MDM2 turnover and expression of ATRX determine the choice between quiescence and senescence in response to CDK4 inhibition Journal Article


Authors: Kovatcheva, M.; Liu, D. D.; Dickson, M. A.; Klein, M. E.; O'Connor, R.; Wilder, F. O.; Socci, N. D.; Tap, W. D.; Schwartz, G. K.; Singer, S.; Crago, A. M.; Koff, A.
Article Title: MDM2 turnover and expression of ATRX determine the choice between quiescence and senescence in response to CDK4 inhibition
Abstract: CDK4 inhibitors (CDK4i) earned Breakthrough Therapy Designation from the FDA last year and are entering phase III clinical trials in several cancers. However, not all tumors respond favorably to these drugs. CDK4 activity is critical for progression through G1 phase and into the mitotic cell cycle. Inhibiting this kinase induces Rb-positive cells to exit the cell cycle into either a quiescent or senescent state. In this report, using well-differentiated and dedifferentiated liposarcoma (WD/DDLS) cell lines, we show that the proteolytic turnover of MDM2 is required for CDK4i-induced senescence. Failure to reduce MDM2 does not prevent CDK4i-induced withdrawal from the cell cycle but the cells remain in a reversible quiescent state. Reducing MDM2 in these cells drives them into the more stable senescent state. CDK4i-induced senescence associated with loss of MDM2 is also observed in some breast cancer, lung cancer and glioma cell lines indicating that this is not limited to WD/DDLS cells in which MDM2 is overexpressed or in cells that contain wild type p53. MDM2 turnover depends on its E3 ligase activity and expression of ATRX. Interestingly, in seven patients the changes in MDM2 expression were correlated with outcome. These insights identify MDM2 and ATRX as new regulators controlling geroconversion, the process by which quiescent cells become senescent, and this insight may be exploited to improve the activity of CDK4i in cancer therapy.
Keywords: controlled study; protein expression; unclassified drug; human cell; gene overexpression; enzyme inhibition; protein degradation; protein depletion; protein metabolism; cell differentiation; antineoplastic activity; enzyme activity; wild type; protein p53; correlation analysis; protein processing; cell cycle arrest; senescence; ubiquitin protein ligase e3; cyclin dependent kinase inhibitor; cell aging; cyclin dependent kinase 4; protein mdm2; regulator protein; mdm2; cell dedifferentiation; protein atrx; atrx; cancer prognosis; human; article; palbociclib; cyclin dependent kinase 4 inhibitor; lung cancer cell line; breast cancer cell line; abemaciclib; ribociclib; cdk4 inhibitors; geroconversion; glioma cell line; liposarcoma cell
Journal Title: Oncotarget
Volume: 6
Issue: 10
ISSN: 1949-2553
Publisher: Impact Journals  
Date Published: 2015-04-10
Start Page: 8226
End Page: 8243
Language: English
PROVIDER: scopus
PUBMED: 25803170
PMCID: PMC4480747
DOI: 10.18632/oncotarget.3364
DOI/URL:
Notes: Export Date: 3 June 2015 -- Source: Scopus
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MSK Authors
  1. Gary Schwartz
    385 Schwartz
  2. Andrew C Koff
    110 Koff
  3. Aimee Marie Crago
    106 Crago
  4. Samuel Singer
    337 Singer
  5. Mark Andrew Dickson
    170 Dickson
  6. Nicholas D Socci
    266 Socci
  7. William Douglas Tap
    374 Tap
  8. Mary Elizabeth Klein
    10 Klein
  9. Fatima O N A G Wilder
    4 Wilder