Cell 3: 389-395 .5m, 百拇医药
Xu, X., Qiao, W., Linke, S.P., Cao, L., Li, W.M., Furth, P.A., Harris, C.C., and Deng, C.X. 2001. Genetic interactions between tumor suppressors Brca1 and p53 in apoptosis, cell cycle and tumorigenesis. Nat. Genet. 28: 266-271 .5m, 百拇医药
Zheng, L., Li, S., Boyer, T.G., and Lee, W.H. 2000. Lessons learned from BRCA1 and BRCA2. Oncogene 19: 6159-6175 .5m, 百拇医药
Zhong, Q., Boyer, T.G., Chen, P.L., and Lee, W.H. 2002. Deficient nonhomologous end-joining activity in cell-free extracts from Brca1-null fibroblasts. Cancer Res. 62: 3966-3970 .5m, 百拇医药
Zhu, J., Woods, D., McMahon, M., and Bishop, J.M. 1998. Senescence of human fibroblasts induced by oncogenic Raf. Genes & Dev. 12: 2997-3007 .5m, 百拇医药
Zindy, F., Eischen, C.M., Randle, D.H., Kamijo, T., Cleveland, J.L., Sherr, C.J., and Roussel, M.F. 1998. Myc signaling via the ARF tumor suppressor regulates p53-dependent apoptosis and immortalization. Genes & Dev. 12: 2424-2433 .(Liu Cao Wenmei Li Sangsoo Kim Steven G. Brodie and Chu-Xia Deng)
ABSTRACT3r, http://www.100md.com
Senescence may function as a two-edged sword that brings unexpected consequences to organisms. Here we provide evidence to support this theory by showing that the absence of the Brca1 full-length isoform causes senescence in mutant embryos and cultured cells as well as aging and tumorigenesis in adult mice. Haploid loss of p53 overcame embryonic senescence but failed to prevent the adult mutant mice from prematurely aging, which included decreased life span, reduced body fat deposition, osteoporosis, skin atrophy, and decreased wound healing. We further demonstrate that mutant cells that escaped senescence had undergone clonal selection for faster proliferation and extensive genetic/molecular alterations, including overexpression of cyclin D1 and cyclin A and loss of p53. These observations provide the first in vivo evidence that links cell senescence to aging due to impaired function of Brca1 at the expense of tumorigenesis.
[Key Words: p53; p21; senescence; aging; tumorigenesis]xed, 百拇医药
Introductionxed, 百拇医药
Senescence is considered the final phenotypic state displayed by cells in response to several distinct cellular physiologic processes, including DNA replication (Hayflick 1965), oncogene activation (Serrano et al. 1997; Zhu et al. 1998; Zindy et al. 1998), and oxidative damage (Chen et al. 1995; von Zglinicki et al. 1995). This physiologic response appears to trigger growth inhibition via activation of the tumor suppressor p53, which consequently up-regulates cyclin-dependent kinase (CDK) inhibitors p21, p19, and p16 (Brown et al. 1997; Lundberg et al. 2000). Senescent cells have a large, flat morphology and high acidic -galactosidase enzymatic activity and are accompanied by profound growth defects (Dimri et al. 1995). Because senescence prevents cell proliferation, it is considered as a mechanism to suppress tumorigenesis (for review, see Campisi 2001). On the other hand, senescence may render cells resistant to apoptosis (Sasaki et al. 2001) and may also allow cells to undergo clonal selection for mutations, as it was shown recently that high-frequency genomic changes were detected in cultured human mammary epithelial cells when they emerged from senescence (Romanov et al. 2001). The accumulated DNA damage could lead to the inactivation of p53, and/or p16, rendering growth advantages to the cells. This, in turn, would allow further cellular changes, leading to immortalization and malignant transformation. Thus, it has been hypothesized that senescence may protect organisms from cancers while young, but promote carcinogenesis in later life (for reviews, see Wynford-Thomas 1999; Campisi 2000, 2001; Fossel 2000; Reddel 2000).
Most combined familial breast and ovarian cancers and ~40% of familial breast cancer cases have been linked to mutations in the breast-cancer-associated gene 1 (BRCA1; Miki et al. 1994; Alberg and Helzlsouer 1997; Brody and Biesecker 1998; Paterson 1998; Rahman and Stratton 1998). In mouse, loss-of-function mutations of Brca1 result in embryonic lethality that is accompanied by pleiotropic effects, including growth retardation, apoptosis, defective DNA damage repair, centrosome amplification, loss of G2/M cell cycle checkpoint, and genetic instability (Deng and Scott 2000; Scully and Livingston 2000; Zheng et al. 2000; Venkitaraman 2002). In mutant mice where Brca1 is specifically disrupted in mammary epithelial cells, tumorigenesis requires long latency and is also associated with retarded ductal development, apoptosis, and chromosome abnormality (Xu et al. 1999a). Although these observations indicate that BRCA1 may play important roles in multiple biological processes, it raises questions about potential mechanisms through which BRCA1 represses tumor formation. In particular, how can BRCA1 mutations result in breast cancer if mutant cells fail to grow?
Investigations on the genetic interactions between Brca1 and p53 revealed that pleiotrophic phenotypes in Brca1 mutant mice are, at least in part, caused by deleterious effects of p53 activation. It has been shown that Brca1-null mutant embryos died at embryonic day 7-8 (E7-E8), and the embryonic lethality could be rescued partially by p53 or p21 deficiency (Hakem et al. 1997; Ludwig et al. 1997; Shen et al. 1998). Studying mutant embryos carrying a hypomorphic mutation of Brca1 (Brca111/11), we showed that haploid loss of p53 could completely rescue embryonic lethality (Xu et al. 2001). The absence of p53 was found to relax cell cycle control and decrease apoptosis. Therefore the mutant cells could survive and proliferate, leading to tumorigenesis (Xu et al. 2001). Consistently, it was found that BRCA1 familial breast cancer tumors contain significantly higher rates of p53 mutations than do sporadic cancers (Schuyer and Berns 1999).?[, 百拇医药
Activation of p53 also causes premature aging, which is characterized by the age-related deterioration of physiological functions necessary for the survival of an organism (Donehower 2002; Tyner et al. 2002). Aging happens to all organisms and, because of its complexity, very little is known about the underlying molecular mechanism. Recent studies indicate that proteins involved in DNA damage repair play an essential role in life-span determination, as a number of mouse mutants carrying targeted disruption of genes involving in DNA damage repair exhibit premature aging (Vogel et al. 1999; DePinho 2000; Kuro-o 2001; Mohaghegh and Hickson 2001; de Boer et al. 2002). Considering a role of BRCA1 in DNA damage repair and its extensive interactions with p53 (Scully et al. 1997; Gowen et al. 1998; Moynahan et al. 1999 Xu et al. 2001; Zhong et al. 2002), we hypothesize that Brca1 may also play a role in aging. Because human BRCA1 homozygous mutation carriers are not viable (Kuschel et al. 2001) and Brca1-null mutations in mouse result in embryonic lethality (for review, see Deng 2002), a link between BRCA1 and organismal aging processes has not been established. The survival of Brca111/11 p53+/- mice provides an opportunity to address this issue.
