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Death receptors regulate entry to therapy-induced senescence and orchestrate addiction to IAPs.

Created on 24 Oct 2026

Authors

Gokhan Gunay, Seren Hamsici, Vaishnavi Venugopalan, Aoife Costigan, Melanie Fritsch, Aislinn Gallagher Aldave, Anne Huber, Brianna Fernandez, Hande Efe-Cicek, Pavel Davidovich, Pavitha Parathan, Akash Srivaths, Natalie Hudson, Eleanor Noone, Jeffrey O'Callaghan, Lisa A Mielke, Sarah L Doyle, Sabrina L Spencer, Matthew Campbell, Conor J Kearney, Hamid Kashkar, Seamus J Martin

Published in

Science advances. Volume 12. Issue 43. Pages eaed4541. Oct 23, 2026. Epub Oct 23, 2026.

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.

PMID:
42912996
Bibliographic data and abstract were imported from PubMed on 24 Oct 2026.

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