One-Two Punch Therapy for the Treatment of T-Cell Malignancies Involving p53-Dependent Cellular Senescence

T-cell malignancies are still difficult to treat due to a paucity of plans that target critical dependencies. Drug-induced cellular senescence provides a permanent cell cycle arrest during tumorigenesis and cancer development, particularly when combined with senolytics to promote apoptosis of senescent cells, which is an innovation for cancer therapy. Here, our research found that wogonin, a well-known natural flavonoid compound, not only had a potential to inhibit cell growth and proliferation but also induced cellular senescence in T-cell malignancies with nonlethal concentration. Transcription activity of senescence-suppression human telomerase reverse transcriptase (hTERT) and oncogenic C-MYC was suppressed in wogonin-induced senescent cells, resulting in the inhibition of telomerase activity. We also substantiated the occurrence of DNA damage during the wogonin-induced aging process. Results showed that wogonin increased the activity of senescence-associated β-galactosidase (SA-β-Gal) and activated the DNA damage response pathway mediated by p53. In addition, we found the upregulated expression of BCL-2 in senescent T-cell malignancies because of the antiapoptotic properties of senescent cells. Following up this result, we identified a BCL-2 inhibitor Navitoclax (ABT-263), which was highly effective in decreasing cell viability and inducing apoptotic cell death in wogonin-induced senescent cells. Thus, the “one-two punch” approach increased the sensibility of T-cell malignancies with low expression of BCL-2 to Navitoclax. In conclusion, our research revealed that wogonin possesses potential antitumor effects based on senescence induction, offering a better insight into the development of novel therapeutic methods for T-cell malignancies.


Introduction
T-cell malignancies are a highly heterogeneous group of disorders [1,2], which have been widely acknowledged to be typically aggressive and resistant to chemotherapy and have poor prognosis [3][4][5]. T-cell malignancies commonly consist of two categories, T-cell acute lymphoblastic leukemia (T-ALL) and T-cell non-Hodgkin lymphoma (T-NHL), both of which have similar clinical therapies and poor prog-nosis [6]. Due to the varied morphology of subtypes and being highly heterogeneous, the diagnosis and treatment of this disease have become a great challenge [7]. Although the standard first-line treatment of T-cell malignancies is a CHOP regimen (cyclophosphamide, doxorubicin, vincristine, and prednisone), which is still the representative chemotherapy [8], most patients still have a poor prognosis with an ORR of 65.8% because of rapid relapse [8]. Relapse and cytotoxicity always become an unavoidable problem for several patients. And just a few of patients who achieve remission are suitable for hematopoietic stem cell transplantation [9,10]. Thus, it is urgent to find more effective therapy options for patients who fail to respond to chemotherapy or relapse after chemotherapy.
Cellular senescence is a complex stress response accompanied by permanent cell cycle arrest and inhibition of proliferation, which is induced by DNA damage, telomere shortening, ionizing radiation, or oncogene [11,12]. The typical characteristics of senescent cells are large and flat morphology and positive expression of senescenceassociated β-galactosidase. Moreover, senescence-associated heterochromatin foci (SAHF) are also a biomarker of senescent cells, which are formed by nuclei as the heterochromatin structures [13]. In hematologic malignancies, cells abnormally overexpress human telomerase reverse transcriptase and decrease the expression of senescence-promoting genes, which contribute to immortalization of cancer cells [14]. Previous reports have shown that hTERT also exerts antisenescent effect through telomerase-and telomere lengthindependent mechanisms [15]. As a novel therapeutic concept, the use of drugs which can accumulate DNA damage and trigger cellular senescence in cancer cells can provide a new insight into treating hematologic malignancies. However, induced cellular senescence alone cannot achieve the ideal therapeutic effect. Many chemotherapy drugs can induce cellular senescence and alert the tumor microenvironment, which is a double-edged sword for cancer therapy [11,16]. Although senescent cells induced by agents had vulnerabilities such as persistent growth inhibition, persisting existence of senescent cells can promote cancer progression and invasion in B-cell lymphoma and T-cell acute lymphoblastic leukemia [17]. Thus, exploiting vulnerabilities and removing senescent cells are important for the second step of senescence-focused cancer therapies [18][19][20]. As the characteristic of resistance to apoptosis in senescent cells, senolytics are identified to eliminate aging cells including quercetin/dasatinib, pan-BCL inhibitors through the inhibition of the BCL-2 family of proteins (BCL-2, BCL-xL, and BCL-w) [21,22]. Therefore, a one-two punch cancer therapy may be regarded as a potentially therapeutic strategy [20].