In this study, we show that the Brca1"Delta " 11 deficiency triggers physiologic and pathologic responses, which are manifested as p53-dependent, p21-associated senescence at the cellular level and premature aging at the organismal level. We demonstrate that senescence, although limiting Brca111/11 cell proliferation, allows the cells to undergo clonal expansion and immortalization at the expense of genetic stability. The immortalized mutant cells also exhibit overexpression of cyclin A and cyclin D1, loss of p53, increased proliferation, and ultimately undergo malignant transformation.4p, 百拇医药
Results4p, 百拇医药
Brca111/11 p53+/- mice exhibit aging phenotypes4p, 百拇医药
Brca111/11 p53+/- mice survive to adulthood, and female mice develop mammary tumors, ovarian tumors, and/or lymphoma before 12 mo of age (Xu et al. 2001). As Brca111/11 p53+/- male mice usually do not develop mammary tumors, we have followed a cohort of mutant male mice and found that the majority of them also died within 1 yr of age. Our analysis indicated that ~30% of mice developed lymphoma and died before they were 7 mo old (Bachelier et al. 2003). Starting from 8 mo of age, the majority of mutant mice, although tumor-free, exhibited a variety of phenotypes usually found in aging mice and died from aging-related mortality . Compared with littermates or age-matched control (p53+/- ) mice, Brca111/11 p53+/- mice were smaller and had lower body weights . The differences became more profound with increasing ages of animals . We found that ~80% of mutant mice exhibited kyphosis at varying severity . All the mutant mice were thin with very little fat . By radiographic analysis, 70% of the mutant mice exhibited osteoporosis, as reflected by decreased bone radiodensity. Histologic analysis confirmed a decrease in the thickness of cortical bone and bone loss in trabecular bones relative to controls
fig.ommitted&|, 百拇医药
Table 1. Aging-related changes and tumorigenesis in p53+/- and Brca111/11 p53+/- mice&|, 百拇医药
fig.ommitted&|, 百拇医药
Figure 1. Aging-related phenotypes in Brca111/11 p53+/- mice. (A) Photograph of 3-month-old p53+/- (all p53+/- mice are wild type for Brca1 and are simply referred to as Wt) and Brca111/11 p53+/- (Mt) male mice. (B) Body weights of p53+/- and Brca111/11 p53+/- mice (including both male and female, n = 65). Photograph of 8-month-old p53+/- (C) and Brca111/11 p53+/- (D) female mice. (E) X-Ray radiograph of an 8-month-old Brca111/11 p53+/- male mouse showing kyphosis (5 out of 18 mice examined exhibited this phenotype). (F) Photograph of 8-month-old female mouse, showing that all examined mutant mice (n > 10) have less fat (arrows). (G) Long-bone radiograph of 9-month-old p53+/- and Brca111/11 p53+/- mice; 18 out of 25 mutant mice examined showed decreased bone density. (H-K) Haematoxylin-eosin staining section of 10-month-old p53+/- (H,I) and Brca111/11 p53+/- (J,K) female mice. The mutant mice exhibited decreased bone density (G), thinner cortical bone (J), and reduced trabecular bones (K). Most mice were tumor-free at the time when they were analyzed.
Reduced dermal thickness and subcutaneous adipose tissue is often associated with human aging. Histologic examinations of skin of 8-mo and older mutant mice revealed a reduction in the thickness of dermis and fat layer compared with age-matched control mice . No obvious skin changes were found in mutant mice at younger age (data not shown). Some older mutant mice also displayed unhealthy hair growth patterns (data not shown) and chronic skin lesions, perhaps caused by unhealed wounds from fighting (data not shown). These abnormalities are usually observed in naturally or genetically engineered aging mice (Chuttani and Gilchrest 1995; Kuro-o et al. 1997; Rudolph et al. 1999; Vogel et al. 1999; Tyner et al. 2002). Aging is also associated with decreased hair regeneration and a reduced capacity to respond to stresses such as wound healing. To see if this is the case, we performed hair regeneration and wound-healing studies. We found that the mutant mice showed impaired hair regeneration (data not shown) and delayed wound repair compared with control mice Histologic examinations of the wounds revealed a reduction in re-epithelialization from the wound edge in mutant mice compared with control mice . During the wounding experiment, some older mutant mice died, suggesting that the mutant mice had a reduced ability to tolerate the stress. Some aging mice (six males and four females) were also found dead without any apparent cause that would result in death . In addition to the targeted organ analysis, three male mutant mice at 6.5, 8, and 9.5 mo old were subjected to necropsy study. This analysis revealed more extensive abnormalities in multiorgan/tissue systems in the 9.5-month-old animal than the younger ones . This observation is consistent with a view that aging is characterized by a progressive decline of functions of many organs, ultimately leading to death.
fig.ommitted60z?f#0, 百拇医药
Figure 2. Skin-aging phenotypes in Brca111/11 p53+/- mice. (A,B) Haematoxylin-eosin-stained section of 8-month-old p53+/- (A) and Brca111/11 p53+/- (B) mice. The thickness of the dermal layer (d) and subcutaneous fat (f) is reduced in mutant mice. (C,D) Quantitative measurement of thickness of dermal layer (C) and fat layer (D; n = 14). (E,F) Haematoxylin-eosin-stained section at day 4 postwounding in 8-month-old p53+/- (E) and Brca111/11 p53+/- (F) female mice. Epithelialization is visible in control mice, but this process is delayed in mutant mice (arrow in F`). (G) Comparison of wound healing in 11-month-old p53+/- and Brca111/11 p53+/- male mice (data were summarized from 12 wounds in 4 mutant mice and 12 wounds in 4 control mice). (H) Western blot analysis of p53 expression in 1-month-old (1M) and 6-month-old (6M) p53+/- and Brca111/11 p53+/- mice. Protein extracts (50 µg/lane) from spleen were used for the assay. Three mutant and three control mice are shown at each time point.
fig.ommittedstr, 百拇医药
Table 2. Necropsy of Brca1 mutant mice at 6.5, 8, and 9.5 mostr, 百拇医药
We also examined female Brca1"Delta " 11/"Delta " 11 p53+/- mice and found that 13 out of 14 mice examined exhibited similar aging phenotypes when they were >8 mo old. Of note, we found that Brca111/11 p53+/- female mice were prone to tumorigenesis. In addition to mammary tumor formation, which is specific to females, 6 out of 19 developed tumors in other organs, including lung, liver, spleen, bone, thymus, and brain . The high incidence of tumorigenesis raises a possibility that premature aging in the Brca1 mutant female mice is secondary to tumor-associated cachexia. However, our analysis of these tumors indicated that five tumors (except for one brain tumor) were small (<1 cm in diameter), whereas the animals already showed pronounced aging phenotypes. In addition, our study of Brca1Co/Co MMTV-Crep53+/- female mice, all of which developed mammary tumors within 1 yr of age (Xu et al. 1999b), did not detect premature aging. These observations provide compelling evidence that impaired Brca1 function also caused premature aging of female mice.
