Progression of genotype-specific oral cancer leads to senescence of cancer-associated fibroblasts and is mediated by oxidative stress and TGF-β

Carcinogenesis. 2013 Jun;34(6):1286-95. doi: 10.1093/carcin/bgt035. Epub 2013 Jan 27.

Abstract

Keratinocyte senescence acts as a barrier to tumor progression but appears to be lost in late pre-malignancy to yield genetically unstable oral squamous cell carcinomas (GU-OSCC); a subset of OSCC possessing wild-type p53 and are genetically stable (GS-OSCC). In this study, fibroblasts from GU-OSCC were senescent relative to fibroblasts from GS-OSCC, epithelial dysplastic tissues or normal oral mucosa, as demonstrated by increased senescence-associated β-galactosidase (SA β-Gal) activity and overexpression of p16(INK4A). Keratinocytes from GU-OSCC produced high levels of reactive oxygen species (ROS) and this was associated with an increase in the production of transforming growth factor-β1 (TGF-β1) and TGF-β2 in stromal fibroblasts. Treatment of normal fibroblasts with keratinocyte conditioned media (CM) from GU-OSCC, but not GS-OSCC or dysplastic keratinocytes with dysfunctional p53, induced fibroblast senescence. This phenomenon was inhibited by antioxidants and anti-TGF-β antibodies. Fibroblast activation by TGF-β1 preceded cellular senescence and was associated with increased ROS levels; antioxidants inhibited this reaction. Senescent fibroblasts derived from GU-OSCC or normal fibroblasts treated with CM from GU-OSCC or hydrogen peroxide, but not non-senescent fibroblasts derived from GS-OSCC, promoted invasion of keratinocytes in vitro. Epithelial invasion was stimulated by fibroblast activation and amplified further by fibroblast senescence. The data demonstrate that malignant keratinocytes from GU-OSCC, but not their pre-malignant counterparts, produce high levels of ROS, which, in turn, increase TGF-β1 expression and induce fibroblast activation and senescence in a p5-independent manner. Fibroblasts from GU-OSCC were particularly susceptible to oxidative DNA damage because of high levels of ROS production, downregulation of antioxidant genes and upregulation of pro-oxidant genes. The results demonstrate the functional diversity of cancer-associated fibroblasts and show that malignant keratinocytes from GU-OSCC reinforce their malignant behavior by inducing fibroblast activation and senescence through ROS and TGF-β-dependent mechanisms.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antioxidants / pharmacology
  • Carcinoma, Squamous Cell / genetics
  • Cell Line, Tumor
  • Cellular Senescence*
  • Culture Media, Conditioned / pharmacology
  • Cyclin-Dependent Kinase Inhibitor p16 / biosynthesis
  • DNA Damage
  • Disease Progression
  • Fibroblasts / physiology
  • Genotype
  • Humans
  • Hydrogen Peroxide / pharmacology
  • Keratinocytes / metabolism
  • Keratinocytes / physiology
  • Mouth Mucosa / physiology
  • Mouth Neoplasms / genetics
  • Mouth Neoplasms / pathology*
  • Oxidants / pharmacology
  • Oxidative Stress*
  • Reactive Oxygen Species / metabolism
  • Transforming Growth Factor beta1 / immunology
  • Transforming Growth Factor beta1 / metabolism*
  • Transforming Growth Factor beta2 / immunology
  • Transforming Growth Factor beta2 / metabolism*
  • Tumor Suppressor Protein p53 / genetics
  • beta-Galactosidase / metabolism

Substances

  • Antioxidants
  • Culture Media, Conditioned
  • Cyclin-Dependent Kinase Inhibitor p16
  • Oxidants
  • Reactive Oxygen Species
  • TP53 protein, human
  • Transforming Growth Factor beta1
  • Transforming Growth Factor beta2
  • Tumor Suppressor Protein p53
  • Hydrogen Peroxide
  • beta-Galactosidase