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Life's full of tradeoffs. Splurge on a vacation this year, and you're
forced to live frugally next year. The same holds true for cancer and
growing old: the very process that guards against tumors early in life
may contribute to aging later on.
At the heart of this tradeoff is a cellular response called senescence,
a little-understood process in which cells stop dividing. Senescence is
nature's way of fighting cancer. It's initiated in damaged cells that
are at risk of developing into tumors. If cells can't divide, cancer can't
spread. But ever since senescence was first observed 40 years ago, scientists
surmised it also contributes to the trappings of old age such as failing
eyesight, wrinkling skin, even cancer. The longer we live, the more senescent
cells accumulate, and the more tissue breaks down.
But how could something that guards against cancer turn so bad? Judy
Campisi has devoted the last fifteen years to exploring this Jekyll and
Hyde phenomenon. As a cell biologist in Berkeley Lab's Life Sciences Division,
she's at the forefront of understanding the shifting role of senescent
cells throughout the lifespan of organisms.
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The very process that guards against tumors early
in life may contribute to aging later on.
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Not surprisingly, her foray into the cellular underpinnings of aging
comes by way of cancer research. After receiving a Ph.D. in biochemistry
from New York's Stony Brook University, she studied the relationship between
cell cycles and cancer at Harvard Medical School. Next, she established
her own lab at Boston University and further explored how normal cells
become cancerous. She then came to Berkeley Lab in 1990 to focus on what
happens to cells after they stop dividing.
She knew that when cells become senescent, they secrete enzymes that
degrade nearby tissue. She also knew that some cells, in a completely
unrelated process, mutate and become pre-cancerous. Now, she's beginning
to learn how these two processes conspire to promote age-related cancer.
In young people, both cell mutations and senescence are often harmless
because odds are they don't occur near each other. In addition, healthy
tissue suppresses the spread of mutated cells.
But as people age, and the prevalence of mutations and senescence increases,
a dangerous game of chance develops. If a mutated cell appears next to
tissue that's been compromised by a senescent cell, the mutation can spread.
This is because damaged tissue can't suppress the growth of mutated cells.
So sooner or later, as people age and more and more of their cells either
mutate or become senescent, there's a good chance a mutation will occur
next to damaged tissue. And when this happens, conditions become ripe
for cancer.
That much is known. What isn't known is how a cell first becomes senescent.
And how and why do these cells secrete tissue-damaging enzymes? Even more
remote, but tantalizing, is the possibility of therapies that fight cancer
by reducing the effects of senescent cells.
"In theory, if you can get senescent cells to
die, you can retard cancer," Campisi says.
"You'd still have mutations, but you wouldn't have this all-important
synergy. Could we develop therapies that eliminate senescent cells, or
prevent them from secreting enzymes?"
More about
Judith Campisi's research
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