Recently, it was shown that activation of p53 results in premature aging in mouse (Tyner et al. 2002). Because the genetic instability associated with the Brca1 mutation could cause p53 activation, we were interested in determining p53 levels in Brca1"Delta " 11/"Delta " 11 p53+/- mice. Western blots on proteins extracted from the spleen of 1-month-old and 6-month-old mice detected higher levels of p53 in Brca111/11 p53+/- than in p53+/- mice . This observation suggests that p53 activation plays a role in premature aging of Brca111/11 p53+/- mice.g, 百拇医药
Brca1"Delta " 11/"Delta " 11 embryos show senescence and senescence-like growth defectsg, 百拇医药
We next investigated whether the embryonic lethality of Brca111/11 embryos is associated with senescence, a pivotal event in aging (Fossel 2000). We found that mutant embryos exhibit acidic -galactosidase activity, a characteristic marker of senescence (Dimri et al. 1995). Very strong X-gal staining patterns were found in mutant embryos at E16-E18 (Fig. 3A), especially in the tail and limbs , whereas weak staining was observed at E12-E15, and no staining was detected at E10-E11 (data not shown). These results indicate that the premature senescence occurred at late stages of embryonic development.
fig.ommittedo, 百拇医药
Figure 3. Senescence phenotypes in Brca111/11 embryos. (A-C) Photograph of acidic "beta " -galactosidase staining of Brca111/11 (Mt) and Brca1+/+ wild-type (Wt) E18 embryos. Strong staining was found in the tail (B) and limbs (C) of all tested mutant embryos (n = 6) that were E16.5 and older. (D,E) BrdU incorporation of Brca111/11 (D) and wild-type (E) E16 embryos in thoracic region. Mutant embryos contained fewer BrdU-positive cells than wild-type embryos. The boxed areas in D and E are shown in D` and E`. To provide a quantitative comparison, BrdU+ cells in comparable areas equivalent to the size shown in D` and E` in wild-type (n = 4) and mutant (n = 4) embryos were counted and subjected to the T-test. The average number of BrdU+ cells was 118 ± 11.9 cells/area and 88.5 ± 12.2 cells/area in wild-type and mutant, respectively (p " 0.017).o, 百拇医药
We demonstrated previously that the Brca111/11 embryos exhibited widespread apoptosis with significantly increased intensity in the central nervous system (Xu et al. 2001). This pattern of cell death is complementary to that revealed by acidic "beta " -galactosidase activity assays, which exhibited the highest levels on the ventral side of the mutant embryos and the lowest in the central nervous system. It is conceivable that senescence may represent a protection mechanism that puts cells into a quiescent state to avoid acute death. Therefore, we predict that the senescence that occurred in Brca1"Delta " 11/"Delta " 11 embryos might be related to the premature aging observed in adult Brca111/11 p53+/- mice.
Senescence is characterized in vitro by a spontaneous decline in growth rate and culmination of a terminal arrest in the G1 phase of the cell cycle (Noda et al. 1994; Atadja et al. 1995; Alcorta et al. 1996; Hara et al. 1996; Reznikoff et al. 1996; Serrano et al. 1997). Therefore, we investigated whether proliferation is affected in Brca111/11 embryos by BrdU incorporation assays. Examination of E16.5 embryos revealed significantly lower incorporation of BrdU in Brca111/11 embryos than in their littermates . Decreased cell proliferation, but less obvious than in E16.5 embryos, was also found in mutant embryos of E10.5-E13.5 (data not shown). These results suggested that the premature senescence observed in Brca111/11 embryos might result in the reduction of embryonic growth and could be responsible for the embryonic lethality arising from developmental defects.\7], 百拇医药
Brca111/11 MEF cells display premature senescence and senescence-like growth defect\7], 百拇医药
To study the molecular mechanisms underlying senescence in Brca111/11 embryos and aging in Brca111/11 p53+/- adult mice, we generated and characterized Brca111/11 MEF cells and monitored their replicative capacity. Our analysis confirmed our previous finding that Brca111/11 MEFs exhibited a stronger p53-mediated G1/S cell cycle checkpoint and proliferated significantly slower than wild-type controls (Xu et al. 2001). We also found that many Brca111/11 MEF cells displayed a flattened and enlarged senescence phenotypic morphology at early passages . With increases in passages, increasing number of cells displayed this morphology.
fig.ommitted-jp, 百拇医药
Figure 4. Senescence phenotypes in Brca111/11 MEF cells. Morphology (A,B) and X-gal staining (C,D) of passage 4 MEF cells. The mutant MEF cells show flattened and enlarged morphology (B) and strong staining of X-gal (D). (E) Percentage of senescent cells at each passages in Brca1+/+ MEF cells (closed squares) and Brca111/11 MEF cells (open squares). (F) Proliferation analysis of wild-type MEF cells (closed squares) and Brca111/11 MEF cells (open squares). (G) Expression analysis of p53, p21, p16, and p19, at passage 2 (P2), passage 3 (P3), and passage 5 (P5) cells.-jp, 百拇医药
To determine whether the flattened and enlarged MEF cells were in senescence, we checked the activity of acidic "beta " -galactosidase in these cells. Consistent with what was observed in embryos, Brca111/11 MEFs exhibited significantly stronger activity of senescence-associated "beta " -galactosidase than did control cells . Similar results were obtained in adult mutant skin fibroblasts (data not shown). Quantitative analysis indicated that the increased percentage of cells in senescence was inversely correlated with their growth rate as reflected by a dramatic decline in cell numbers . These results indicate that the Brca1"Delta " 11 mutation induces premature senescence and senescence-related growth defects in mutant cells and embryos. In addition, the Brca111/11 MEF cells also exhibited sensitivity to "gamma "
-irradiation and oxygen toxicity-induced senescence (data not shown).wi, http://www.100md.com
It has been shown that senescence is accompanied by the accumulation of p53, p21, p16, and/or p19 (Noda et al. 1994; Atadja et al. 1995; Alcorta et al. 1996; Hara et al. 1996; Reznikoff et al. 1996). To characterize the nature of the senescence and senescence-like growth arrest of Brca111/11 MEF cells, we examined the expression of these proteins in MEF cells from passages 1 through 5 by Western blot. The expression of p53 and p21 gradually increased in both wild-type and Brca1 mutant MEF cells with each passage . Notably, in Brca1 mutant cells, the increases of p53 and p21 were higher than those of wild-type cells, which is consistent with previous studies of p53 and p21 expression in Brca111/11 embryos (Xu et al. 2001). In contrast, expression of p16 and p19 was similar between mutant and wild-type cells, although the proteins increased with each passage . These observations suggest that the accumulation of p53 and/or its downstream mediator p21 may be responsible for the Brca1-associated premature senescence.
