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Sustained activation of DNA damage response in irradiated apoptosis-resistant cells induces reversible senescence associated with mTOR downregulation and expression of stem cell markers

Cells respond to genotoxic stress by activating the DNA damage response (DDR). When injury is severe or irreparable, cells induce apoptosis or cellular senescence to prevent transmission of the lesions to the daughter cells upon cell division. Resistance to apoptosis is a hallmark of cancer that challenges the efficacy of cancer therapy. In this work, the effects of ionizing radiation on apoptosis-resistant E1A + E1B transformed cells were investigated to ascertain whether the activation of cellular senescence could provide an alternative tumor suppressor mechanism. We show that irradiated cells arrest cell cycle at G2/M phase and resume DNA replication in the absence of cell division followed by formation of giant polyploid cells. Permanent activation of DDR signaling due to impaired DNA repair results in the induction of cellular senescence in E1A + E1B cells. However, irradiated cells bypass senescence and restore the population by dividing cells, which have near normal size and ploidy and do not express senescence markers. Reversion of senescence and appearance of proliferating cells were associated with downregulation of mTOR, activation of autophagy, mitigation of DDR signaling, and expression of stem cell markers.

Mammalian target of rapamycin (mTOR) is a member of the phosphoinositide-3-kinase-related kinases (PIKK) family, which integrates multiple signaling pathways and serves as a central regulator of cellular senescence. mTOR forms 2 distinct complexes, mTORC1 and mTORC2, 16,17 that negatively regulate autophagy. [18][19][20] Autophagy is an evolutionarily conserved mechanism that provides cell survival in response to a variety of stresses, including exposure to IR. Activation of autophagy is required for development and maintenance of senescent phenotype. 18 Ionizing radiation (IR) is among the factors that induce cellular senescence. Exposure to IR generates various DNA lesions, among which DNA double-strand breaks (DSBs) are the most harmful, as they can lead to mutations, genomic instability, and apoptosis when unrepaired. Irradiated cells initiate a complex of events resulting in the activation of DDR, checkpoint controls, and DNA repair. The initial steps of DDR include activation of PIKK family kinases ATM, ATR, and DNA-PK followed by phosphorylation and activation of multiple downstream targets, among which are histone H2AX and 53BP1. [21][22][23][24][25][26][27] Two major mechanisms of DSBs repair in mammals are homologous recombination (HR) and non-homologous end joining (NHEJ). 24 When DNA lesions are severe or irreparable, the DDR signaling remains activated, leading to apoptosis or cellular senescence. 1,11,[28][29][30][31] Tumor cells often acquire resistance to apoptosis that results in the selection of the most malignant cells. 32 However, apoptosisresistant cells retain the ability to undergo cellular senescence. 33 Although senescence is canonically defined as a terminal arrest of cell division, recent works demonstrate that various types of senescence can be reversed. [34][35][36][37] This work aimed to study the effects of IR on apoptosisresistant E1A + E1B-transformed cells with special emphasis on determining whether an alternative to apoptosis tumor suppressor program, such as cellular senescence, can be activated. We revealed that in response to IR, E1A + E1B cells undergo G 2 /M cell cycle arrest followed by restart of DNA replication, which culminates in the formation of polyploid giant monoand multinuclear cells. Irradiated E1A + E1B cells demonstrate a delayed DNA repair that leads to a sustained activation of DDR signaling and results in the induction of reversible cellular senescence. Finally, we show that the giant polyploid cells were eventually replaced by a population of proliferating cells that did not express SA-β-Gal. Reversion of IR-induced senescence in E1A + E1B cells was associated with suppression of mTOR activity, induction of autophagy, mitigation of DDR signaling, and expression of stem-cell markers Nanog and Oct3/4.