Nowadays, DNA-damaging drugs are widely used in cancer therapy, which not only induce cell death but also activate cellular senescence [23]. DNA damage response (DDR) plays a core role in senescence. The biomarker of DDR is the activation of H2A.X, which depends on the phosphorylation at Ser139 (γ-H2AX). As a main factor of DDR, p53 acts as a protagonist during the process of aging and tumor suppression [24]. A previous study reported that in adult acute lymphoblastic leukemia, the alterations of TP53, the most important tumor suppressor gene, including deletions, sequence mutations, and defect in its expression, result in an adverse prognosis [25]. As the activation of DNA damage, p53 is activated through phosphorylation on serine-15 and serine-20 by ataxia-telangiectasia mutated (ATM) or ataxiatelangiectasia Rad3-related (ATR) and the checkpoint kinase 2 (CHK2), respectively [26,27]. And then, the interaction of MDM2 and p53 is impaired, promoting the accumulation and stabilization of p53 in response to DNA damage activa-tion [28]. After activation of p53, the downstream effectors like p21 regulate different cell responses such as cell cycle arrest and senescence. Wogonin (5,7-dihydroxy-8-methoxy-2-phenyl-4h-1benzopyran-4-one) is a type of flavonoid extracted from S. baicalensis Georgi, which has prominent biological activities including anti-inflammatory, antiviral, and anticancer activities [29,30]. However, cytostatic concentrations of wogonin have other characteristics such as inducing cellular senescence, which can combine with senolytics as a new therapeutic regimen. Here, we first investigated wogonininduced cellular senescence and found the suppression of telomerase activity in wogonin-treated senescent cells. Moreover, DNA damage response mediated by p53 was involved in cellular senescence induced by wogonin. Finally, we also clarified that the combination sequential treatment of wogonin and Navitoclax, a BCL-2 inhibitor, could obtain better effect and become a novel strategy in T-cell malignancies.

Cell
Culture. The human T-ALL cell line (Jurkat cells), human T-cell lymphoma cell lines (Hut-102 and Hut-78 cells), and HEK293T cells were purchased from the Cell Bank of Shanghai Institute of Biochemistry & Cell Biology. All the cells were expanded and stored in liquid nitrogen upon receipt, and each aliquot was passaged for fewer than 25-30 times in our laboratory. Jurkat, Hut-102, and Hut-78 cells were cultured in RPMI-1640 medium (Gibco, Carlsbad, USA). HEK293T cells were cultured in DMEM medium (Gibco, Carlsbad, USA). Medium was supplemented with 10% FBS (Thermo Fisher Scientific, Waltham, MA), 100 U/mL of penicillin, and 100 U/mL of streptomycin in a humidified environment (Thermo Fisher Scientific) with 5% CO 2 at 37°C.

Cell Viability
Assay. Cell proliferation of cells was detected using Cell Counting Kit-8 (KeyGen Biotech, Nanjing, China) according to the manufacturer's instruction. Briefly, cells (1 × 10 4 cells/well) were seeded into a 96-well plate in 100 μL medium and treated with wogonin at different concentrations for 24 h. Each group consisted of six parallel wells. Then, 10 μL of CCK8 solution was added to each well, and cells were incubated at 37°C for 1-4 h. The absorbance was measured at 450 nm using an Automated Microplate Reader ELx800 (BioTek). The cell survival rate (%) was calculated using the following equation: survival rate ð%Þ = ðOD treated − OD blank Þ/ðOD standard − OD blank Þ × 100 %:Inhibition rate ð%Þ = 100% − survival rate ð%Þ: 2.4. Quantitative Real-Time RT-qPCR. RT-qPCR was performed according to the manufacturer's instructions [32].
