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Updated: Jul 5, 2025

Simultaneous Imaging and Flow-Cytometry-based Detection of Multiple Fluorescent Senescence Markers in Therapy-Induced Senescent Cancer Cells
Published on: July 12, 2022
Therapy-induced senescent cancer cells exhibit complement activation and increased complement regulatory protein
Anas Ha Abu-Humaidan1, Mohammad A Ismail2,3, Fatima M Ahmad1,4
1Department of Pathology, Microbiology, and Forensic Medicine, School of Medicine, The University of Jordan, Amman, Jordan.
Chemotherapy triggers therapy-induced senescence (TIS) in cancer cells, activating the complement system. This study reveals complement activation and increased C3 expression in senescent tumor cells, impacting the tumor microenvironment.
Area of Science:
- Cancer Biology
- Immunology
- Cellular Senescence
Background:
- Therapy-induced senescence (TIS) is a key chemotherapy response, potentially leading to immune evasion.
- The complement system's role in anti-cancer immunity is known, but its interaction with senescent tumor cells is unclear.
Purpose of the Study:
- To investigate the role of the complement system in the immune response to therapy-induced senescent (TIS) cancer cells.
- To explore complement activation and protein expression in TIS cancer cell lines and patient samples.
Main Methods:
- Induced TIS in lung, breast, and pancreatic cancer cell lines using etoposide or doxorubicin.
- Assessed TIS markers (morphology, β-galactosidase, p21Cip1, lamin B1).
- Investigated complement activation (C5b-9 deposition), protein expression (CD59, factor H, C3), and secretion using microscopy, qPCR, ELISA, and in silico analysis.
Main Results:
- TIS induced terminal complement pathway activation (C5b-9 deposition) on senescent cells.
- Upregulation of complement regulatory proteins CD59 and factor H was observed.
- Increased C3 expression and secretion into the medium occurred in A549 cells; elevated C3 was also found in patient samples.
Conclusions:
- Therapy-induced senescence triggers complement activation and upregulates complement regulatory proteins.
- Increased C3 expression in senescent cells suggests a role for complement in modulating the tumor microenvironment post-senescence induction.
- Findings highlight complement's involvement in the response to chemotherapy-induced cellular senescence.
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