Irradiated E1A + E1B cells arrest cell cycle progression in G 2 /M phase and resume DNA replication without cell division resulting in the formation of giant polyploid cells
Irreversible arrest of cell cycle progression and proliferation is a hallmark of cellular senescence. To evaluate antiproliferative effect of IR on apoptosis-resistant cells, the ability of cells to arrest cell cycle progression, DNA replication, and proliferation was analyzed. The experimental data demonstrate that E1A + E1B cells undergo the G 2 /M cell cycle arrest followed by restart of DNA replication 24 h after irradiation that leads to the accumulation of polyploid cells (Fig. 1A). BrdU incorporation assay shows that DNA replication in E1A + E1B cells decreased dramatically 1 d post-exposure to IR but resumed already on the second day after irradiation and remained active in the following days (Fig. 1B). At the same time, the proliferation of irradiated cells was completely suppressed until day 7 postexposure to IR (Fig. 1C). Importantly, replication of DNA in proliferation-arrested cells resulted in the formation of giant multi-and mononuclear cells, which often contained micronuclei ( Fig. 2A). We analyzed the ploidy of giant cells by mean of Feulgen DNA staining with the subsequent DNA cytometry. Cells with DNA content over 16C were revealed already on the first and second days after exposure to IR, while 3 d after irradiation, over 60% of cells in the population reached a highly polyploid state, with the DNA content up to 60C (Fig. 2B). Moreover, giant cells continued DNA replication in the following days and reached the ploidy over 1500C (Fig. 2B), demonstrating loss of control on the coordination of DNA replication and cell division.
Uncontrolled DNA replication in E1A + E1B cells may depend on the expression of E1A protein, which can bind to and inactivate negative regulators of the cell cycle such as pRb, 38,39 leading to the release of E2F transcription factors and, therefore, transcription of S-phase genes. [40][41][42] According to our data, the expression of E1A protein in E1A + E1B cells remained high throughout the period of observation also in giant cells ( Fig. 2C and D);  colocalization with 53BP1 foci (Fig. 4). However, IR-induced pATR Ser428 was detected neither in early nor in persistent DDR foci (Fig. 5). Our data suggest that sustained DDR signaling in E1A + E1B cells is mediated by ATM, but not ATR.
The DDR foci persistent in E1A + E1B cells are the sites of DNA lesions Rodier and colleagues have previously suggested that persistent DDR foci are distinct from the transient ones. 15 Although they share common components, the persistent foci do not contain DNA repair factors and are not the sites of unscheduled DNA synthesis. 15 To reveal whether the DDR foci that persisted in E1A + E1B cells are the sites of DNA breaks, we performed single-cell gel electrophoresis (comet assay). 45,46 Formation of comet tails was found in virtually all irradiated cells until day 5 post-irradiation, when the percentage of cells forming the comets started to decrease ( Fig. 6A and B). The number of cells with DNA breaks and the level of DNA damage as measured by comets' tail length and tail moment remained high within 5 d after exposure to IR and then declined gradually (Fig. 6C therefore, it may provide replicative activity in irradiated cells.

