Breast cancer remains a leading cause of cancer-related mortality among women worldwide, with dense breast tissue being recognized as a significant risk factor for its development. This dense breast tissue, characterized by a higher concentration of mammary glandular tissue, represents additional sites for tumor development. The following study explores how the MCF-7 immortal cell line, representing dense breast cancer, modulates stress responses through cellular senescence. Cellular senescence is a defense mechanism that halts the cell cycle and acts as a tumor suppression mechanism, preventing out-of-control cell proliferation triggered by cytological stress. To simulate these stress conditions, we applied two agents: carboplatin (CBDCA), a platinoid chemotherapeutic medicine that alters the structure of DNA and has downstream effects on a cell’s ability to replicate said DNA; and hydrogen peroxide (H2O2), a common cytological stress indicator which itself can also act as a stressor under high enough concentration and exposure times. This study measured cell proliferation and activity, cytological stress responses, and the senescence response of MCF-7 and Br(EPI) cell lines to the introduced stressors. The results demonstrated that MCF-7 cells exhibited vastly increased cytological stress resistance and proliferation than non-tumorigenic cells. When exposed to CBDCA, the MCF-7 cell lines did not undergo apoptosis, characterized by Caspase-3 activation. Instead, they entered a state of cellular senescence, allowing the cells to adapt and continue proliferating. These findings highlighted critical cellular mechanisms in dense breast cancer, suggesting potential targets for future research. Furthermore, the study underscores the role of cellular senescence in the promotion of metastasis of breast cancer by making the tumor environment more favorable to angiogenesis, immune evasion, and tumor progression. Further research into the specific hormonal, physiological, and cytological changes in dense breast tumor environments may present novel, personalized treatment methods to improve patient outcomes.
References
[1]
Hanahan, D. and Weinberg, R.A. (2011) Hallmarks of Cancer: The Next Generation. Cell, 144, 646-674. https://doi.org/10.1016/j.cell.2011.02.013
[2]
Wu, S.Z., Roden, D.L., Wang, C., Holliday, H., Harvey, K., Cazet, A.S., et al. (2020) Stromal Cell Diversity Associated with Immune Evasion in Human Triple-Negative Breast Cancer. The EMBO Journal, 39, e104063. https://doi.org/10.15252/embj.2019104063
[3]
Hu, D., Li, Z., Zheng, B., Lin, X., Pan, Y., Gong, P., et al. (2022) Cancer-Associated Fibroblasts in Breast Cancer: Challenges and Opportunities. Cancer Communications, 42, 401-434. https://doi.org/10.1002/cac2.12291
[4]
Bodewes, F.T.H., van Asselt, A.A., Dorrius, M.D., Greuter, M.J.W. and de Bock, G.H. (2022) Mammographic Breast Density and the Risk of Breast Cancer: A Systematic Review and Meta-Analysis. The Breast, 66, 62-68. https://doi.org/10.1016/j.breast.2022.09.007
[5]
Ficarra, S., Thomas, E., Bianco, A., Gentile, A., Thaller, P., Grassadonio, F., et al. (2022) Impact of Exercise Interventions on Physical Fitness in Breast Cancer Patients and Survivors: A Systematic Review. Breast Cancer, 29, 402-418. https://doi.org/10.1007/s12282-022-01347-z
[6]
Zhong, G., Qin, S., Townsend, D., Schulte, B.A., Tew, K.D. and Wang, G.Y. (2019) Oxidative Stress Induces Senescence in Breast Cancer Stem Cells. Biochemical and Biophysical Research Communications, 514, 1204-1209. https://doi.org/10.1016/j.bbrc.2019.05.098
[7]
Konno, T., Melo, E.P., Chambers, J.E. and Avezov, E. (2021) Intracellular Sources of ROS/H2O2 in Health and Neurodegeneration: Spotlight on Endoplasmic Reticulum. Cells, 10, Article No. 233. https://doi.org/10.3390/cells10020233
[8]
