In the present study, we demonstrated that IGFBP-3 inhibited cell proliferation through the induction of senescence in the MCF-7 human breast cancer cell line. The expression of IGFBP-3 resulted in morphological changes shown in senescent cells, such as a flattened cytoplasm and increased granularity, as well as a marked increase in the percentage of cells containing SA-ß-galactosidase. Furthermore, BrdUrd-Hoechst flow cytometry showed that the expression of IGFBP-3 increased the fraction of non-cycling cells that had progressed through three cell cycles, indicating IGFBP-3 induces senescence. Previous studies have reported that IGFBP-3 inhibits cell proliferation through the induction of apoptosis13,14. In the present study, we used a pan-caspase inhibitor (zVAD-fmk) to demonstrate that the inhibitory effect of IGFBP-3 on cell growth may be caused by the mechanisms other than caspase-mediated apoptosis. Treatment with a pan-caspase inhibitor (zVAD-fmk) did not totally abolish the growth-inhibitory effect of IGFBP-3, while it abolished the growth-inhibitory effect of TNF-α. In addition, the pan-caspase inhibitor did not reverse IGFBP-3-induced morphological changes indicative of senescence, and it did not reduce IGFBP-3-induced SA-ß-galactosidase activity. These results suggest that IGFBP-3 inhibits cell proliferation in part by the induction of senescence, in addition to the induction of caspase-mediated apoptosis in MCF-7 human breast cancer cells, as reported in previous studies13,14.
Cellular senescence is defined as a state of stable cell cycle arrest in response to diverse signaling. It is known that three contexts for arrest of the cell division cycle, quiescence, differentiation, and senescence, exist in multicellular organisms to maintain their homeostasis39. Quiescence is a reversible growth arrest state manipulated by growth stimuli or cell density, whereas terminal differentiation and senescence are permanent post-mitotic states in which cells remain metabolically active while not dividing. Senescent cells show no response to mitogens and are permanently arrested in the G0/G1 phase in the cell cycle. Senescence is observed in normal somatic cells, which ceases proliferation after a defined number of cell divisions. This permanent growth arrest, resulting from telomeric shortening at each cell division, is referred to as replicative senescence27,28. In addition, a senescence-like state, called stress-induced premature senescence or accelerated senescence, can be observed in cells irrespective of telomere length when they are exposed to oncogenic mutations, oxidative stress, inadequate culture conditions, or DNA damaging agents40,41. Therefore, senescence is thought to function as an additional barrier against an accumulation of damaged DNA, resulting in the transformation of cells, as well as an underlying cause of aging27. Stress-induced premature senescence also shows similar morphological and biochemical features to those observed in replicative senescence, suggesting that senescence is a common response to cellular damage, such as DNA damage. IGFBP-3 may be involved in both replicative senescence and stress-induced premature senescence. Previous studies have suggested that the expression of IGFBP-3 is increased with age in human dermal fibroblasts, epithelial cells, and umbilical vein endothelial cells22–24, as well as in breast cancer cells treated with chemotherapeutic drugs26 and premature senescent fibroblasts exposed to tert-butylhydroperoxide and ethanol42.
Many studies have elucidated the underlying molecular mechanisms and diverse pathways of senescence. Effector mechanisms of senescence, such as a senescence-associated secretory phenotype, have been identified43,44. However, the alterations of gene expression and collective effector phenotypes in senescent cells can vary depending on cell types and triggering events. Moreover, it has been reported that the gene expression profiles for senescence activated by telomeric shortening only partially overlaps with senescence induced by various stressful stimuli40. Although senescence has a complex and diverse nature, general evidence suggests that p53 and/or pRb protein along with their regulators, such as p21, p16, and ADP ribosylation factor (ARF), are involved in the progression of senescence39–41. In our previous study, we demonstrated that IGFBP-3 induced G1 cell cycle arrest by the inhibition of cyclin D1, cyclin D3, cyclin E, cyclin A, CDK2, CDK4, and total and phospho-pRb, as well as by the increase of p21 and p16 in MCF-7 breast cancer cells17. This study suggests that pRb pathways, at least in part, may be involved in IGFBP-3-induced senescence, as the G1 cell cycle arrest includes both quiescence and senescence responses. The exact molecular mechanism of senescence by IGFBP-3 remains to be established.
Senescence is linked to telomere length and telomere dysfunction. Telomere shortening with each replication cycle results from the inability of DNA polymerase, telomere dysfunction by either a change of telomeric DNA structure or sequence, or depleted and mutated telomere proteins, leading to permanent growth arrest. These mechanisms may reduce the risk of tumor formation40. Telomerase, a ribonucleoprotein complex with reverse transcriptase activity, can catalyze the synthesis of telomeric DNA onto the ends of chromosomes and provide unlimited proliferative capacity to the cells for bypassing senescence27,28. Although telomerase activity is undetectable in most normal adult cells, it can be detected in fetal tissue, bone marrow stem cells, testes, peripheral blood lymphocytes, epidermis, and intestinal crypt cells30. In contrast, the vast majority of human cancer cells have a relatively high level of telomerase activity, which immortalizes the cells. In the present study, we aimed to determine whether IGFBP-3 modulated telomerase activity in the process of inducing senescence in MCF-7 human breast cancer cells. We demonstrated that the expression of IGFBP-3 decreased telomerase activity using TRAP assays. The present study further demonstrated that IGFBP-3 inhibited telomerase activity by modulating the expression of telomerase components, such as hTR and hTERT, at the mRNA and protein levels. In addition, we demonstrated that exogenous IGFBP-3 decreases hTERT mRNA and protein expressions, and telomerase activity in hTERT-overexpressed normal breast cell. These results suggest that the inhibition of telomerase activity by IGFBP-3 is a potential mechanism for IGFBP-3-induced senescence in MCF-7 cells. However, the mechanism underlying the potential inhibition of telomerase by IGFBP-3 remains elucidated. In addition, post-translational modifications (e.g., phosphorylation, glycosylation, and acetylation) of IGFBP-3 may influence protein activity, interaction and localization, thereby functioning as a key regulator for IGFBP-3 action45. The occurrence and identification of post-translational modifications were not considered in this study; therefore, biological roles of post-translational modifications on IGFBP-3 should be elucidated in further studies.
This study demonstrated that IGFBP-3 induced senescence by inhibiting telomerase activity, thereby inhibiting cell proliferation in MCF-7 human breast cancer cells. In previous studies, IGFBP-3 has been reported to inhibit cell proliferation through the induction of apoptosis or cell cycle arrest. The demonstration of the involvement of IGFBP-3 in the senescence of breast cancer cells in this study presents evidence of another potential mechanism for the anti-proliferative effect of IGFBP-3, as well as its potential therapeutic modality for cancer treatment.