Impaired DDR in E1A + E1B cells results in the persistence of DDR foci
Ionizing radiation induces rapid accumulation of DDR factors, including γH2AX and 53BP1 at the sites of DNA damage, resulting in the formation of DDR foci. Typically, DDR foci can already be detected 3 min after irradiation, reaching a maximum size and number 30 min after exposure to IR and dissociating within 24 h. 43 However, the persistence of DDR foci leads to apoptosis or cellular senescence. 29,44 Therefore we studied the kinetics of γH2AX and 53BP1 foci formation and dissociation in E1A + E1B cells. The number of γH2AX foci reached the maximum 30 min after irradiation, whereas the maximal level of 53BP1 foci was detected only 1 d post-exposure to IR (Fig. 3A, B, and D). Notably, the translocation of 53BP1 to the sites of lesions was delayed, as it retained uniform distribution in the nuclei 30 min after irradiation (Fig. 3A). Furthermore, less than 40% of E1A + E1B cells showed 53BP1 foci formation 30 min post-IR treatment followed by a 2-fold increase on day 1 after irradiation ( Fig. 3E). The kinetics of γH2AX and 53BP1 foci resolution in E1A + E1B cells was impaired as they persisted in most of the cells until day 20 post-exposure to IR (Fig. 3). γH2AX and 53BP1 foci remained colocolized until day 20 after IR treatment and increased in size (Fig. 3A). We compared the kinetics of γH2AX and 53BP1 foci formation and dissociation in E1A + E1B cell and rat embryonic fibroblasts (REFs). Unlike E1A + E1B cells, the maximal number of both γH2AX and 53BP1 foci in REFs was detected 30 min after irradiation and was two-and 10-fold higher respectively ( Fig. 3B and D). Besides, the DDR foci did not persist in REFs and were completely resolved already 1 d post-IR treatment ( Fig. 3B and D; Fig. S1). Consequently, the kinetics of 53BP1 foci formation, and kinetics of both γH2AX and 53BP1 foci dissociation were impaired in E1A + E1B cells and resulted in the persistence of DDR foci.
To reveal whether ATM and ATR kinases are the components of DDR foci in E1A + E1B cells, their colocalization with γH2AX and 53BP1 was analyzed. IR-activated pATM Ser1981 accumulated in DDR foci within the minutes after exposure to IR and remained persistent showing distribution in the nuclei and micronuclei and

and D).
Taking into consideration that comets may arise due to the apoptotic cell death, we assayed DNA fragmentation and investigated cell viability. According to our data, not less than 94% of irradiated cells remained viable during all the period of experiment (Fig. 6E) and did not demonstrate any evidence of apoptotic cell death, including morphological features and nucleosomal DNA fragmentation (data not shown).
Further, we examined HR and NHEJ DNA repair by activation of Rad51 recombinase and DNA-dependent protein kinase catalytic subunit (DNA-PKcs) and their accumulation within the DDR foci. According to our results, E1A + E1B cells failed to activate HR repair immediately after exposure to IR (Fig. 7A-C), as revealed by the absence of Rad51 in the nuclei 30 min after irradiation. A weak activation of Rad51 was detected in 40% of cells only 1 d post-IR treatment ( Fig. 7A-C), which correlated with accumulation of 53BP1 in the DDR foci (Fig. 3A, D and E). In contrast, REFs already demonstrated activation of HR repair 30 min after irradiation and completed DNA repair 1 d post-exposure to IR, as revealed by analysis of Rad51 accumulation within the DDR foci and measurement of its fluorescence intensity ( Fig. 7B; Fig. S2A). Interestingly, the intensity of Rad51 fluorescence in E1A + E1B cells increased more than 50 times on day 5 after irradiation compared with day 1, and remained at this level until day 20 (Fig. 7B). Rad51 foci persisted in a significant number of E1A + E1B cells until day 20 postirradiation ( Fig. 7A and C). They were colocolized with γH2AX both in giant nuclei and micronuclei ( Fig. 7A and D).
The DDR-dependent activation of DNA-PKcs by autophosphorylation on Ser2056 (pDNA-PKcs Ser2056 ) and accumulation in the DDR foci were observed in all irradiated E1A + E1B cells already within the minutes after exposure to IR ( Fig. 8A and C). They persisted and colocolized with γH2AX over the following 20 d (Fig. 8A). In addition, the number of pDNA-PKcs Ser2056 -positive cells did not decrease until day 10 postexposure to IR (Fig. 8C). In contrast, in REFs, the pDNA-PKcs Ser2056 foci appeared within minutes after treatment with IR and were not detected 1 d after irradiation, thus demonstrating that DNA repair is completed (Fig. S2B). The intensity of pDNA-PKcs Ser2056 fluorescence 30 min post-irradiation was approximately twice lower in E1A + E1B cells than in REFs (Fig. 8B). It increased on day 5 after exposure of E1A + E1B cells to IR and remained at this level until day 20 (Fig. 8B). The number of cells positive for Rad51 and pDNA-PKcs Ser2056 remained high until day 10 after irradiation then showed a dramatic decrease on day 20 posttreatment ( Figs. 7C and 8C).
