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Overexpression Case Study

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p16INK4a overexpression in pre-malignant lesions
Several pieces of evidence suggested that the ability to bypass senescence is the main molecular mechanism involved in the progression of pre-malignant to malignant cells (Braig 2005; Collado 2007). This hypothesis is based on the concept of oncogene-induced senescence, which was established after demonstration of p53- and p16Ink4a - mediated senescent-like arrest in response to expression of oncogenic Ras in normal primary cells (Collado 2007). This event (OIS) has been considered as highly possible mechanism to prevent proliferation of incipient cancer cells (Sinha 2015). Consistent with this concept, senescent cells have been shown in a number of different benign lesions, including …show more content…

p16INK4a methylation could thus have a diagnostic application; it can be used in the differential diagnosis from pre-malignant and malignant lesions (Feng 2015).

OIS is emerging as a potent cancer-protective response to oncogenic events, serving to eliminate early neoplastic cells from the proliferative pool. Kuilman et al. (2008) reported a unique role of interleukin-6 (IL-6) in OIS of cancer cells. Using combined genetic and bioinformatic analysis, they found that OIS was linked specifically to the activation of an inflammatory transcriptome. Induced genes included IL-6, which upon secretion by senescent cells acted mitogenically in a paracrine fashion (Kuilman 2008). IL-6 was also required for the execution of OIS, but in a cell-autonomous fashion. Its depletion caused the inflammatory network to collapse and abolished senescence entry and maintenance. They also demonstrated that C/EBPβ cooperated with IL-6 to amplify the activation of the inflammatory network, including IL-8. In human colon adenomas, IL-8 specifically colocalized with arrested, p16INK4a-positive epithelium. They proposed a model in which the context-dependent cytostatic and pro-mitogenic functions of interleukins contribute to connect senescence with an inflammatory phenotype and cancer. The role of role of IL-6 in OIS has been confirmed by later studies

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