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Molecular and Cellular Pathobiology| April 30 2013 Imke Listerman; Authors' Affiliation: Department of Biochemistry and Biophysics, University of California at San Francisco, San Francisco, California Search for other works by this author on: Jie Sun; Authors' Affiliation: Department of Biochemistry and Biophysics, University of California at San Francisco, San Francisco, California Search for other works by this author on: Francesca S. Gazzaniga; Authors' Affiliation: Department of Biochemistry and Biophysics, University of California at San Francisco, San Francisco, California Search for other works by this author on: Jason L. Lukas; Authors' Affiliation: Department of Biochemistry and Biophysics, University of California at San Francisco, San Francisco, California Search for other works by this author on: Elizabeth H. Blackburn Authors' Affiliation: Department of Biochemistry and Biophysics, University of California at San Francisco, San Francisco, California Corresponding Author: Elizabeth Blackburn, Department of Biochemistry and Biophysics, University of California at San Francisco, San Francisco, CA. Phone: 415-476-4912; Fax: 415-514-2913; E-mail: Search for other works by this author on:
Note: Supplementary data for this article are available at Cancer Research Online (http://cancerres.aacrjournals.org/). Corresponding Author: Elizabeth Blackburn, Department of Biochemistry and Biophysics, University of California at San Francisco, San Francisco, CA. Phone: 415-476-4912; Fax: 415-514-2913; E-mail: Received: August 07 2012 Revision Received: January 03 2013 Accepted: January 16 2013 Online Issn: 1538-7445 Print Issn: 0008-5472 ©2013 American Association for Cancer Research. 2013 Cancer Res (2013) 73 (9): 2817–2828. Article history Revision Received: January 03 2013 Accepted: January 16 2013
AbstractHuman telomerase reverse transcriptase (hTERT; the catalytic protein subunit of telomerase) is subjected to numerous alternative splicing events, but the regulation and function of these splice variants is obscure. Full-length hTERT includes conserved domains that encode reverse transcriptase activity, RNA binding, and other functions. The major splice variant termed α+β− or β-deletion is highly expressed in stem and cancer cells, where it codes for a truncated protein lacking most of the reverse transcriptase domain but retaining the known RNA-binding motifs. In a breast cancer cell panel, we found that β-deletion was the hTERT transcript that was most highly expressed. Splicing of this transcript was controlled by the splice regulators SRSF11, HNRNPH2, and HNRNPL, and the β-deletion transcript variant was associated with polyribosomes in cells. When ectopically overexpressed, β-deletion protein competed for binding to telomerase RNA (hTR/TERC), thereby inhibiting endogenous telomerase activity. Overexpressed β-deletion protein localized to the nucleus and mitochondria and protected breast cancer cells from cisplatin-induced apoptosis. Our results reveal that a major hTERT splice variant can confer a growth advantage to cancer cells independent of telomere maintenance, suggesting that hTERT makes multiple contributions to cancer pathophysiology. Cancer Res; 73(9); 2817–28. ©2013 AACR. IntroductionTelomerase is a highly regulated ribonucleoprotein (RNP) complex that adds TTAGGG DNA repeats to human telomeres. The human core telomerase complex contains a catalytic reverse-transcriptase protein subunit (hTERT) and telomerase RNA (hTR/hTERC; ref. 1). In normal somatic cells, telomerase activity is generally undetectable or present at low levels (2). In contrast, telomerase activity is high in 80% to 90% of human cancers, consistent with the ability of these cells to maintain stable telomere lengths (3). In most human cancer cells, telomerase activity is limited by the level of reverse transcriptase (RT) hTERT expression (4). While hTERT transcriptional regulation has been extensively studied, the regulation of hTERT through mRNA processing events is less well understood. One major mRNA processing regulatory mechanism is alternative splicing, which can both control transcript abundance and contribute to proteome diversity. TERT pre-mRNA is alternatively spliced in many species, ranging from plants to humans (5). To date, 14 human hTERT transcript variants have been detected (6), including the full-length RT competent form (RT+). In cells exhibiting telomerase