Despite the accumulation of pDNA-PKcs Ser2056 in the DDR foci in E1A + E1B cells, already within minutes upon irradiation, only few γH2AX foci showed colocalization with EdU ( Fig. 9). A time-course study revealed that both DNA replicating and non-replicating giant polyploid cells contained γH2AX foci (Fig. 9). In addition, we did not observe a difference in the intensity of γH2AX foci formation in EdU-incorporating and non-incorporating cells. A vast majority of γH2AX foci in giant polyploid cells did not colocolize with EdU, indicating the lack of DNA replication at the sites of lesions (Fig. 9).
Irradiated E1A + E1B cells undergo reversible senescence It was previously discussed that sustained DDR signaling tightly correlates with the establishment of senescence. 47 Persistent DDR foci may arise from unrepaired lesions induced by genotoxic agents and stalled DNA replication, as well as may reflect a modified chromatin structure. 28,44,48,49 The essential requirement for senescence is an irreversible arrest of cell cycle and proliferation. According to the growth curve assay, E1A + E1B cells did not proliferate until day 7 after treatment (Fig. 1C). However, they did not arrest DNA replication, which eventually resulted in the formation of polyploid cells (Figs. 1B and 2B). Polyploid cells showed the characteristic features of senescence, including enlarged flattened morphology ( Fig. 2A), persistence of DDR foci (Figs. 3 and 4), and expression of SA-β-Gal ( Fig. 10A  and B). Therefore, we conclude that E1A + E1B cells activate senescence program.
However, the population of senescent cells showed an increase of the cell number starting from day 7 after irradiation (Fig. 1C). In turn, the percent of SA-β-Gal-positive cells dropped significantly in the period of 10-20 d after exposure to IR (Fig. 10B). Importantly, the expression of SA-β-Gal 20 d after IR-treatment was predominantly observed in giant cells, but not in the cells of near-normal size, which arose in the population (Fig. 10A). Notably, while the number of SA-β-Gal-positive cells decreased after day 10 post-exposure to IR, the population of irradiated cells demonstrated a fast proliferation starting at day 17 after irradiation (Fig. 1C). Moreover, the percent of cells with DDR foci (Fig. 3C and E) and DNA breaks, as well as the degree of DNA damage (Fig. 6B, C,  and D) decreased significantly by day 20.
Cellular program switching is often accompanied by changes in chromatin organization. For example, enhanced heterochromatization, such as SAHF, is a characteristic of several types of senescence and reflects the silencing of proliferation genes. 50 We revealed that irradiated E1A + E1B cells demonstrate alterations of chromatin organization such as formation of heterochromatin structures contrasted with the overall week DAPI staining (Fig. 2D), which, however, was distinct from the typical SAHF. Besides that, several nuclei of multinuclear cells showed the lack of DAPI staining, suggesting chromatin decompaction (Figs. 2D and 3A).
Reversion of senescence in E1A + E1B cells is associated with decrease of mTOR activity, induction of autophagy, and expression of stem cell markers Nanog and Oct3/4 mTOR is a master regulator of cellular senescence and autophagy. It is considered that elevated mTORC1 activity underlies the establishment of irreversible cellular senescence. Since irradiated E1A + E1B cells were shown to bypass the senescence, we examined the activity of mTOR by analyzing the phosphorylation of mTORC1 and mTORC2 downstream targets.
