Telomeres, Telomerase and Cancer [Reprint]

An unusual enzyme called telomerase acts on parts of chromosomes known as telomeres. The enzyme has recently been found in many human tumors and is being eyed as a new target for cancer therapy















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Could the reduction of telomeres and of proliferative capacity over time be a cause of human aging? It is probably not the main cause. After all, cells can usually divide more times than is required in a human life span. Nevertheless, the functioning of the older body may at times be compromised by the senescence of a subset of cells. For instance, local wound healing could be impaired by a reduction in the number of cells available to build new skin at a site of injury, and a reduction in the number of certain white blood cells could contribute to age-related declines in immunity. Further, it is known that atherosclerosis typically develops where blood vessel walls have been damaged. It is conceivable that cells at repeatedly injured sites could finally "use up" their replicative capacity, so that the vessels ultimately fail to replace lost cells. Then damage would persist, and atherosclerosis would set in.

The Cancer Connection

Some investigators suspect that the loss of proliferative capacity observed in human cells lacking telomerase may have evolved not to make us decrepit but to help us avoid cancer. Cancers arise when a cell acquires multiple genetic mutations that together cause the cell to escape from normal controls on replication and migration. As the cell and its offspring multiply uncontrollably, they can invade and damage nearby tissue. Some may also break away and travel to parts of the body where they do not belong, establishing new malignancies (metastases) at distant sites. In theory, a lack of telomerase would retard the growth of tumors by causing continually dividing cells to lose their telomeres and to succumb before they did much damage. If cancer cells made telomerase, they would retain their telomeres and would potentially survive indefinitely.

The notion that telomerase might be important to the maintenance of human cancers was discussed as early as 1990. But the evidence did not become compelling until recently. In 1994 Christopher M. Counter, Silvia Bacchetti, Harley and their colleagues at McMaster showed that telomerase was active not only in cancer-cell lines maintained in the laboratory but in ovarian tumors in the human body. Later that year groups led by Harley, who had moved to Geron Corporation in Menlo Park, Calif., and by Jerry W. Shay of the University of Texas Southwestern Medical Center at Dallas detected telomerase in 90 of 101 human tumor samples (representing 12 tumor types) and in none of 50 samples of normal somatic tissue (representing four tissue types).

Even before such evidence was obtained, however, researchers had begun exploring some of the details of how telomerase might contribute to cancer. That work suggests telomerase probably becomes active after a cell has already lost its brakes on proliferation.

The first clue was an initially mystifying discovery made independently by Titia de Lange, now at the Rockefeller University, and by Hastie's group. In 1990 these investigators reported that telomeres in human tumors were shorter than telomeres in the normal surrounding tissue—sometimes dramatically so.

Studies by Greider's, Bacchetti's and Harley's laboratories explained why the telomeres were so small. The teams had induced normal cells from humans to make a viral protein causing cells to ignore the alarm signals that usually warn them to stop dividing. The treated cells continued to proliferate long after they would normally enter senescence. In most of the cells, telomeres shortened drastically, and no telomerase was detected; eventually death ensued. Some cells, however, persisted after their siblings died and became immortal. In these immortal survivors, telomeres were maintained at a strikingly short length, and telomerase was present.

These outcomes imply that telomeres in cancer cells are small because cells synthesize telomerase only after they have already begun to replicate uncontrollably; by then, the cells have presumably lost a substantial number of telomeric subunits. When the enzyme is finally activated, it stabilizes the severely clipped telomeres, allowing overly prolific cells to become immortal.



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  1. 1. Kerry Ingold 03:42 PM 10/5/09

    This is the type of research we are missing in todays world. The pure quest for knowledge instead of profit. They deserved this prize and more.

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  2. 2. Geompad in reply to Kerry Ingold 04:33 PM 10/5/09

    Kerry,
    You are being a bit rash or maiybe even uninformed with your statement that "this is type of research we are missing in todays world". There are several research programs at centers, such as the genome labs at Bethesda and in various departments at universities such as Duke where "the quest for knowledge" in the regulation of chromosome replication is on-going. Please note that these nobel lauerates remain in the USA because of our vigorous support of basic research.

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  3. 3. Geompad 04:36 PM 10/5/09

    Tetrahymena rules again as the queen of free living cells !!

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  4. 4. benmaomao 01:43 AM 11/21/09

    This study surely added a new dimension to our understanding of the cell, shed light on disease mechanisms, and stimulated the development of potential new therapies.

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  5. 5. sadaf 04:27 PM 8/31/10

    TELOMERASE

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  6. 6. Carrsix 12:49 AM 6/19/12

    Please let me know how I can get my sister into this therapy. She has been suffering from cancer for the last 30 years!! She is valiantly fighting for her life and I pray this my help her. Please let me know. Thank you for your wonderful work.

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