Lisanti, M.P., Martinez-Outschoorn, U.E., Lin, Z., Pavlides, S., Whitaker-Menezes, D., Pestell, R.G., et al. (2011) Hydrogen Peroxide Fuels Aging, Inflammation, Cancer Metabolism and Metastasis. Cell Cycle, 10, 2440-2449. https://doi.org/10.4161/cc.10.15.16870
[9]
Brufsky, A.M. and Dickler, M.N. (2018) Estrogen Receptor-Positive Breast Cancer: Exploiting Signaling Pathways Implicated in Endocrine Resistance. The Oncologist, 23, 528-539. https://doi.org/10.1634/theoncologist.2017-0423
[10]
Biswas, S.K., Banerjee, S., Baker, G.W., Kuo, C. and Chowdhury, I. (2022) The Mammary Gland: Basic Structure and Molecular Signaling during Development. International Journal of Molecular Sciences, 23, Article No. 3883. https://doi.org/10.3390/ijms23073883
van Meerloo, J., Kaspers, G.J.L. and Cloos, J. (2011) Cell Sensitivity Assays: The MTT Assay. In: Cree, I.A., Ed., Cancer Cell Culture, Humana Press, 237-245. https://doi.org/10.1007/978-1-61779-080-5_20
Griess Reagent System (n.d.) Promega Corporation. https://www.promega.com/products/cell-health-assays/oxidative-stress-assays/griess-reagent-system/?catNum=G2930
[18]
Chourpiliadis, C. and Aeddula, N.R. (2023, July 17) Physiology, Glucocorticoids. National Center for Biotechnology Information. https://pubmed.ncbi.nlm.nih.gov/32809732/
[19]
Breast Density on a Mammogram (n.d.) Susan G. Komen®. https://www.komen.org/breast-cancer/risk-factor/breast-tissue-density/
[20]
Schlamadinger, D. (2025, February 13) Dense Breast Tissue: What It Means and What to Know. Breast Cancer Research Foundation. https://www.bcrf.org/about-breast-cancer/dense-breast-tissue/
Valieva, Y., Ivanova, E., Fayzullin, A., Kurkov, A. and Igrunkova, A. (2022) Senescence-Associated Β-Galactosidase Detection in Pathology. Diagnostics, 12, Article No. 2309. https://doi.org/10.3390/diagnostics12102309
[23]
Kawaguchi, K., Komoda, K., Mikawa, R., Asai, A. and Sugimoto, M. (2021) Cellular Senescence Promotes Cancer Metastasis by Enhancing Soluble E-Cadherin Production. iScience, 24, Article ID: 103022. https://doi.org/10.1016/j.isci.2021.103022
[24]
Ohtani, N. (2022) The Roles and Mechanisms of Senescence-Associated Secretory Phenotype (SASP): Can It Be Controlled by Senolysis? Inflammation and Regeneration, 42, Article No. 11. https://doi.org/10.1186/s41232-022-00197-8
[25]
Szikriszt, B., Póti, Á., Németh, E., Kanu, N., Swanton, C. and Szüts, D. (2021) A Comparative Analysis of the Mutagenicity of Platinum-Containing Chemotherapeutic Agents Reveals Direct and Indirect Mutagenic Mechanisms. Mutagenesis, 36, 75-86. https://doi.org/10.1093/mutage/geab005
[26]
von Kobbe, C. (2019) Targeting Senescent Cells: Approaches, Opportunities, Challenges. Aging, 11, 12844-12861. https://doi.org/10.18632/aging.102557
[27]
U.S. Department of Health and Human Services (2018, July 9) Senolytic Drugs Reverse Damage Caused by Senescent Cells in Mice. National Institutes of Health. https://www.nih.gov/news-events/news-releases/senolytic-drugs-reverse-damage-caused-senescent-cells-mice
[28]
Mikó, E., Kovács, T., Sebő, É., Tóth, J., Csonka, T., Ujlaki, G., et al. (2019) Microbiome—Microbial Metabolome—Cancer Cell Interactions in Breast Cancer—Familiar, but Unexplored. Cells, 8, Article No. 293. https://doi.org/10.3390/cells8040293
[29]
Estepa-Fernández, A., García-Fernández, A., Lérida-Viso, A., Blandez, J.F., Galiana, I., Sancenon-Galarza, F., et al. (2023) Combination of Palbociclib with Navitoclax Based-Therapies Enhances in Vivo Antitumoral Activity in Triple-Negative Breast Cancer. Pharmacological Research, 187, Article ID: 106628. https://doi.org/10.1016/j.phrs.2022.106628
[30]
Zaher, A., Petronek, M.S., Allen, B.G. and Mapuskar, K.A. (2024) Balanced Duality: H2O2-Based Therapy in Cancer and Its Protective Effects on Non-Malignant Tissues. International Journal of Molecular Sciences, 25, Article No. 8885. https://doi.org/10.3390/ijms25168885