The suppression of mTORC1 activity was revealed in irradiated cells by analysis of phosphorylation of S6 ribosomal protein and repressor of translation initiation factor 4E-BP1. The phosphorylation of S6 ribosomal protein and 4E-BP1 remained high during 2 d post-irradiation and showed a 5-fold decrease on day 3 post-exposure to IR (Fig. 11A). Similarly, the activity of mTORC2 was also downregulated in cells exposed to IR as follows from a 5-fold decrease of the mTORC2-dependent phosphorylation of Akt on Ser473 (Fig. 11B).
Downregulation of mTOR leads to activation of autophagy. 19 Indeed, autophagy was observed in irradiated E1A + E1B cells simultaneously with suppression of mTORC1 and mTORC2. Activation of autophagy was analyzed according to conversion of cytosolic MAP1-light chain protein LC3-I to LC3-II isoform, and colocalization of lysosomal-associated membrane protein LAMP1 with LC3. As a confirming evidence, both LC3-I to LC3-II conversion (Fig. 11C) and LAMP1/LC3 colocalization (Fig. 11D) were revealed in irradiated E1A + E1B cells simultaneously with a decrease of mTOR activity.
Though autophagy was reported to be an effector mechanism for senescence, 18 recent data indicate that suppression of mTOR and activation of autophagy may facilitate reprogramming and favor the reversion of cellular senescence. 51 The increasing body of evidence demonstrates that reversion of senescence in cancer cells and normal embryonic fibroblasts associates with expression of stem cell markers such as Oct3/4, Nanog, and Sox2. 52,53 Therefore, we checked whether the establishment of reversible senescence in E1A + E1B cells correlates with the expression of stem cell markers. We revealed that both untreated and irradiated E1A + E1B cells expressed Nanog that localized in the nucleus and cytoplasm (Fig. 12). Unlike untreated cells, the vast majority of irradiated cells showed positive staining for Oct3/4 in the nuclei starting day 5 post-exposure to IR (Fig. 12).

Discussion
Here we studied the activation of senescence in apoptosisresistant cells exposed to IR. We show that irradiation of E1A + E1B cells leads to the persistence of unrepaired DNA lesions and results in the induction of reversible senescence. A large number of works demonstrate that establishment and maintenance of various types of cellular senescence are associated with the activation of DDR signaling and persistence of DDR foci. 1,11,15,28,54,55 The foci persistent in senescent cells may also reflect the chromatin rearrangement in the absence of DNA breaks 48 or represent unrepaired DNA lesions. 30,44 We revealed that in apoptosis-resistant E1A + E1B cells the sustained DDR signaling is provided by DNA breaks. The persistence of DNA lesions in E1A + E1B cells can be caused by delay in DNA repair, which, in turn, results from the impaired kinetics of DDR components activation. More precisely, the delayed accumulation of 53BP1 adaptor protein at the sites of DNA lesions may alter the recruitment of other DDR proteins and assembly of DNA repair molecular machinery. In addition, chromatin reorganization in irradiated E1A + E1B cells may impact the constitutively activated DDR signaling. As previously reported, chromatin relaxation in cells lacking histone H1 or treated with histone deacetylase inhibitors leads to enhanced H2AX phosphorylation in IR-exposed cells. 56 From the other side, unrepaired lesions are probably not the only source of persistent DDR foci in E1A + E1B cells. As the DNA replication was not arrested in irradiated cells, and even the giant highly polyploid cells were able to replicate DNA, it may cause DNA replication stress. More specifically, the formation of multiple stalled replication forks could lead to DNA breaks. 28 Irradiation of E1A + E1B cells induced the formation of giant highly polyploid cells due to ongoing DNA replication upon suppressed cell division. It was previously shown that increased DNA amount complicates the maintaining of genomic material, impairs DDR and DNA repair due to altered spatial chromatin organization, 57 and thereby may contribute to the sustained DDR activation in E1A + E1B cells. Alternatively, polyploidy causes vast epigenetic changes 57,58 and promotes overexpression of DNA repair genes upon replicative stress. 59 Indeed, activation of DNA repair in E1A + E1B cells was observed only when the majority of cells in the population reached a highly polyploid state, thereby suggesting a new role for polyploidy in survival of apoptosisresistant cells upon genotoxic stress.
