Previous authors have suggested that tumor suppressor expression promotes aging while preventing cancer, but direct experimental support for this canceraging hypothesis has been elusive. Here, by using somatic, tissue-specific inactivation of the p16 INK4a
IntroductionAntagonistic pleiotropy, one of the oldest hypotheses of aging, suggests that certain cellular activities may be of physiologic benefit in youth but may untowardly decrease organismal fitness in later life. 1 The cancer-aging hypothesis represents a special case of this model, suggesting that tumor suppressor mechanisms such as cellular senescence can function in an antagonistically pleiotropic manner, ie, preventing malignant transformation in young mammals but promoting aging over a lifespan. Although there are examples of senescence-promoting tumor suppressor proteins such as p16 INK4a and p53 contributing to the aging of distinct tissue compartments (reviewed in Campisi 2 and Collado et al 3 ), it has not been possible to directly demonstrate a strict trade-off between increased aging and reduced cancer as the result of a cellautonomous activation of a specific tumor suppressor mechanism within an isolated tissue.The p16 INK4a tumor suppressor, along with 2 other tumor suppressor proteins, p15INK4b and p14 ARF (hereafter referred to solely as ARF), originates from the INK4/ARF or CDKN2a/b locus at human chromosome 9p21 (reviewed in Sharpless and DePinho 4 ). Expression of p16 INK4a inhibits the cell cycle, promotes cellular senescence, and has been linked to cancer and aging in mammalian systems. Expression of p16 INK4a has been shown to markedly increase with age in nearly all mammalian tissues, and caloric restriction, which retards aging in rodents, attenuates this age-induced increase in p16 INK4a . 19,20 because germline p16 INK4a -deficient mice have increased thymocyte and peripheral T-cell numbers. 21,22 Of particular importance to the present work, we and others have shown an accumulation of p16 INK4a expressing T cells in human peripheral blood with aging. 17,23 This expression of p16 INK4a appears to be a biomarker of physiologic as opposed to chronologic age, independently correlating with gerontogenic behaviors such as smoking and physical inactivity. 17 Although these murine and human data Submitted September 2, 2010; accepted December 9, 2010. Prepublished online as Blood First Edition paper, January 18, 2011; DOI 10.1182 DOI 10. /blood-2010 An Inside Blood analysis of this article appears at the front of this issue.The online version of this article contains a data supplement.The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked ''advertisement'' in accordance with 18 USC section 1734. With regard to lymphoid cancers, deletion and silencing of the INK4a/ARF locus are among the most common genetic events in a variety of human lymphoid and plasma cell malignancies, particularly pediatric B-and T-lineage acute lymphoblasti...