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Updated: Oct 12, 2025

Simultaneous Imaging and Flow-Cytometry-based Detection of Multiple Fluorescent Senescence Markers in Therapy-Induced Senescent Cancer Cells
Published on: July 12, 2022
Tumor microenvironment and cellular senescence: Understanding therapeutic resistance and harnessing strategies
Hanxin Liu1, Huifang Zhao1, Yu Sun2
1Department of Pharmacology, Institute of Aging Medicine, Binzhou Medical University, Yantai, Shandong, 264003, China.
Abstract:
The tumor microenvironment (TME) is a major contributor to cancer malignancy including development of therapeutic resistance, a process mediated in part through intercellular crosstalk. Besides diverse soluble factors responsible for pro-survival pathway activation, immune evasion and extracellular matrix (ECM) remodeling further promote cancer resistance. Importantly, therapy-induced senescence (TIS) of cells in the TME is frequently observed in anticancer regimens, an off-target effect that can generate profound impacts on disease progression. By conferring the resistance and fueling the repopulation of remaining cancerous cells, TIS is responsible for tumor relapse and distant metastasis in posttreatment stage. This pathological trajectory can be substantially driven by the pro-inflammatory feature of senescent cells, termed as the senescence-associated secretory phenotype (SASP). Targeting strategies to selectively and efficiently remove senescent cells before they exert non-autonomous but largely deleterious effects, are emerging as an effective solution to prevent drug resistance acquired from a treatment-remodeled TME. In this review, we summarize the TME composition and key activities that affect tissue homeostasis and support treatment resistance. Promising opportunities that allow TME-manipulation and senescent cell-targeting (senotherapy) are discussed, with translational pipelines to overcome therapeutic barriers in clinical oncology projected.
Insights
Therapy-induced senescence (TIS) in the tumor microenvironment (TME) fuels cancer resistance and relapse. Targeting senescent cells (senotherapy) offers a promising strategy to overcome treatment resistance and improve oncology outcomes.
Area of Science:
- Oncology
- Cancer Biology
- Immunology
Background:
- The tumor microenvironment (TME) significantly influences cancer malignancy and therapeutic resistance through intercellular communication.
- Soluble factors, immune evasion, and extracellular matrix remodeling within the TME contribute to treatment resistance.
- Therapy-induced senescence (TIS) is a common off-target effect of cancer treatments, paradoxically promoting tumor progression.
Purpose of the Study:
- To review the composition and functions of the TME in supporting treatment resistance.
- To explore the role of TIS and the senescence-associated secretory phenotype (SASP) in tumor relapse and metastasis.
- To discuss senotherapy as a strategy to target senescent cells and overcome therapeutic barriers.
Main Methods:
- Literature review of TME components and their roles in cancer.
- Analysis of mechanisms by which TIS and SASP contribute to treatment resistance.
- Discussion of senotherapeutic approaches and their translational potential.
Main Results:
- TIS, characterized by SASP, promotes cancer cell resistance, repopulation, relapse, and metastasis.
- Senescent cells in the TME create a pro-inflammatory environment that hinders treatment efficacy.
- Targeting senescent cells presents a viable strategy to counteract treatment-induced resistance.
Conclusions:
- The TME plays a critical role in cancer progression and resistance, with TIS being a key driver of post-treatment relapse.
- Senotherapy offers a promising therapeutic avenue to eliminate senescent cells and improve clinical oncology outcomes.
- Further research and clinical translation of senotherapeutic strategies are crucial for overcoming cancer treatment barriers.
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