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Cell study finds death receptors shape which aging cells survive chemotherapy

A study · Science advances · Oct 23, 2026

What this means

Scientists found that certain death signals help control which damaged cells become senescent. The work does not show whether this would help people or patients.

Plain-English summary written by an AI model from the abstract. The original is below.

Tested inAnimals
Who it was tested in
Human and mouse cells in lab dishes, plus some work in living mice
Kind of research
A study

The science

Original title
Death receptors regulate entry to therapy-induced senescence and orchestrate addiction to IAPs.
Authors
Gunay G, Hamsici S, Venugopalan V et al.
Journal
Science advances
Published
Oct 23, 2026
Study type
Study · in humans

Abstract

Cytotoxic chemotherapy typically results in the elimination of a fraction of the tumor with surviving cells entering a state of persistence or premature replicative senescence that can lead to recurrence. Here, we show that therapy-induced senescence is associated with robust up-regulation of Fas and/or TRAIL-R2/DR5 death receptors in vitro and in vivo. The latter receptors restricted entry to senescence and exerted selective pressure on senescent cells through promoting assembly of proapoptotic receptor-interacting protein kinase 1 (RIPK1)/Fas-associated death domain protein (FADD)/Caspase-8 "FADDosome" complexes, restrained by cFLIPL. Accordingly, deletion of CASP-8 robustly enhanced entry to senescence and prolonged the life span of senescent cells. cIAP-2, which inhibits death receptor-driven cell death, was also up-regulated in senescent cells, and deletion of IAPs suppressed entry to senescence. Consistent with this, small-molecule IAP antagonists exhibited potent senolytic activity through enhancing death receptor-initiated Caspase-8 activation. Thus, death receptor-driven assembly of RIPK1/FADD/Caspase-8 complexes in senescent cells orchestrates addiction to IAPs that can be exploited by IAP antagonists.

Read it on PubMed ↗

Gunay G, Hamsici S, Venugopalan V et al. Death receptors regulate entry to therapy-induced senescence and orchestrate addiction to IAPs. Science advances. 2026. doi:10.1126/sciadv.aed4541. PMID: 42912996. https://pubmed.ncbi.nlm.nih.gov/42912996/

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