Senescence of Brca111/11 embryos and MEF cells is p53-dependent and partially p21-mediated}u8tdh+, http://www.100md.com
Next, we investigated whether p53 and p21 were indeed involved in the senescence observed in Brca111/11 embryos and MEF cells using a genetic approach. By crossing Brca1+/11 mice with p53- /- or p21- /- mice, we generated embryos and MEF cells with full ranges of combinations of Brca1 and p53 or Brca1 and p21 mutations. Our analysis revealed that Brca111/11 embryos exhibited low levels of activity of acidic -galactosidase in either p53+/- or p53- /- genetic backgrounds (data not shown). However, in cultured MEFs, only complete loss of p53 could overcome senescence and growth defects . Brca111/11 p53+/- MEFs still displayed senescence, slow proliferation, and high levels of activity of acidic -galactosidase, although to lesser extents than Brca111/11 p53+/+ MEFs data not shown). Although these observations indicate that the activation of p53 is indeed a primary cause for the senescence of Brca111/11 embryos and MEFs, they also point out a differential requirement of p53 dosages for the induction of senescence in vivo and in vitro.
fig.ommitted(^7, 百拇医药
Figure 5. Effects of p53 and p21 on senescence of Brca111/11 embryos and MEF cells. (A,B) Morphology and X-gal staining of passage 4 Brca111/11 MEF cells (A) and Brca111/11 p53- /- MEF cells (B). The Brca111/11 MEF cells showed a senescence-like morphology, and strong X-gal staining. (C,D) Photograph of X-gal staining of E18 embryos (C), and postnatal (P) day 1 pups (D). All Brca111/11 p21- /- pups died within 24 h after birth. (E) Percentages of senescent MEF cells at passage 1 (P1), passage 3 (P3), and passage 5 (P5). (F) Cell proliferation of MEF cells at passages 1-5.(^7, 百拇医药
P21 is a downstream mediator of p53 in cell cycle regulation (Brugarolas et al. 1995; Deng et al. 1995). Our analysis revealed that absence of p21 could rescue the senescence-like phenotype observed in Brca111/11 embryos as manifested by the absence of obvious activity of acidic "beta " -galactosidase in Brca111/11 p21- /- embryos . The Brca111/11 p21- /- embryos also survived significantly longer than Brca111/11 p21+/+ embryos; however, they all died within 24 h after birth for reasons presently unknown . Because Brca111/11p53- /- and Brca111/11 p53+/- embryos survive to adulthood, the prenatal lethality of Brca111/11 p21- /- embryos suggests that although the absence of p21 rescues the embryonic lethality caused by the Brca111 mutation, the postnatal development of Brca1"Delta " 11/"Delta " 11 mice may involve other p53-mediated pathways that are p21-independent.
fig.ommitted+0k@2|[, 百拇医药
Table 3. Offspring obtained from Br/+ p21+/- × Br/+ p21+/- crosses+0k@2|[, 百拇医药
Notably, we found that the absence of p21 in cultured MEF cells could only partially rescue senescence and growth defects at early passages (1~3;). At later passages (4 and 5), the growth of Brca111/11 p21- /- MEF cells significantly decreased, and showed senescence-like morphology and acidic -galactosidase activity at extents similar to those of Brca1"Delta " 11/"Delta " 11 p53+/- MEF cells. These observations provide evidence for the existence of a culture shock-induced senescence that cannot be overcome by the loss of p21 or haploid loss of p53.+0k@2|[, 百拇医药
Immortalized Brca111/11 MEF cells exhibited faster proliferation and more extensive genetic/molecular alterations than immortalized controls+0k@2|[, 百拇医药
Our data so far demonstrated that the Brca111 mutation results in premature aging at organism levels and cellular senescence characterized by decreased cell proliferation in mutant embryos and cultured MEF cells. This observation seems contradictory to the tumor-suppressor functions of Brca1. To provide further insights into this phenomenon, we studied the growth properties of Brca111/11 MEF cells. Our attempts to pass Brca111/11 MEF cells by the 3T3 protocol failed to produce immortalized cells because of their profound senescence phenotype, whereas wild-type MEF cells could routinely be immortalized by this protocol. However, when Brca111/11 MEF cells were left in culture dishes for 2 mo, some foci (colonies) started to form. We picked a dozen individual colonies and pooled the remaining colonies (n > 20) from both Brca111/11 and wild-type MEFs. We found that most colonies and the pooled cells could continue to grow and became immortalized. We next analyzed the proliferation capacity of these cells. Opposite to what was observed in primary MEF cells , the immortalized Brca111/11 cells grew faster than wild-type controls that were immortalized in the same fashion . For long-term study, we monitored the growth properties of one individually picked colony and one pooled cell line from Brca111/11 and control cells for >2 yr by continuously passing them every 3-4 d. Our data indicated that Brca111/11 MEF cells exhibited significantly increased proliferative capacity compared with controls when assayed at multiple time points .
fig.ommitted{y{3d0@, 百拇医药
Figure 6. Transformation and tumorigenesis of immortalized Brca111/11 MEF cells. (A) Cell proliferation analysis of immortalized Brca1+/+ (Wt) and Brca111/11 (Mt) MEF cells at early (E, 5-10 passages), mediate (M, ~50 passages), and later (L, >150 passages) passages after immortalization. (B) Expression of cyclin A (CyA), cyclin D1 (CyD1), and p53 in MEF cells at early and late passages. (C) p53 activity as reflected by p21 induction upon "gamma "{y{3d0@, 百拇医药
-irradiation of immortalized Brca111/11 MEF cells at early passages. (D,E) Chromosome spreads of immortalized Wt control (D) and Brca111/11 (E) MEF cells. Note that only parts of spreads are shown in order to highlight the short chromosomes (arrows) found in mutant cells. (F-K) Soft agar colony formation assay of immortalized Brca111/11 (F,H,J) and control (G,I,K) MEF cells at early (F,G), mediate (H,I), and late (J,K) passages, respectively. (L,M) Tumorigenicity assay of MEF cells at mediate passages in nude mice. Nude mice were tumor-free even 3 mo after injection of wild-type MEF cells (L), whereas tumors (arrows) were observed 3 wk after injection of Brca111/11 MEF cells (M).
Next, we examined expression of several cell cycle-related proteins by Western blots. We found that expression of cyclin D1 and cyclin A went up in both wild-type and Brca111/11 MEF cells at late passages, and the increase was greater in mutant cells than in wild-type cells . This is consistent with the observation that Brca1 mutant cells grew significantly faster than wild-type cells. Cells from all the colonies analyzed at late passages were negative for p53, and 2 of 3 colonies at early passages contained detectable p53 . To test if the detected p53 was functional, we irradiated cells from 10 mutant colonies of early passages (less than passage 10 after cloning) to examine their p53 functions. We found that only one colony , Brca111/11-2) had functional p53, as indicated by p53 and p21 induction upon irradiation, but all others had lost the wild-type p53 function ( data not shown). This observation suggests that, in principle, escaping senescence by Brca111/11 cells requires loss of p53 function. It was recently shown that frequent genomic changes occurred in cultured human mammary epithelial cells immerging from senescence (Romanov et al. 2001). We prepared and analyzed chromosome spreads from immortalized mutant and control cells. We found that 90% of mutant MEF cells had >80 chromosomes, whereas only 40% of the control cells had >80 chromosomes (data not shown). About 30% of mutant MEF cells also contained many short chromosomes , which were rarely observed in wild-type MEF cells . These observations may suggest that Brca1"Delta " 11/11 MEF cells escape senescence through clonal selection of cells, which contain more extensive genetic and molecular alterations than control cells.
