Nutlin-3a is a preclinical
drug that stabilizes p53 by blocking the interaction between p53 and MDM2. In our previous study,
Nutlin-3a promoted a
tetraploid G(1) arrest in two p53 wild-type cell lines (HCT116 and U2OS), and both cell lines underwent endoreduplication after
Nutlin-3a removal. Endoreduplication gave rise to stable
tetraploid clones resistant to
therapy-induced apoptosis. Prior knowledge of whether cells are susceptible to Nutlin-induced endoreduplication and
therapy resistance could help direct Nutlin-3a-based
therapies. In the present study,
Nutlin-3a promoted a
tetraploid G(1) arrest in multiple p53 wild-type cell lines. However, some cell lines underwent endoreduplication to relatively high extents after
Nutlin-3a removal whereas other cell lines did not. The resistance to endoreduplication observed in some cell lines was associated with a prolonged 4N arrest after
Nutlin-3a removal. Knockdown of either p53 or p21 immediately after
Nutlin-3a removal could drive endoreduplication in otherwise resistant 4N cells. Finally, 4N-arrested cells retained persistent p21 expression; expressed senescence-associated
beta-galactosidase; displayed an enlarged, flattened phenotype; and underwent a proliferation block that lasted at least 2 weeks after
Nutlin-3a removal. These findings demonstrate that transient
Nutlin-3a treatment can promote an apparently permanent proliferative block in 4N cells of certain cell lines associated with persistent p21 expression and resistance to endoreduplication.