The primer sequences were as follows:

Cell Staining of Senescence-Associated β-Galactosidase
(SA-β-Gal). SA-β-Gal activity was measured by using a β-Galactosidase Staining Kit (Yeasen, Shanghai, China) according to the standard protocol. The stained cells were observed and photographed under the microscope (Carl Zeiss, Germany). Cells were considered positive when the cytoplasm was stained with SA-β-Gal. Total numbers of cells and SA-β-Gal-positive cells were counted for five fields per well. The ratios of SA-β-Gal-positive cells were calculated compared to the total cell numbers per area.
2.9. Flow Cytometric Detection of SA-β-Gal. For flow cytometry-based detection of senescence, the fluorogenic substrate 5-dodecanoylaminofluorescein di-beta-d-galactopyranoside (C 12 FDG) was used as described previously [33]. According to the manufacturer's instructions, cells were incubated with 33 μM C 12 FDG (ImaGene Green C 12 FDG lacZ Gene Expression Kit) at 37°C for 30 min. Then, cells were washed with PBS and measured immediately with a FACSCalibur flow cytometer (Becton Dickinson Biosciences, San Jose, CA, USA). Data were analyzed using FlowJo software. SA-β-Gal activity was estimated using the relative mean fluorescence intensity of the cell population.
2.10. Western Blotting Analysis. Whole cell proteins were collected after the treatment with wogonin and were extracted by using RIPA buffer containing protease/phosphatase inhibitors on ice for 50 min. Then, cell lysates were clarified by centrifugation at 14,000 rpm (5430R; Eppendorf, Hamburg, Germany) for 25 min at 4°C. Concentrations of proteins were measured using the BCA Protein Assay Kit (Thermo Fisher Scientific, USA). Protein extracts were equally loaded on 8%-12% SDS-polyacrylamide gels and then transferred onto the PVDF membranes (Millipore, Boston, MA, USA). Membranes were blocked with 3% BSA in PBS at room temperature for 1 h and then incubated with primary antibodies overnight at 4°C. After that, the membrane was incubated with an HRP goat anti-rabbit IgG (H+L) or HRP goat antimouse IgG (H+L) secondary antibody for 1 h at room temperature. Chemiluminescence detection was performed by using ECL reagents (Thermo Fisher Scientific, USA) upon using the AI600 imaging system (GE Healthcare, Pittsburgh, PA, USA).
2.11. Immunofluorescence. Cells were collected and seeded onto glass coverslips. Then, the cells were fixed in the icecold methanol for 10 min and incubated with 0.15% (v/v) Triton X-100 for 20 min. After the cells were blocked with 3% BSA at room temperature for 1 h, the cells were incubated with primary antibodies overnight at 4°C. Following this, the cells were stained with an Alexa Fluor 488-conjugated goat anti-rabbit IgG secondary antibody (Becton 2.13. Statistical Analysis. All results were expressed as the mean ± standard error of the mean (SEM). The data shown were obtained from triplicate independent parallel experiments. Statistical analyses were performed by using one-way analysis of variance (ANOVA), post hoc intergroup comparisons, and Tukey's test. Two-tailed Student's t-test was used to determine differences between groups. * p < 0:05 was considered statistically significant, * * p < 0:01 very significant, and * * * p < 0:001 highly significant. Statistical analyses were performed using GraphPad Prism 6.0 Software (GraphPad, San Diego, CA).

Wogonin Induced Growth Inhibition but Not Apoptosis in
Hut-102 and Jurkat Cells. In order to investigate the growth suppression effects of wogonin on T-cell malignancy cells, the growth inhibition rates of cells were detected by the CCK8 assay firstly. We performed our studies using T-NHL cell lines (Hut-102 and Hut-78) and the T-ALL cell line (Jurkat). Cells were treated with various concentrations of wogonin (0-256 μM) for 24 h. As shown in Figure 1(a), wogonin inhibited cell proliferation in a concentrationdependent manner. To investigate whether low concentration of wogonin still has proliferation inhibition on T-cell malignancies for a long-time exposure, we chose 20 μM as the treatment concentration. 20 μM wogonin inhibited cell proliferation in T-cell malignancies notably, as the decreased fluorescence intensity in CFSE-labeled cells was prevented by wogonin (Figures 1(b) and 1(c)). However, 20 μM wogonin did not induce significant apoptosis in Hut-102 and Jurkat cells after treatment for 1, 3, 5, and 7 d, but in Hut-78 cells, apoptosis rates showed a slight increase (Figure 1(d)). It is concluded that wogonin suppressed growth and proliferation of human T-cell malignancy cells.