Malignant transformation of immortalized Brca111/11 MEFs\%8ri], 百拇医药
The immortalized mutant MEF cells also showed loss of contact inhibition, reduced cell sizes and cell adhesion, as well as decreased response to apoptotic stimulation, including serum-free culture, H2O2, and doxorubicin treatment, which are hallmarks of transformed cells (data not shown). To further investigate the tumorigenicity of immortalized mutant MEF cells, we analyzed their foci formation properties in soft agar and tumorigenesis in nude mice. The mutant MEF cells at late passages exhibited malignant features as reflected by foci formation in soft agar and tumorigenesis in nude mice . In contrast, matched control MEFs showed much fewer and smaller colonies and failed to form tumors in nude mice . These observations indicate that immortalized Brca1 mutant MEFs have greater potential to become malignantly transformed than controls.\%8ri], 百拇医药
Discussion\%8ri], 百拇医药
In this study, we demonstrated that the impaired function of Brca1 in mouse causes senescence in mutant MEFs and embryos as well as premature aging in adult animals. We further demonstrated that the involvement of Brca1 in senescence and aging is dependent on wild-type functions of tumor suppressor p53. As the absence of p21, which mediates a p53-dependent G1-S cell cycle checkpoint (Brugarolas et al. 1995; Deng et al. 1995), could also rescue senescence in Brca111/11 embryos, we conclude that senescence is most likely caused by the activation of a p53-dependent cell cycle checkpoint that prevents cell proliferation.
Senescence is a phenotypic state that a cell adapts in response to a variety of stimuli, including DNA damage (Chen et al. 1995; von Zglinicki et al. 1995), telomere shortening (Harley et al. 1990; Allsopp et al. 1992), activation of oncogenes (Serrano et al. 1997; Zhu et al. 1998; Zindy et al. 1998), and the inappropriate activation of mitogenic signals (Lin et al. 1998). Consistently, expression changes of many genes involved in some of these processes, including Ras, Raf, E2F1, MEK, p53, p16, Rb, and telomerase, resulted in senescence in mutant MEF cells (for review, see Campisi 2001). Several previous investigations demonstrated that the absence of Brca1 resulted in defective DNA damage repair, abnormal G2-M cell cycle checkpoint, and centrosome duplication, all of which are essential for maintaining genetic stability (for review, see Deng and Brodie 2000). Thus, the cell senescence observed in Brca111/11 embryos and MEF cells is most likely triggered by genetic instability. The extensive chromosome alterations, both numeric and structural, found in Brca111/11 embryos and MEF cells (Xu et al. 1999b; this study) are consistent with this claim. Notably, we found that the increased expression of p53 and p21 was detected in E14.5 embryos (Xu et al. 2001) and P2 MEF cells, whereas high activity of "beta " -galactosidase only became obvious in E16.5 embryos and P3 MEF cells. Because increased levels of p53 and p21 are detected at stages prior to the onset of senescence, it is conceivable that p53 activation due to the accumulation of DNA damage, which in turn activates a p21-mediated cell cycle checkpoint, is a primary cause for the observed premature senescence.
Despite the fact that the removal of only one p53 allele enables Brca1 mutant embryos to bypass senescence and survive to adulthood, the Brca111/11 MEFs, however, require the removal of both p53 alleles to escape senescence, indicating a stronger activation of the p53 checkpoint in vitro than in vivo. Although this may reflect an intrinsic differential requirement of p53 dosage for the initiation of senescence, a number of factors need to be considered. The senescence observed in Brca111/11 embryos is mainly triggered by genetic instability due to the absence of Brca1, whereas senescence occurring in cultured Brca1"Delta " 11/"Delta " 11 MEFs may also be triggered by physiologic and environmental changes. An acute response of cells to this "culture shock" (Sherr and DePinho 2000) is the alteration of gene expression, including the up-regulation of p16, p19, p21, and p53 . This may provide a possible explanation for why p53 haploinsufficiency or absence of p21 fails to overcome senescence of Brca111/11 MEFs in culture.
Although p53 haploinsufficiency enables Brca111/11 p53+/- embryos to bypass senescence and survive to adulthood, it does not prevent them from prematurely aging, which is characterized by a progressive decline of functions of many organs, ultimately leading to aging-related diseases, tumorigenesis, and death. This is perhaps because of the fact that such a rescue is established on the relaxed G1-S checkpoint and attenuated apoptosis, which never corrects any deficiency caused by the Brca1 mutation. Therefore, the "rescue" enables mutant cells to propagate without being properly checked. Because of the important roles of Brca1 in DNA damage repair (Scully et al. 1997; Gowen et al. 1998; Moynahan et al. 1999), the proliferation of Brca111/11 p53+/- cells is expected to accumulate more and more DNA damage during the development and growth of the mutant animals. Thus, analogous to what was observed in the cultured Brca1"Delta " 11/"Delta " 11 p53+/- MEF cells, we hypothesize that the remaining wild-type allele of p53 in Brca111/11 p53+/- mice could be activated by the accumulation of DNA damage when they reach a threshold, leading to the initiation of cell senescence in vivo. When the number of senescent cells in organs reaches a critical level, these organs cannot function properly, which eventually results in a decreased life span. This explanation is consistent with many recent investigations, which demonstrated that mutations of genes that are involved in DNA damage repair could result in premature aging in both human and mouse (Vogel et al. 1999; DePinho 2000; Fossel 2000; Mohaghegh and Hickson 2001; de Boer et al. 2002).
Cell senescence has been considered as a mechanism to repress tumorigenesis, as it irreversibly arrests the growth of cells at risk of neoplastic transformation (Campisi 2001). An intriguing finding here is that Brca1 mutant MEFs exhibit both premature senescence and greater potential for malignant transformation. We found that mutant cells always underwent senescence earlier than controls, and were also more difficult to immortalize using the 3T3 procedure. However, once immortalized, the mutant cells proliferated faster and gradually exhibited many features often observed in malignantly transformed cells, that is, loss of contact inhibition, anchorage-independent growth (formation of colonies in soft agar), and tumorigenesis in nude mice. Concomitant to these phenotypic changes at the cellular level, mutant cells showed extensive genetic and molecular alterations as manifested by chromosomal changes and increased expression of cyclin A and cyclin D1 as well as the loss of p53. These observations suggest that cells escaping senescence may have gone through a selective process for mutations that promote cell proliferation. Such mutations, as they promote cell proliferation, are often associated with malignant transformation. This may account for the reason that both premature cell senescence and tumorigenesis occur in the same type of cells.