The persistence of DNA lesions in irradiated E1A + E1B cells resulted in the activation of senescence program, which, however, was reversible. The sustained DDR activation is believed to be a driving force for the establishment and maintenance of senescence. 47 Therefore, the question arises whether attenuation of DDR signaling reverses this process. Indeed, the escape of senescence in E1A + E1B cells was associated with a gradual decrease in the number of cells with DNA breaks and the degree of DNA damage as was shown by comet assay. The possible mechanisms for that may include the elimination of damaged DNA in the micronuclei and a delayed activation of DNA repair.
It should be noted that in E1A + E1B cells, initiation of the senescence program occurs upon high activity of mTOR, which then decreases. We do not know the mechanisms that regulate mTOR activity in E1A + E1B cells in response to irradiation; however, it was previously shown that IR treatment induces transient induction of mTOR via activation of ERK1/2 stress kinase. 60 The subsequent downregulation of mTOR can be mediated by p53-or ATM-dependent activation of AMPK and mTOR inhibitor complex TSC1/2. [61][62][63][64] The mTOR activity is involved in irreversible senescence, namely in conversion from quiescent to senescent state (geroconversion) associated with hypertrophic flattened phenotype. 20 Inhibition of mTOR decelerates geroconversion, maintaining quiescence instead. 35,36,65,66 Quiescent cells are able to resume proliferation later. 36,65 Notably, proliferation restarts within a certain lag period upon removal of senescence-inducing factor. Similarly, the recovery of proliferation in IR-treated senescent E1A + E1B cells was also delayed. Besides, it was reported that suppression of mTOR and activation of autophagy potentiate somatic cells reprogramming. 51,67 Therefore, we suggest that downregulation of mTOR in E1A + E1B cells exposed to IR predisposes the reversion of senescence and acquisition of stem cell-like characteristics.
Chromatin reorganization in E1A + E1B cells may facilitate cellular reprogramming. It was described that usage of chemical agents that cause chromatin modification enhances Figure 9. Analysis of colocalization of DDR foci with the sites of DNA replication. Non-irradiated and IR-exposed cells were subjected to edU incorporation assay by "click-it" method and stained with antibodies against γH2AX. Confocal images are shown.
reprogramming. 68 Besides that, recent findings demonstrate the important role of DNA repair factors in cellular reprogramming. For example, the components of HR repair, including BRCA1, BRCA2, and Rad51, are crucial for iPSCs generation, 69 among which Rad51 is required not only for the induced pluripotent stem cells (iPSCs) conversion, but also for the maintenance of pluripotency in embryonic stem cells (ESCs). 70 Moreover, cells deficient in NHEJ component DNA-PKcs show a decreased efficiency of iPSCs generation. 71 Notably, untreated and irradiated E1A + E1B cells expressed the stem cell factor Nanog. However, the increase of pDNA-PKcs Ser2056, and especially Rad51 protein level in polyploid E1A + E1B cells correlated with the expression of Oct3/4, thereby may imply a cross-talk between self-renewal and reversion of senescence.
The transcription factors Oct3/4 and Nanog are the key regulators of self-renewal and pluripotency of stem cells. 72 Activation of stem cell factors in somatic cells promotes malignant transformation and acquirement of cancer stem cells properties. [73][74][75] While the role of stem cell transcription factors in senescent cells remains unclear, their elevated expression is often observed in various types of tumors and associates with cancer progression, resistance to therapy, and poor prognosis. 74,[76][77][78][79] The survival of the irradiated population was provided by cells with the size and ploidy close to untreated E1A + E1B cells. We did not identify the source of those cells, but several hypothesis of their origin can be provided. For example, a small fraction of cells may be resistant to initial treatment with IR and provide regrowth of population. A number of observations also suggest that the novel cells may arise from the giant polyploid cells by multipolar division or depolyploidization caused by autophagic degradation of genetic material. [80][81][82] Apparently, the resistance to apoptosis, provided by adenoviral E1B 19 kDa protein, a functional homolog of Bcl-2, allows E1A + E1B cells to remain viable and replicate DNA in the presence of unrepaired DNA, eventually acquiring a highly polyploid state. Resistance to apoptosis and high polyploid state increase the cellular plasticity, and enable various pro-survival strategies.