Wogonin Induced Cellular Senescence in Hut-102 and
Jurkat Cells but Not Hut-78 Cells. A previous study has confirmed that small-molecule compounds can induce the cellular senescence in a few of cases [34]. It is a viable therapeutic option named one-two punch therapy to induce senescence of cancer cells and then remove them [19]. In order to validate the one-two punch therapy for the treatment of T-cell malignancies, firstly we identified whether wogonin could induce cellular senescence in these T-cell malignancy cells. C 12 FDG and senescence-associated β-galactosidase staining test were adopted to assess the cellular senescence in Hut-102, Jurkat, and Hut-78 cells treated with 20 μM wogonin for 5 d. Higher SA-β-Gal activity measured by C 12  3.3. Wogonin-Induced Cell Cycle Arrest Was Accompanied by Cellular Senescence. Cell cycle blockage is a well-known feature of cellular senescence, which contributes to permanent growth arrest in senescent cells [35,36]. Thus, the effects of wogonin on cell cycle progression were measured in Hut-102 and Jurkat cells treated with 20 μM wogonin for 5 d.
Results showed that the proportion of cells increased in the G 1 phase and decreased in the S phase compared to the untreated cells (Figures 3(a) and 3(b)). The CDK4/6-cyclin D1 complex plays a key role in promoting transition of the G 1 to S phrase, and the CDK2-cyclin E1 complex, the downstream of the CDK4/6-cyclin D1 complex, promotes cells to enter the S phrase through the restriction point [37]. Western blots indicated that wogonin decreased the expression of cyclin D1, CDK4, and CDK6, while the cyclin E1 expression was stable (Figures 3(c) and 3(d)). Furthermore, the increased expression of p16,p21, and p27 may contribute to cell cycle blockage in senescent cells [38,39]. RT-PCR results showed that wogonin increased the mRNA level of P21 by over 20-fold in senescent Hut-102 and Jurkat cells, while the mRNA level of P27 did not change in those two cell lines (Figure 3(e)). The mRNA level of P16 was slightly increased in Jurkat cells but not in Hut-102 cells (Figure 3(e)). All these data demonstrated that wogonin arrested the cell cycle at the checkpoint of G 0 /G 1 , which was correlated with cellular senescence in T-cell malignancy cell lines including Hut-102 and Jurkat.

Wogonin Suppressed Telomerase Activity by Inhibition of
hTERT and c-Myc in Wogonin-Induced Senescent Cells. Telomere length affects cell life, and when the telomere shortens to a certain extent, cell senescence occurs [40]. Previous studies have shown that telomerase activity affects telomere length [41]. As a main component of telomerase, human telomerase reverse transcriptase is overexpressed in many malignant tumors including hematologic malignancies [42,43]. c-Myc, a transcription factor, binds to the promoter region of hTERT and drives overexpression of hTERT in cancer cells, resulting in the activation of telomerase [44]. In order to verify whether wogonin induced cellular senescence involved in inhibiting telomerase activity, we first detect the mRNA levels of C-MYC and hTERT. Results showed that the mRNA expression of C-MYC and hTERT were decreased in Hut-102 and Jurkat cells after treatment with 20 μM wogonin for 5 d (Figure 4(a)). By the way, we also investigate the protein expression of c-Myc and hTERT using western blot,  and results showed that wogonin decreased the expression of c-Myc and hTERT in Hut-102 and Jurkat cells after treatment for 5 d (Figures 4(b) -4(e)). Thus, we concluded that wogonin could inhibit telomerase activity in senescent cells.