Of note, the phenotypes exhibited by Brca111/11 p53+/- mice are reminiscent of those observed in the late-generation (i.e., G6) telomerase knockout mice (Rudolph et al. 1999). This suggests that there is nothing unique about telomere malfunction that contributes to organismal aging, but that instability produced by many mechanisms can produce a similar phenotype. In the light of our finding, we propose that the genomic instability caused by the absence of Brca1 activates p53, which initiates multiple p53-dependent processes, including cell cycle arrest, senescence, and apoptosis, that result in embryonic lethality in mutant embryos . This physiologic response of p53 activation in Brca1 mutant MEF cells and mice should, in theory, prevent tumorigenesis as demonstrated recently by an activating mutation of p53, which results in aging and decreases in tumor formation (Tyner et al. 2002). However, the genetic instability triggered by the absence of Brca1 could mutate p53 and other genes and eventually lead to tumorigenesis. p53 mutation is emphasized in this model as we found that 9 out of 10 Brca1 mutant colonies emerging from senescence have lost p53 function, suggesting that this protein is a primary target during the selection process for growth advantages. Thus, our study provides an excellent example for the hypothesis that senescence could serve as a two-edged sword that suppresses tumorigenesis early in life but may have deleterious effects later, leading to aging and tumor formation (Wynford-Thomas 1999; Campisi 2000; Fossel 2000; Reddel 2000; Sharpless and DePinho 2002). The Brca111/11 p53+/- mice should serve as a good animal model for future aging and tumorigenesis studies.
fig.ommitted$df;]m, 百拇医药
Figure 7. A working model summarizing how the Brca1 deficiency causes cell senescence, premature aging, and tumorigenesis.$df;]m, 百拇医药
Materials and methods$df;]m, 百拇医药
Mice, MEF cells, immortalization, and analysis$df;]m, 百拇医药
Brca111/11 embryos, Brca111/11 p21- /- embryos, and Brca111/11 p53+/- mice were generated as described (Xu et al. 2001). The genetic background of these mice is 50% FVB, 25% 129, and 25% Black Swiss. MEF cells were derived from E14.5 embryos generated from intercrosses of Brca1+/1 p53+/- mice. Because of difficulties in immortalizing Brca111/11 MEF cells by the regular 3T3 protocol, we seeded 1 × 106 cells in a 10-cm dish and left them untouched (except for the medium change every 3 d) for 2 mo. We then picked individual colonies and passed them sequentially through 24-well, 12-well, 6-well, and 10-cm plates. For proliferation analysis, 5 × 104 wild-type and Brca111/11 MEF cells were plated on 6 wells in DMEM supplemented with 10% FBS. Cell numbers were counted every day for up to 6 d.
Cell senescence analysis\:/.@)?, http://www.100md.com
We plated 5 × 104 MEF cells in a 1-well FALCON culture slide (Becton Dickinson) for 3 d, and then processed them for acidic -galactosidase activity as described (Dimri et al. 1995). Staining for embryos was carried out at 37°C for 6-8 h.\:/.@)?, http://www.100md.com
Immunoblot analysis\:/.@)?, http://www.100md.com
Western blot analysis was accomplished according to standard procedures using ECL detection (Amersham). The following primary antibodies were used: p53 (Ab-7, Oncogene); p21WAF1 (Ab-6, Oncogene); p16 (M-156, Santa Cruz); p19ARF (NOVUS); Cyclin D1 (C-20, Santa Cruz); and Cyclin A (H-432, Santa Cruz). Horseradish peroxidase-conjugated donkey anti-rabbit or sheep anti-mouse antibodies (Amersham) were used as secondary antibodies.\:/.@)?, http://www.100md.com
Wound-healing experiments\:/.@)?, http://www.100md.com
Mice were anaesthetized with methoxyfluorane, and the dorsum was shaved and cleaned with alcohol. Four equidistant 1-cm full-thickness incisional wounds were made through the skin and panniculus carnosus muscle. Wounded skin specimens were collected at day 4 postwounding and were bisected for histology.
Bone X-ray imaging and histologic analysis1/?*c, 百拇医药
Mice were killed by CO2. The skin and the viscera were removed. Photographs were taken in an X-ray machine (Faxitron X-ray). We used an X-ray dose of 15 kV for 100 sec. For histologic analysis, bones were fixed in 4% paraformaldehyde at 4°C overnight and decalcified in 0.5 M EDTA/PBS. Decalcified tissues were dehydrated, embedded in wax, and sectioned using standard procedures.1/?*c, 百拇医药
BrdU labeling of embryos1/?*c, 百拇医药
BrdU labeling of the cells in the S phase of the cell cycle was performed as described. BrdU (100 mg/g of body weight) was injected i.p. into pregnant females at E16.5. The females were killed 2 h after injection; the embryos were fixed in 4% paraformaldehyde at 4°C overnight and processed for immunohistochemistry. The tissues were stained with BrdU staining bulk kit (ZYMED).1/?*c, 百拇医药
Colony formation in soft agar and tumorigenicity assay1/?*c, 百拇医药
For colony formation, 5 × 104 immortalized wild-type and Brca111/11 MEF cells were suspended in 0.3% agar (in DMEM supplemented with 10% FBS) and plated on 6-well plates containing a solidified bottom layer (0.5% agar in growth medium). For the tumorigenicity assay, 2 × 106 immortalized wild-type and Brca111/11 MEF cells were injected into 6-week-old female nude nice for 3 wk to 3 mo.
Acknowledgments}(8, 百拇医药
We thank R. Bachelier, W. Qiao, C. Li, R. Wang, X. Wang, and X. Xu for their technical assistance and critical discussion of this work.}(8, 百拇医药
The publication costs of this article were defrayed in part by payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734 solely to indicate this fact.}(8, 百拇医药
References}(8, 百拇医药
Alberg, A.J. and Helzlsouer, K.J. 1997. Epidemiology, prevention, and early detection of breast cancer. Curr. Opin. Oncol. 9: 505-511 .}(8, 百拇医药
Alcorta, D.A., Xiong, Y., Phelps, D., Hannon, G., Beach, D., and Barrett, J.C. 1996. Involvement of the cyclin-dependent kinase inhibitor p16INK4a in replicative senescence of normal human fibroblasts. Proc. Natl. Acad. Sci. 93: 13742-13747 .}(8, 百拇医药
Allsopp, R.C., Vaziri, H., Patterson, C., Goldstein, S., Younglai, E.V., Futcher, A.B., Greider, C.W., and Harley, C.B. 1992. Telomere length predicts replicative capacity of human fibroblasts. Proc. Natl. Acad. Sci. 89: 10114-10118 .
