Evidence map›Paper›PMID 32457483›Full record

ArticleCell death and differentiation2020

BH3 mimetics selectively eliminate chemotherapy-induced senescent cells and improve response in TP53 wild-type breast cancer.

Ashkan Shahbandi, Sonia G Rao, Ashlyn Y Anderson, Wesley D Frey, Joy O Olayiwola, Nathan A Ungerleider, James G Jackson

Open access · bronzeAbstract read
In one paragraph

Article in Cell death and differentiation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. Pooled it
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  19. Unleashing endogenous regeneration by senolytics.Journal of translational medicine · 2025
    Review
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ashkan Shahbandi *Department of Biochemistry and Molecular Biology, Tulane Medical School, New Orleans, LA, USA.
Sonia G Rao *Department of Biochemistry and Molecular Biology, Tulane Medical School, New Orleans, LA, USA.
Ashlyn Y AndersonDepartment of Biochemistry and Molecular Biology, Tulane Medical School, New Orleans, LA, USA.
Wesley D FreyDepartment of Biochemistry and Molecular Biology, Tulane Medical School, New Orleans, LA, USA.ORCID http://orcid.org/0000-0003-0392-5714
Joy O OlayiwolaDepartment of Biochemistry and Molecular Biology, Tulane Medical School, New Orleans, LA, USA.ORCID http://orcid.org/0000-0003-2154-1909
Nathan A UngerleiderDepartment of Pathology, Tulane Medical School, New Orleans, LA, USA.
James G JacksonDepartment of Biochemistry and Molecular Biology, Tulane Medical School, New Orleans, LA, USA. jjacks8@tulane.edu.ORCID http://orcid.org/0000-0002-2640-6442
Tulane Medical Center · US

Funding

Translational Genomics CoreP30GM114732 · NIGMS · LSU HEALTH SCIENCES CENTER · PI OCHOA, AUGUSTO C. · 2015 to 2019
$5.2M
NRSA Training CoreTL1TR003106 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2019 to 2023
$3.7M
NCATS NIH HHS TL1 TR003106NIGMS NIH HHS P30 GM114732
6 · The paper itself

Abstract

TP53 wild-type breast tumors rarely undergo a complete pathological response after chemotherapy treatment. These patients have an extremely poor survival rate and studies show these tumors preferentially undergo senescence instead of apoptosis. These senescent cells persist after chemotherapy and secrete cytokines and chemokines comprising the senescence associated secretory phenotype, which promotes survival, proliferation, and metastasis. We hypothesized that eliminating senescent tumor cells would improve chemotherapy response and extend survival. Previous studies have shown "senolytic" agents selectively kill senescent normal cells, but their efficacy in killing chemotherapy-induced senescent cancer cells is unknown. We show that ABT-263, a BH3 mimetic that targets antiapoptotic proteins BCL2/BCL-XL/BCL-W, had no effect on proliferating cells, but rapidly and selectively induced apoptosis in a subset of chemotherapy-treated cancer cells, though sensitivity required days to develop. Low NOXA expression conferred resistance to ABT-263 in some cells, necessitating additional MCL1 inhibition. Gene editing confirmed breast cancer cells relied on BCL-XL or BCL-XL/MCL1 for survival in senescence. In a mouse model of breast cancer, ABT-263 treatment following chemotherapy led to apoptosis, greater tumor regression, and longer survival. Our results reveal cancer cells that have survived chemotherapy by entering senescence can be eliminated using BH3 mimetic drugs that target BCL-XL or BCL-XL/MCL1. These drugs could help minimize residual disease and extend survival in breast cancer patients that otherwise have a poor prognosis and are most in need of improved therapies.

Indexed as

Aniline CompoundsAnimalsApoptosisbcl-X ProteinBreast NeoplasmsCell Line, TumorCellular SenescenceFemaleGene EditingHumansMiceMice, Inbred C57BLMitochondrial Membrane Transport ProteinsMyeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2SulfonamidesAniline Compoundsbcl-X ProteinMCL1 protein, humanMitochondrial Membrane Transport ProteinsMyeloid Cell Leukemia Sequence 1 ProteinnavitoclaxPMAIP1 protein, humanProto-Oncogene Proteins c-bcl-2RTL10 protein, humanSulfonamidesTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID32457483
PMCPMC7560696
OpenAlexW3032765970

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.