Wogonin Induced Senescence-Associated Heterochromatin
Foci in Senescent Cells. Cell senescence is accompanied by the change of chromosome structure, especially the phenomenon of heterochromatin foci, which is the biological marker of cell senescence [13,45]. In order to determine whether wogonin induced SAHF in senescent cells, Hut-102 and Jurkat cells were exposed to 20 μM wogonin for 5 d and formation of DNA agglutination points appeared ( Figure 5(a)). The ratios of agglutination point-positive cells were 38:00% ± 5:10% and 44:22 ± 11:09% in wogonin-treated Hut-102 and Jurkat cells, respectively ( Figure 5(b)). Next, we verified the molecular marker of SAHF named H3K9me3 by western blots and under a laser scanning confocal microscope. Results of western blots showed that the expression of H3K9me3 was upregulated after the treatment with wogonin for 3, 5, and 7 d in Hut-102 cells; meanwhile, H3K9me3 was also upregulated after the treatment with wogonin for 5 and 7 d in Jurkat cells (Figures 5(c) and 5(d)). Immunofluorescence analysis showed that the fluorescence intensity of H3K9me3 increased and colocated with the agglutination point in Hut-102 and Jurkat cells ( Figure 5(e)).
3.6. Wogonin Induced Cellular Senescence through p53-Mediated DNA Damage Response. Many studies have shown that anticancer agent-induced cellular senescence is mediated by the DNA damage pathway [24,46]. To figure out the mechanism of cellular senescence induced by wogonin, we first performed western blot experiments to detect the protein expression of the DNA damage marker protein γ-H2AX in Hut-102 and Jurkat cells. We found that the γ-H2AX expression increased obviously after treatment with 20 μM wogonin for 5 d and 7 d (Figure 6(a)), while in Hut-78 cells, the level of γ-H2AX was increased slightly with the treatment with 20 μM wogonin for 7 d ( Figure S1a). In line with that, results of the immunofluorescence experiment showed that the fluorescence intensity of γ-H2AX was enhanced and colocalized with the nucleus after treatment with 20 μM wogonin in three T-cell malignancies ( Figure 6(b), Figure S1b). The enhanced expression of γ-H2AX proved the wogonin-induced DNA damage response. We then analyzed the activation level of the CHK2/p53/p21 axis, which is involved in DNA damage response [47]. Western blot indicated that the level of p-   [48] and the level of CHK2 and p-CHK2 (Thr68) was increased after treatment with wogonin for 7 d; meanwhile, p21 was slightly increased and p16 and p27 expression was not changed (Figure S1c, d). However, the change degree of p21 in Hut-78 cells is generally slighter than that in Hut-102 and Jurkat cells ( Figure 6(d), Figure S1d). To further investigate whether wogonin-induced senescence depended on the functionally intact p53, we performed our studies using lentiviral-transfected P53 shRNA and negative control (NC) in wt-p53 Hut-102 cells. Transfected efficiency of P53 shRNA is shown in Figures 6(e) and 6(f). Flow cytometric analysis showed that the activity of SA-β-Gal alleviated in cells transfected with P53 shRNA compared with the negative control group after wogonin treatment (Figures 6(g) and 6(h)). Moreover, western blot showed that wogonin-induced expression of p-p53 (Ser15) and p21 was inhibited by P53 knockdown (Figures 6(e) and 6(f)). As a result, DNA damage response is involved in wogonininduced cellular senescence, and the participation of p53 is critical for the cellular senescence induced by wogonin.

Wogonin-Induced Cellular Senescence Sensitized
Navitoclax to Kill T-Cell malignancy cells. Recent research suggested that the expression of prosurvival networks increased in senescent cells including BCL-2, resulting in resistance to apoptosis [19]. We used senolytic drugs to target senescent cells, which is the second step of one-two punch therapy specific to Achilles' heel of senescent cells [19,49]. Navitoclax, a senolytic BH3 mimetic drug, can selectively kill senescent cells [21,50]. Navitoclax binds to BCL-2, BCL-xL, and BCL-w in vitro, while BCL-2 plays a key role in vivo and high expression of BCL-2 exhibited sensitivity to Navitoclax in human non-Hodgkin lymphomas instead of BCL-xL or BCL-w [51]. To investigate whether wogonin-induced senescence promoted the expression of prosurvival protein BCL-2 and BCL-xL, western blot was used and results showed that the expression of BCL-2 was upregulated but the expression of BCL-xL was not changed after treatment with 20 μM   (Figures 7(a) and  7(b)). We chose Jurkat cells to assess cell viability affected by Navitoclax. The CCK8 assay indicated that wogonin-induced senescent cells exhibited more significant sensitivity to Navi-toclax than control cells (Figure 7(c)). Meanwhile, cell apoptosis analyses showed that Navitoclax could induce more apoptosis in wogonin-treated cells than in untreated cells (Figure 7(d)). Moreover, western blot results showed that   the expression of apoptosis protein levels like cleaved caspase-3/caspase-3, cleaved PARP-1/PARP-1, Bax, and Bim L was increased in Navitoclax-treated senescent cells (Figures 7(e) and 7(f)). In conclusion, wogonin-induced senescent cells were more sensitive to Navitoclax cytotoxicity and were effectively killed.