Atadja, P., Wong, H., Garkavtsev, I., Veillette, C., and Riabowol, K. 1995. Increased activity of p53 in senescing fibroblasts. Proc. Natl. Acad. Sci. 92: 8348-8352 .f, 百拇医药
Bachelier, R., Xu, X., Wang, X., Li, W., Naramura, M., Gu, H., and Deng, C.X. 2003. Normal lymphocyte development and thymic lymphoma formation in Brca1 exon 11-deficient mice. Oncogene (In Press).f, 百拇医药
Brody, L.C. and Biesecker, B.B. 1998. Breast cancer susceptibility genes. BRCA1 and BRCA2. Medicine (Baltimore) 77: 208-226 .f, 百拇医药
Brown, J.P., Wei, W., and Sedivy, J.M. 1997. Bypass of senescence after disruption of p21CIP1/WAF1 gene in normal diploid human fibroblasts. Science 277: 831-834 .f, 百拇医药
Brugarolas, J., Chandrasekaran, C., Gordon, J.I., Beach, D., Jacks, T., and Hannon, G.J. 1995. Radiation-induced cell cycle arrest compromised by p21 deficiency. Nature 377: 552-557 .f, 百拇医药
Campisi, J. 2000. Cancer, aging and cellular senescence. In Vivo 14: 183-188 .-----. 2001. Cellular senescence as a tumor-suppressor mechanism. Trends Cell Biol. 11: S27-S31 .
Chen, Q., Fischer, A., Reagan, J.D., Yan, L.J., and Ames, B.N. 1995. Oxidative DNA damage and senescence of human diploid fibroblast cells. Proc. Natl. Acad. Sci. 92: 4337-4341 .$alz7, 百拇医药
Chuttani, A. and Gilchrest, B.A. 1995. Aging. In Handbook of physiology (ed. E.J. Masoro). , Section 11, pp. 309-324. Oxford Univ. Press, New York.$alz7, 百拇医药
de Boer, J., Andressoo, J.O., de Wit, J., Huijmans, J., Beems, R.B., van Steeg, H., Weeda, G., van der Horst, G.T., van Leeuwen, W., Themmen, A.P. et al. 2002. Premature aging in mice deficient in DNA repair and transcription. Science 296: 1276-1279 .$alz7, 百拇医药
Deng, C.X. 2002. Tumor formation in Brca1 conditional mutant mice. Environ. Mol. Mutagen. 39: 171-177 .$alz7, 百拇医药
Deng, C.X. and Brodie, S.G. 2000. Roles of BRCA1 and its interacting proteins. Bioessays 22: 728-737 .$alz7, 百拇医药
Deng, C.X. and Scott, F. 2000. Role of the tumor suppressor gene Brca1 in genetic stability and mammary gland tumor formation. Oncogene 19: 1059-1064 .$alz7, 百拇医药
Deng, C., Zhang, P., Harper, J.W., Elledge, S.J., and Leder, P. 1995. Mice lacking p21CIP1/WAF1 undergo normal development, but are defective in G1 checkpoint control. Cell 82: 675-684 .
DePinho, R.A. 2000. The age of cancer. Nature 408: 248-254 .'8';), http://www.100md.com
Dimri, G.P., Lee, X., Basile, G., Acosta, M., Scott, G., Roskelley, C., Medrano, E.E., Linskens, M., Rubelj, I., Pereira-Smith, O. et al. 1995. A biomarker that identifies senescent human cells in culture and in aging skin in vivo. Proc. Natl. Acad. Sci. 92: 9363-9367 .'8';), http://www.100md.com
Donehower, L.A. 2002. Does p53 affect organismal aging? J. Cell Physiol. 192: 23-33 .'8';), http://www.100md.com
Fossel, M. 2000. Cell senescence in human aging: A review of the theory. In Vivo 14: 29-34 .'8';), http://www.100md.com
Gowen, L.C., Avrutskaya, A.V., Latour, A.M., Koller, B.H., and Leadon, S.A. 1998. BRCA1 required for transcription-coupled repair of oxidative DNA damage. Science 281: 1009-1012 .'8';), http://www.100md.com
Hakem, R., de la Pompa, J.L., Elia, A., Potter, J., and Mak, T.W. 1997. Partial rescue of Brca1 (5-6) early embryonic lethality by p53 or p21 null mutation. Nat. Genet. 16: 298-302 .'8';), http://www.100md.com
Hara, E., Smith, R., Parry, D., Tahara, H., Stone, S., and Peters, G. 1996. Regulation of p16CDKN2 expression and its implications for cell immortalization and senescence. Mol. Cell. Biol. 16: 859-867 .
Harley, C.B., Futcher, A.B., and Greider, C.W. 1990. Telomeres shorten during ageing of human fibroblasts. Nature 345: 458-460 .anup, 百拇医药
Hayflick, L. 1965. The limited in vitro lifetime of human diploid cell strains. Exp. Cell Res. 37: 614-636 .anup, 百拇医药
Kuro-o, M. 2001. Disease model: Human aging. Trends Mol. Med. 7: 179-181 .anup, 百拇医药
Kuro-o, M., Matsumura, Y., Aizawa, H., Kawaguchi, H., Suga, T., Utsugi, T., Ohyama, Y., Kurabayashi, M., Kaname, T., Kume, E. et al. 1997. Mutation of the mouse klotho gene leads to a syndrome resembling ageing. Nature 390: 45-51 .anup, 百拇医药
Kuschel, B., Gayther, S.A., Easton, D.F., Ponder, B.A., and Pharoah, P.D. 2001. Apparent human BRCA1 knockout caused by mispriming during polymerase chain reaction: Implications for genetic testing. Genes Chromosomes Cancer 31: 96-98 .anup, 百拇医药
Lin, A.W., Barradas, M., Stone, J.C., van Aelst, L., Serrano, M., and Lowe, S.W. 1998. Premature senescence involving p53 and p16 is activated in response to constitutive MEK/MAPK mitogenic signaling. Genes & Dev. 12: 3008-3019 .
Ludwig, T., Chapman, D.L., Papaioannou, V.E., and Efstratiadis, A. 1997. Targeted mutations of breast cancer susceptibility gene homologs in mice: Lethal phenotypes of Brca1, Brca2, Brca1/Brca2, Brca1/p53, and Brca2/p53 nullizygous embryos. Genes & Dev. 11: 1226-1241 .oq@3&gy, http://www.100md.com
Lundberg, A.S., Hahn, W.C., Gupta, P., and Weinberg, R.A. 2000. Genes involved in senescence and immortalization. Curr. Opin. Cell Biol. 12: 705-709 .oq@3&gy, http://www.100md.com
Miki, Y., Swensen, J., Shattuck-Eidens, D., Futreal, P.A., Harshman, K., Tavtigian, S., Liu, Q., Cochran, C., Bennett, L.M., Ding, W. et al. 1994. A strong candidate for the breast and ovarian cancer susceptibility gene BRCA1. Science 266: 66-71 .oq@3&gy, http://www.100md.com
Mohaghegh, P. and Hickson, I.D. 2001. DNA helicase deficiencies associated with cancer predisposition and premature ageing disorders. Hum. Mol. Genet. 10: 741-746 .oq@3&gy, http://www.100md.com
Moynahan, M.E., Chiu, J.W., Koller, B.H., and Jasin, M. 1999. Brca1 controls homology-directed DNA repair. Mol. Cell 4: 511-518 .oq@3&gy, http://www.100md.com
Noda, A., Ning, Y., Venable, S.F., Pereira-Smith, O.M., and Smith, J.R. 1994. Cloning of senescent cell-derived inhibitors of DNA synthesis using an expression screen. Exp. Cell Res. 211: 90-98 .