Together, our results indicate that exposure of E1A + E1B cells to IR induces cellular senescence, which is determined by the persistence of unrepaired DNA lesions and, therefore, sustained activation of DDR signaling. We have found that mechanisms of gerosuppression in apoptosis-resistant IR-treated cells associate with polyploidization, attenuation of DDR signaling, downregulation of mTOR, and expression of pluripotency markers Oct3/4 and Nanog. Reversion of IR-induced senescence in cells resistant to apoptosis results in the appearance of SA-β-Gal-negative cells of near normal size and ploidy, which exhibit high proliferative potential and restore the population.

Cell culture and treatment
Cells with stable expression of adenoviral E1A and E1B19 kDa proteins were selected from rat embryonic fibroblasts co-transfected with HindIII-G region of Ad5 viral DNA and pSV 2neo plasmid. Cells were cultured in DMEM supplemented with 10% fetal calf serum (FCS), penicillin, and streptomycin in 5% CO 2 at 37 °C, irradiated in a dose of 6 Gy using X-ray machine Axiom Iconos R200 (Siemens) and analyzed up to 20 d after treatment.

Flow cytometry
To assay cell cycle distribution cells flow cytometry assay of propidium iodide-stained cells was performed as described before. 83 Growth curves Cells were seeded at the initial density of 3 × 10 4 cells per 30-mm dish in 3 repeats 24 h before the treatment. Cells were irradiated or left untreated and counted in cell counting chamber daily up to 20 d. The medium was replaced by the fresh one supplemented with 10% FCS every second day. The growth curve was made based on the data obtained in 3 independent experiments.

Morphological staining with hematoxylin and eosin
To analyze morphology of irradiated cells, E1A + E1B cells were grown on coverslips, fixed with −20 °C methanol for 5 min, and stained with hematoxylin and eosin as previously described. 83 Feulgen DNA staining and integrated optical density measurement For analysis of cell ploidy by DNA cytometry, cells were grown on coverslips, irradiated, or left untreated. Cells were fixed with methanol −20 °C for 5 min followed by hydrolysis with 5N HCl for 30 min at room temperature. Afterwards, the coverslips were immediately transferred into Schiff reagent and incubated for 1.5 h at room temperature in the dark. The samples were washed with fresh SO 2 water 3 times, with ultrapure water 3 times, and then dehydrated with 96% ethanol. The coverslips were allowed to dry at room temperature and mounted on microscope slides prior to analysis. Images were acquired using Axioscope, DFC360 (Zeiss) microscope equipped with a digital camera. DNA content was measured as integrated optical density using software (VideoTesT); DNA content of non-irradiated cells in metaphase was taken as 4C. The ploidy of 100 cells per sample was analyzed.
Immunofluorescence and confocal microscopy For immunofluorescence analysis, cells grown on coverslips were fixed with 3.7% paraformaldehyde in PBS for 15 min. Cells were washed with PBS containing 0.5% Tween 20 (PBST) and permerabilized with 0.1% Triton X-100 in PBS for 30 min followed by incubation in blocking solution (5% goat serum in PBST) for 1 h. Cells were incubated with primary antibodies diluted in blocking solution overnight at 4 °C, washed with PBST, and incubated with secondary antibodies Alexa-488 and Alexa-568 (Invitrogen) for 1 h at room temperature. Coverslips were mounted using ProLong Gold mounting medium containing 4,6-diamidino-2-phenylindole (DAPI) (Invitrogen). Cells were analyzed with Leica TCP SP5 scanning confocal microscope (Leica Microsystems). Confocal images were acquired using a Plan-Apochromat 40 × /1.4 oil immersion objective. Pinholes were set at 1 airy unit. The dynamics of γH2AX and 53BP1 foci accumulation, as well as percentage of IF-positive cells were calculated based on analysis of 200 cells in each sample in 3 independent experiments.