activity, such as stem cells and tumor cells, several hTERT splice variants are coexpressed at significant levels (6–8). Understanding why these splice variants exist and how they are regulated is necessary to provide further insight into the roles of hTERT in cancer biology. The 2 most studied hTERT alternative splice variants encode predicted proteins lacking catalytically active RT and are generated by alternative splicing at 2 sites, the α and β site (9; Fig. 1). Skipping 36 nucleotides in exon 6 deletes the α site, whereas splicing at the β site (exon 7 and 8) results in a 183-nucleotide deletion and generates a transcript harboring a premature termination codon (PTC). Both α and β splicing events occur within the telomerase RT (Fig. 1); splicing at the α site removes most of RT motif A from the coding sequence, whereas splicing at the β site results in a truncated protein lacking the RT motifs B to E (RT−) and the C-terminal part of hTERT (10, 11). Splicing at either site can occur separately or in combination and generates either α+β+, α−β+, α+β−, or α−β− transcripts. Figure 1. Schematic of hTERT α/β splice variants. Top, hTERT protein domain structure. Bottom, full-length hTERT mRNA, α/β splice variants, drawn as open boxes and approximately to scale. Black arrow indicates open reading frame. Figure is adapted from Saeboe-Larssen et al., BMC Mol Biol. 2006;7:26 (6). Figure 1. Schematic of hTERT α/β splice variants. Top, hTERT protein domain structure. Bottom, full-length hTERT mRNA, α/β splice variants, drawn as open boxes and approximately to scale. Black arrow indicates open reading frame. Figure is adapted from Saeboe-Larssen et al., BMC Mol Biol. 2006;7:26 (6). Close modal One of the most abundant hTERT splice variants besides the α+β+ variant is the α+β− form. This variant (hereafter called β-deletion) is expressed in cancer cells and in normal human tissues in developmental stage-specific patterns, suggesting that it may serve an important physiologic function (7, 8, 12). In human fetal kidney, a developmental switch abolishes expression of α+β+ (RT+) hTERT mRNA, but maintains expression of the β-deletion variant. This switch correlates with loss of telomerase activity during gestation (8). Similarly, all-trans retinoic acid promoted differentiation of promyelocytic leukemia HL60 cells induced downregulation of α+β+ hTERT mRNA, stabilization of β-deletion mRNA, and a decrease in telomerase activity (13). In addition, β-deletion mRNA expression has been correlated with low telomerase activity in a variety of human tumors and cancer cell lines (14, 15). Together, these observations suggest that alternative splicing of hTERT pre-mRNA to the β-deletion splice variant could negatively regulate telomerase activity. It is unknown, however, whether this variant is translated into protein and if the β-deletion protein inhibits telomerase. Furthermore, it is unknown whether the β-deletion protein might serve additional, nontelomeric functions in the cell, as has been shown for RT+ hTERT (16–18). To answer these questions, we examined the translation potential of the β-deletion mRNA variant and tested the effect of overexpressing this isoform on telomerase activity and the ability of cancer cells to induce apoptosis. Materials and MethodsCell linesJurkat, UM-UC-3 HeLa, HEK293T, and GM847 cell lines were purchased from American Type Culture Collection. Culturing conditions and the panel of 50 human breast cell lines used for this study are explained in Supplementary Methods. Plasmids and lentivirusLentivirus preparation, transduction, and control scramble shRNA were described previously (19). The UPF1 shRNA target sequence was GAGAATCGCCTACTTCACT (20). Transduced cells were selected with puromycin for 3 to 5 days. The β-deletion construct was generated as described (11, see Supplementary Methods for details). WT-hTERT, D868A-hTERT, and β-deletion were subcloned into pcDNA3 (Invitrogen) or lentivectors to generate pHR′CMV–hTERT–IRES–puromycin constructs. N-terminal FLAG epitopes (DYKDDDDK) were inserted with complementary oligonucleotides into each plasmid carrying an hTERT variant. For microscopy, β-deletion was cloned into pIC111 (21). All plasmids were verified by sequencing. Polyribosome profilingExtract preparation, polyribosome fractionation, and RNA extraction are described in ref. 22. RNA associated with ribosomes was reverse transcribed and analyzed by qPCR using SRSF3- and hTERT variant-specific primers (14, 23). Light microscopyHeLa cells were transfected with pIC111-β-deletion using Fugene HD (Roche). Forty-eight hours posttransfection, the cells were stained with 10 μg/mL Hoechst 33342 and 50 nmol/L MitoTracker Deep Red FM (Molecular Probes) for 20 minutes at 37°C. Live images were acquired in 0.5 μm increments using a Deltavision RT (Applied Precision) with a ×100/1.40NA PlanApo objective (Olympus). Images were deconvolved, Z-projected in Softworx (Applied Precision), and then adjusted for brightness and contrast in FIJI (24). Splicing reporter analysisFor splicing analysis, 0.5 μg of each splicing factor and pSpliceExpress–hTERT (25) was transfected into HEK293T cells with Lipofectamine (Invitrogen). Forty-eight hours after transfection, total RNA was extracted, followed by reverse transcription with rat insulin exon 3 reverse primers followed by hTERT qPCR. Cloning of pSpliceExpress–hTERT and panel of splicing regulatory proteins are described in Supplementary Methods. Quantitative RT-PCRSpecific primers used are listed in Supplementary Table S4. DNA standards were prepared as described in (26). Serial DNA dilutions were used to generate external standard curves by plotting the standard concentration expressed as copy numbers/reaction versus the second derivative maximum Cp. Total RNA was extracted (RNeasy Mini Kit; Qiagen), followed by cDNA synthesis using 2 μg RNA, random primers and Superscript III (Invitrogen). cDNA was amplified in 10 μL reactions containing LightCycler 480 DNA SYBR Green I Master (Roche Applied Science) and 0.5–1 μmol/L final concentration of each primer using a LightCycler 480 (Roche Applied Science). For cycling parameters, see Supplementary Methods. Transcript copy numbers were obtained for each transcript and normalized by dividing by copy numbers for the housekeeping gene glyceraldehyde 3-phosphate dehydrogenase (GAPDH) to facilitate intercell line comparison. Telomerase activityRelative telomerase activity (RTA) was determined by the real-time quantitative telomere repeat amplification protocol RQ-TRAP (27). PCR amplification was conducted with a Light Cycler 480 (Roche Applied Science). For cycling parameters, see Supplementary Methods. Telomere lengthDNA was isolated with the Gentra Puregene Cell Kit (Qiagen), digested with Hph2 and Mnl1, fractionated by a 0.6% agarose gel, transferred to a Hybond XL membrane (GE Healthcare) and hybridized to a 32P-labeled 5′-(CCCTAA)4-3′ probe. Signals were detected by phosphorimaging and analyzed with ImageQuant (GE Healthcare) to calculate modal telomere length with respect to a 10 kb marker. Immunoprecipitation and Western blottingGM847 ALT cells were transduced with FLAG–hTERT lentivirus, and IP-TRAP procedure was carried out essentially as described in ref. 28 with M2 anti-FLAG antibody (Sigma Aldrich) and GammaBind G sepahrose (GE Healthcare). RNA immunoprecipitation was carried out in radioimmunoprecipitation assay buffer (50 mmol/L Tris-Cl, pH 7.5, 1% Nonidet P-40, 0.5 sodium deoxycholate, 0.05% SDS, 1 mmol/L EDTA, 150 mmol/L NaCl, protease inhibitors) + RNAsin. RNA was extracted from anti-FLAG immunoprecipitates, reverse transcribed, and analyzed by qPCR. SDS-PAGE and Western blotting was conducted with immunoprecipitates or whole-cell lysates using the NuPAGE system (Invitrogen) and Hybond-P PVDF membrane (GE Healthcare) according to the manufacturer's instruction. For antibodies, see Supplementary Methods. Apoptosis measurementTransduced cells were selected with puromycin and expanded for less than 2 weeks and plated at 5,000 cells per well in 96-well plates. Sixteen hours later, the cells were treated with cisplatin for 48 hours. Cell confluency was determined with the INCUCYTE Live-Cell Imaging System (Essen BioScience) before caspase-3/7 activity measurement (#G8091, Promega). Statistical analysisRelative telomerase activity levels were log-transformed to improve the normality of the distribution. Pearson's correlation coefficients were calculated to assess linear relationships between the variables. Two-tailed P values were calculated and were considered statistically significant when < 0.05. All analyses were conducted using GraphPad Prism version 5.0b for Mac. ResultsThe major hTERT β-deletion splice variant escapes NMD and is found in polyribosomesNine of the 14 hTERT alternative splice variants, including the β-deletion variant, introduced a PTC into the reading frame (6). PTC-containing mRNAs are generally targeted to