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Updated: Oct 25, 2025

Simultaneous Imaging and Flow-Cytometry-based Detection of Multiple Fluorescent Senescence Markers in Therapy-Induced Senescent Cancer Cells
Published on: July 12, 2022
Ouabain and chloroquine trigger senolysis of BRAF-V600E-induced senescent cells by targeting autophagy
Valentin L'Hôte1, Régis Courbeyrette1, Guillaume Pinna1
1Université Paris-Saclay, CEA, CNRS, Institute for Integrative Biology of the Cell (I2BC), Gif-sur-Yvette Cedex, France.
Abstract:
The expression of BRAF-V600E triggers oncogene-induced senescence in normal cells and is implicated in the development of several cancers including melanoma. Here, we report that cardioglycosides such as ouabain are potent senolytics in BRAF senescence. Sensitization by ATP1A1 knockdown and protection by supplemental potassium showed that senolysis by ouabain was mediated by the Na,K-ATPase pump. Both ion transport inhibition and signal transduction result from cardioglycosides binding to Na,K-ATPase. An inhibitor of the pump that does not trigger signaling was not senolytic despite blocking ion transport, demonstrating that signal transduction is required for senolysis. Ouabain triggered the activation of Src, p38, Akt, and Erk in BRAF-senescent cells, and signaling inhibitors prevented cell death. The expression of BRAF-V600E increased ER stress and autophagy in BRAF-senescent cells and sensitized the cell to senolysis by ouabain. Ouabain inhibited autophagy flux, which was restored by signaling inhibitors. Consequently, we identified autophagy inhibitor chloroquine as a novel senolytic in BRAF senescence based on the mode of action of cardioglycosides. Our work underlies the interest of characterizing the mechanisms of senolytics to discover novel compounds and identifies the endoplasmic reticulum stress-autophagy tandem as a new vulnerability in BRAF senescence that can be exploited for the development of further senolytic strategies.
Insights
Cardioglycosides like ouabain act as senolytics, selectively eliminating BRAF-senescent cells. This action involves Na,K-ATPase pump signaling and endoplasmic reticulum stress-autophagy pathways, revealing new therapeutic strategies for BRAF-driven cancers.
Area of Science:
- Oncology
- Cellular Senescence
- Pharmacology
Background:
- BRAF-V600E expression induces oncogene-induced senescence, a state linked to cancer development, particularly melanoma.
- Senescent cells contribute to aging and cancer progression, making senolytic therapies a focus of research.
Purpose of the Study:
- To investigate cardioglycosides, specifically ouabain, as senolytic agents against BRAF-senescence.
- To elucidate the molecular mechanisms underlying ouabain-mediated senolysis in BRAF-senescent cells.
- To identify novel senolytic strategies targeting the endoplasmic reticulum stress-autophagy pathway.
Main Methods:
- Utilized BRAF-V600E-induced senescence models.
- Investigated the role of the Na,K-ATPase pump in ouabain senolysis via knockdown and ion supplementation experiments.
- Analyzed signal transduction pathways (Src, p38, Akt, Erk) and their involvement in cell death.
- Assessed the impact of BRAF-V600E on ER stress and autophagy.
- Evaluated chloroquine as a potential senolytic agent.
Main Results:
- Ouabain demonstrated potent senolytic activity in BRAF-senescent cells, mediated by the Na,K-ATPase pump.
- Senolysis required both ion transport inhibition and signal transduction initiated by ouabain binding to the pump.
- BRAF-V600E expression elevated ER stress and autophagy, sensitizing cells to ouabain.
- Ouabain inhibited autophagy flux, which was reversible with signaling inhibitors.
- Chloroquine was identified as a novel senolytic for BRAF senescence.
Conclusions:
- Cardioglycosides are effective senolytics in BRAF senescence via Na,K-ATPase-mediated signaling.
- The endoplasmic reticulum stress-autophagy pathway represents a novel vulnerability in BRAF-senescent cells.
- Targeting this pathway offers potential for developing new senolytic therapies against BRAF-driven cancers.
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