Discussion
T-cell malignancies remain to have poor prognosis and are difficult to have specific treatments [3,52]. Clinically, chemotherapy based on the ABVD and CHOP regimen is still the preferred treatment for T-cell malignancies, and toxic effects and drug resistance brought by traditional chemotherapy regimens are unavoidable [53][54][55]. Cellular senescence makes senescent cells as a druggable target to repress tumor progression [22,56]. Thus, inducing cellular senescence makes senescent cells display an induced vulnerability to senolytics drugs, which could be a novel one-two punch therapy for the treatment of T-cell malignancies [19,50,57].
TP53 mutations in hematologic malignancies are less frequent (5%-15%) but closely associated with poor prognosis [58]. Different sites, forms, and frequencies of TP53 mutation lead to different disease states [58][59][60]. Because of the central role of p53 in regulating cells' normal life activity, drug discovery concentrates on manipulating p53 and eradicating cancer cells. Wogonin is a well-known flavonoid and has a wide range of anticancer effects especially producing a better effect in hematologic malignancies [61][62][63][64]. However, although moderate and high concentrations of wogonin (over 40 μM) had a better therapeutic effect, its insoluble characteristic and cytotoxicity in high doses were inescapable and limited its use in clinic. We found that low concentration of wogonin (20 μM) could induce cellular senescence via DNA damage response in T-cell malignancies and verified the application of one-two punch therapy involving cellular senescence. Targeting senescent cells may benefit to increase therapeutic efficacy and reduce risk of recurrence [19]. Moreover, a previous study also reported that wogonin could target the Warburg Effect which depends on wild-type p53 to produce anticancer effects [65]. Except in the field of metabolism, p53 also plays an important role in regulating cellular senescence [66]. Our results showed that wogonin induced cellular senescence in p53 functional cell lines (Hut-102, Jurkat) but not the p53-deficient Hut-78 cell line. And we also found senescence-related SAHF phenomenon in Hut-102   and Jurkat cells but not in Hut-78 cells, suggesting that p53 may be involved in wogonin-induced senescence. Meanwhile, the phosphorylation of p53 (Ser15) was increased in senescent cells after the treatment with wogonin for 5 d.
The knocking down assay confirmed that wogonin-induced senescence depended on the expression of p53. It is indicated that p53 may be a core factor in mechanisms of wogonintreated T-cell malignancies. According to our study, wogonin induced DNA damage response and increased the expression of γ-H2AX in Hut-102 and Jurkat cells. As the consequences of DNA damage response, phosphorylation of CHK2 (Thr68) was activated after the treatment with wogonin in senescent cells. The mRNA and protein expression of p21 playing a crucial role was obviously increased by wogonin treatment to render the cell cycle arrest irreversible and induce the senescence phenotype. The mRNA level of p27 did not change in Hut-102 and Jurkat cells, and the mRNA level of p16 had slightly changed in Jurkat cells but not in Hut-102 cells. It is also worth noting that the protein expression of p16 did not change in Hut-102 and Jurkat cells, and the results prompted us that the p16/Rb pathway may not mainly participate in wogonin-induced cellular senescence in Tcell malignancies. In a word, the results suggested that the CHK2/p53/p21 pathway may be involved in wogonininduced cellular senescence.