Fluorescence intensity measurment
The integrated density of Rad51 and pDNA-PKcs Ser2056 fluorescence in the nuclei, mean fluorescence of background (outside the nuclei), and nuclei area were measured using ImageJ software (US National Institutes of Health). The fluorescence intensity was calculated as corrected total nuclei fluorescence intensity (CTNFI) in 100 cells in 2 independent experiments: IntFluor = CTNFI = integrated density -(nucleus area × mean fluorescence of background).
BrdU incorporation assay DNA replication was analyzed by BrdU incorporation. Cells were pulse-labeled with 10 µM of BrdU (BD Biosciences) for 1 h. The following procedures were performed as described previously. 83 Images were acquired using Leica TCP SP5 scanning confocal microscope (Leica Microsystems).

Analysis of EdU and yH2AX colocalization
Untreated and irradiated cells were incubated with 10 µM of EdU (Click-iT EdU AlexaFluor 488 Imaging Kit, Invitrogen) for 1 h and proceeded to EdU detection and staining with the antibodies against γH2AX according to manufacturer's instruction.

SA-β-Gal activity
To analyze senescence-associated SA-β-Gal expression, cells were grown on coverslips, fixed with 3.7% paraformaldehyde in PBS for 15 min, and SA-β-Gal staining was performed as previously described. 83 The coverslips were washed with PBS and mounted on microscope slides using ProLong Gold mounting medium (Invitrogen). The images were acquired in transmitted light, magnification 10 × 40, using Zeiss Pascal microscope (Zeiss) equipped with digital camera and Adobe Photoshop software (Adobe Systems). To calculate the number of SA-β-Gal positive cells, 200 cells per sample were analyzed in 3 independent experiments.
Single-cell gel electrophoresis (comet assay) Comet assay in alkaline conditions was performed as follows. The microscope slides were covered with 1% agarose and dried. The suspension containing 1.5 × 10 4 of living cells was prepared in 0.5% low melting agarose, 37 °C, placed on microscope slide, covered with cover glass and set at 4 °C for 10 min protected from light. Cells were covered with another layer of cell-free agarose and lysed overnight at 4 °C in a buffer containing 2.5 M NaCl, 0.1 M EDTA, 10 mM TRIS-HCl, 1% Triton X-100, pH 10.0. Slides were rinsed in electrophoresis buffer (0.3 M NaOH, 1 mM EDTA, pH 13.0) and subjected to electrophoresis at 4 °C in the dark. Following that, slides were rinsed with neutralizing solution (0.4 M TRIS-HCl, pH 7.5), stained with SYBR-green, and visualized using Zeiss Pascal fluorescent microscope (Zeiss) equipped with digital camera and Adobe Photoshop software (Adobe Systems). To calculate the number of comets, comet tail length and tail moment, 100 cells were analyzed in 3 independent experiments. Comet length and tail moment were measured using CaspLab software.

Cell viability assay
To determine cell viability, cells were stained with acridine orange/ethidium bromide mixture (1:1) in PBS. Cells growing on coverslips were washed with PBS 37 °C, the acridine orange and ethidium bromide solution was applied, and fluorescent microscopy was performed immediately using Leica TCP SP5 scanning confocal microscope (Leica Microsystems). The number of live cells was counted, and the percent of viable cells was calculated for 200 cells per each of 3 independent experiments.

Disclosure of Potential Conflicts of Interest
No potential conflicts of interest were disclosed.