Paterson, J.W. 1998. BRCA1: A review of structure and putative functions. Dis. Markers 13: 261-274 .\#f99, http://www.100md.com
Rahman, N. and Stratton, M.R. 1998. The genetics of breast cancer susceptibility. Annu. Rev. Genet. 32: 95-121 .\#f99, http://www.100md.com
Reddel, R.R. 2000. The role of senescence and immortalization in carcinogenesis. Carcinogenesis 21: 477-484 .\#f99, http://www.100md.com
Reznikoff, C.A., Yeager, T.R., Belair, C.D., Savelieva, E., Puthenveettil, J.A., and Stadler, W.M. 1996. Elevated p16 at senescence and loss of p16 at immortalization in human papillomavirus 16 E6, but not E7, transformed human uroepithelial cells. Cancer Res. 56: 2886-2890 .\#f99, http://www.100md.com
Romanov, S.R., Kozakiewicz, B.K., Holst, C.R., Stampfer, M.R., Haupt, L.M., and Tlsty, T.D. 2001. Normal human mammary epithelial cells spontaneously escape senescence and acquire genomic changes. Nature 409: 633-637 .\#f99, http://www.100md.com
Rudolph, K.L., Chang, S., Lee, H.W., Blasco, M., Gottlieb, G.J., Greider, C., and DePinho, R.A. 1999. Longevity, stress response, and cancer in aging telomerase-deficient mice. Cell 96: 701-712 .
Sasaki, M., Kumazaki, T., Takano, H., Nishiyama, M., and Mitsui, Y. 2001. Senescent cells are resistant to death despite low Bcl-2 level. Mech. Ageing Dev. 122: 1695-1706 .|{w2-48, http://www.100md.com
Schuyer, M. and Berns, E.M. 1999. Is TP53 dysfunction required for BRCA1-associated carcinogenesis? Mol. Cell Endocrinol. 155: 143-152 .|{w2-48, http://www.100md.com
Scully, R. and Livingston, D.M. 2000. In search of the tumour-suppressor functions of BRCA1 and BRCA2. Nature 408: 429-432 .|{w2-48, http://www.100md.com
Scully, R., Chen, J., Plug, A., Xiao, Y., Weaver, D., Feunteun, J., Ashley, T., and Livingston, D.M. 1997. Association of BRCA1 with Rad51 in mitotic and meiotic cells. Cell 88: 265-275 .|{w2-48, http://www.100md.com
Serrano, M., Lin, A.W., McCurrach, M.E., Beach, D., and Lowe, S.W. 1997. Oncogenic ras provokes premature cell senescence associated with accumulation of p53 and p16INK4a. Cell 88: 593-602 .|{w2-48, http://www.100md.com
Sharpless, N.E. and DePinho, R.A. 2002. p53: Good cop/bad cop. Cell 110: 9-12 .|{w2-48, http://www.100md.com
Shen, S.X., Weaver, Z., Xu, X., Li, C., Weinstein, M., Chen, L., Guan, X.Y., Ried, T., and Deng, C.X. 1998. A targeted disruption of the murine Brca1 gene causes "gamma "
-irradiation hypersensitivity and genetic instability. Oncogene 17: 3115-3124 .4%mh, http://www.100md.com
Sherr, C.J. and DePinho, R.A. 2000. Cellular senescence: Mitotic clock or culture shock? Cell 102: 407-410 .4%mh, http://www.100md.com
Tyner, S.D., Venkatachalam, S., Choi, J., Jones, S., Ghebranious, N., Igelmann, H., Lu, X., Soron, G., Cooper, B., Brayton, C. et al. 2002. p53 mutant mice that display early ageing-associated phenotypes. Nature 415: 45-53 .4%mh, http://www.100md.com
Venkitaraman, A.R. 2002. Cancer susceptibility and the functions of BRCA1 and BRCA2. Cell 108: 171-182 .4%mh, http://www.100md.com
Vogel, H., Lim, D.S., Karsenty, G., Finegold, M., and Hasty, P. 1999. Deletion of Ku86 causes early onset of senescence in mice. Proc. Natl. Acad. Sci. 96: 10770-10775 .4%mh, http://www.100md.com
von Zglinicki, T., Saretzki, G., Docke, W., and Lotze, C. 1995. Mild hyperoxia shortens telomeres and inhibits proliferation of fibroblasts: A model for senescence? Exp. Cell Res. 220: 186-193 .4%mh, http://www.100md.com
Wynford-Thomas, D. 1999. Cellular senescence and cancer. J. Pathol. 187: 100-111 .
Xu, X., Wagner, K.U., Larson, D., Weaver, Z., Li, C., Ried, T., Hennighausen, L., Wynshaw-Boris, A., and Deng, C.X. 1999a. Conditional mutation of Brca1 in mammary epithelial cells results in blunted ductal morphogenesis and tumour formation. Nat. Genet. 22: 37-43 .5m, 百拇医药
Xu, X., Weaver, Z., Linke, S.P., Li, C., Gotay, J., Wang, X.W., Harris, C.C., Ried, T., and Deng, C.X. 1999b. Centrosome amplification and a defective G2-M cell cycle checkpoint induce genetic instability in BRCA1 exon 11 isoform-deficient cells. Mol. Cell 3: 389-395 .5m, 百拇医药
Xu, X., Qiao, W., Linke, S.P., Cao, L., Li, W.M., Furth, P.A., Harris, C.C., and Deng, C.X. 2001. Genetic interactions between tumor suppressors Brca1 and p53 in apoptosis, cell cycle and tumorigenesis. Nat. Genet. 28: 266-271 .5m, 百拇医药
Zheng, L., Li, S., Boyer, T.G., and Lee, W.H. 2000. Lessons learned from BRCA1 and BRCA2. Oncogene 19: 6159-6175 .5m, 百拇医药
Zhong, Q., Boyer, T.G., Chen, P.L., and Lee, W.H. 2002. Deficient nonhomologous end-joining activity in cell-free extracts from Brca1-null fibroblasts. Cancer Res. 62: 3966-3970 .5m, 百拇医药
Zhu, J., Woods, D., McMahon, M., and Bishop, J.M. 1998. Senescence of human fibroblasts induced by oncogenic Raf. Genes & Dev. 12: 2997-3007 .5m, 百拇医药
Zindy, F., Eischen, C.M., Randle, D.H., Kamijo, T., Cleveland, J.L., Sherr, C.J., and Roussel, M.F. 1998. Myc signaling via the ARF tumor suppressor regulates p53-dependent apoptosis and immortalization. Genes & Dev. 12: 2424-2433 .(Liu Cao Wenmei Li Sangsoo Kim Steven G. Brodie and Chu-Xia Deng)