DNA damage is only the mediator of cellular senescence, but the change of telomere function is one of the real causes to trigger DNA damage response resulting in cellular senescence [67]. Telomere dysfunction leads to aging, which is a proliferation disorder dependent on p53 and pRb, and hinders the continuous accumulation of mutations, thus resulting in blocking the development of cancer. In contrast, experimental inactivation of p53 and pRb enables fibroblasts to bypass aging and continue to divide [68,69]. As a mild senescence inducer, nonlethal concentration of wogonin showed a unique function to T-cell malignancies. 20 μM wogonin obviously suppressed the transcription of C-MYC and its downstream gene hTERT. Furthermore, wogonin decreased the protein expression of c-Myc and hTERT. C-MYC is a well-known oncogene and regulates the occurrence and progression of cancer. The promoter region of hTERT has oncoprotein c-Myc binding site-E-boxes, which induce the transcriptional activity of hTERT and activate telomerase Columns represent the mean from three parallel experiments (mean ± SEM). * p < 0:05, * * p < 0:01, and * * * p < 0:001, compared with the control group. [70]. We can infer that wogonin induced cellular senescence partly through the inhibition of telomere function. The underlying mechanisms are still being investigated.
In this paper, we used Hut-78 cells as the p53 deficiency model to verify the mechanism of wogonin. We did not observe obvious cellular senescence in Hut-78 cells after wogonin treatment. It is worth mentioning that we found that wogonin increased the level of γ-H2AX in Hut-78 cells ( Figure S1a, b). Following the results, we detected the expression of CHK2, p-CHK2 (T68), p21, p16, and p27. The results showed that the expression of CHK2 and p-CHK2 (T68) were all increased after wogonin treatment for 7 d. The expression of p21 had slightly increased on day 7, but p16 and p27 had no change ( Figure S1c, d). The upregulated folds of p21 in Hut-102 and Jurkat cells were more than those in Hut-78 cells. The expression of p21 was slightly increased in Hut-78 cells after treatment with wogonin slighter (Figure 6(d) and Figure S1d). However, the lack of p53 and slightly increased level of p21 may not be enough give rise to senescence in Hut-78 cells. CFSE experiments suggested that the decreased fluorescence intensity in CFSE-labeled cells was prevented by wogonin in Hut-78 cells. Thus, we supposed that there could be other signaling pathways to account for the mechanism which regulates cell proliferation induced by wogonin in Hut-78 cells. More follow-up studies are warranted to unveil the true nature of wogonin in Hut-78 cells.
Some studies have shown that overexpression of BCL-2 or BCL-xL is commonly observed in acute lymphoblastic leukemia (ALL) and chronic lymphocytic leukemia (CLL) [71,72]. Navitoclax is a specific BH3-mimetic drug especially used in hematologic malignancies [73]. However, BCL-2 was verified as playing a key role in lymphoid cells, and overexpression of BCL-2 could increase the sensibility to Navito-clax [51]. But lymphoid cells with low expression of BCL-2 lack sensibility to Navitoclax and lose opportunity for optimal cell killing. The expression of BCL-2 was upregulated, contributing to the resistance of senescent cells to death. In our study, the increased expression of BCL-2 in senescent cells induced by wogonin could be detected by western blot. Then, the CCK8 assay showed that senescent cells were more sensitive to Navitoclax compared to untreated cells. Thus, the sequential combination of the BCL-2 inhibitor Navitoclax could promote the death of tumor cells, so there was no doubt that adopting this treatment method was of positive significance.
In summary, our findings suggest that wogonin not only inhibited telomere function but also induced p53-dependent cellular senescence, which was correlated with DDR. Cellular senescence promoted the expression of BCL-2 and consequently increased the sensibility to Navitoclax and removed senescent cells. Our work indicates prosenescence therapy induced by wogonin, sequentially combined with Navitoclax, providing a novel clinical approach for T-cell malignancy treatment (Figure 8).

Conclusion
In conclusion, our study revealed that wogonin inhibited telomerase activity via inhibition of c-Myc regulating the expression of hTERT. On this basis, we also found that wogonin induced p53-dependent cellular senescence mediated by DDR in T-cell malignancies. Moreover, wogonin-induced senescent cells increased the sensibility of Navitoclax resulting in killing T-cell malignancy cells effectively. cells. This may be considered a promising aspect of clinical cancer treatment.