the nonsense-mediated decay (NMD) pathway for rapid degradation, and experimental inhibition of the NMD pathway leads to stabilization and accumulation of such mRNAs (29). Whether an mRNA with a PTC is efficiently targeted and destroyed by NMD determines its translation potential. To assess the level at which the NMD pathway controls the degradation of the β-deletion variant compared with the α+β+ forms of hTERT, we measured the accumulation of hTERT mRNAs upon shRNA-mediated depletion of the NMD pathway component UPF1. We chose 3 diverse human cancer cell lines [Jurkat (T-cell lymphoma), UM-UC-3 (bladder cancer), BT-549 (breast carcinoma)] that all express the β-deletion variant as measured by qRT-PCR (see primer location in Fig. 4A; ref. 14) and have telomerase activity, as measured by RQ-TRAP (Fig. 2A; ref. 27). Although UPF1 protein levels were knocked down by at least 90% in all 3 cell lines (Fig. 2C), NMD activity differed between cell lines and transcripts, as reported previously (30). β-Deletion transcripts accumulated more in UM-UC-3 compared with BT-549 and Jurkat cells upon UPF1 depletion (Fig. 2B). α+β+ hTERT transcripts (of which the RT+, full-length mRNA is the most prominent) also accumulated upon UPF1 depletion, and to higher levels in UM-UC-3 versus BT-549 and Jurkat cells. This observation is not surprising, as other splicing events in the same mRNA molecule that introduce a PTC outside of the probed region could subject the α+β+ mRNA to NMD. Furthermore, cycloheximide treatment, which is a pleiotropic inhibitor of NMD, resulted in similar mRNA accumulation patterns (Supplementary Fig. S1). To control for NMD inhibition, we measured the accumulation of an established NMD target, an SRSF3 splice variant with a PTC (SRSF3 PTC+; Fig. 2B; ref. 23). These results indicate that in BT-549 and Jurkat cells compared with UM-UC-3 cells, β-deletion transcripts are relatively insensitive to NMD, leaving the opportunity for transcripts to escape the NMD pathway and, potentially, be translated. Figure 2. The β-deletion splice variant can escape NMD and is associated with polyribosomes. A, top, hTERT α+β+ and β-deletion mRNA splice variant expression in copies/μg RNA, normalized to copies/μg RNA GAPDH mRNA in UM-UC-3, Jurkat, and BT-549 cells. Bottom, RTA in 2,500 cells/μL. B, accumulation of hTERT splice variant and SRSF3 PTC+ mRNAs upon UPF1 versus control shRNA knockdown. Error bars are SD from at least 3 experiments. C, Western blot analysis of UPF1 and GAPDH in cells treated with UPF1 or control shRNAs. D, top, representative absorbance profile for RNA separated by velocity sedimentation through a 10% to 50% sucrose gradient. Positions of 40S, 60S, 80S, and polysomal peaks are indicated. Bottom, agarose gel electrophoresis of RNA extracted from each fraction. 28S and 18S rRNAs are indicated. E and F, abundance of SRSF3 (E) and hTERT (F) variant mRNA was measured by RT-qPCR and visualized as% SRSF3 PTC+/total SRSF3 and% β-deletion/α+ containing hTERT mRNA. Figure 2. The β-deletion splice variant can escape NMD and is associated with polyribosomes. A, top, hTERT α+β+ and β-deletion mRNA splice variant expression in copies/μg RNA, normalized to copies/μg RNA GAPDH mRNA in UM-UC-3, Jurkat, and BT-549 cells. Bottom, RTA in 2,500 cells/μL. B, accumulation of hTERT splice variant and SRSF3 PTC+ mRNAs upon UPF1 versus control shRNA knockdown. Error bars are SD from at least 3 experiments. C, Western blot analysis of UPF1 and GAPDH in cells treated with UPF1 or control shRNAs. D, top, representative absorbance profile for RNA separated by velocity sedimentation through a 10% to 50% sucrose gradient. Positions of 40S, 60S, 80S, and polysomal peaks are indicated. Bottom, agarose gel electrophoresis of RNA extracted from each fraction. 28S and 18S rRNAs are indicated. E and F, abundance of SRSF3 (E) and hTERT (F) variant mRNA was measured by RT-qPCR and visualized as% SRSF3 PTC+/total SRSF3 and% β-deletion/α+ containing hTERT mRNA. Close modal Figure 3. The β-deletion isoform localizes to the nucleus, nucleolus, and mitochondria. β-Deletion FLAG/GFP constructs were transfected into HeLa cells and stained with Hoechst 33342 and Mitotracker deep red (Molecular Probes). Figure 3. The β-deletion isoform localizes to the nucleus, nucleolus, and mitochondria. β-Deletion FLAG/GFP constructs were transfected into HeLa cells and stained with Hoechst 33342 and Mitotracker deep red (Molecular Probes). Close modal Figure 4. SRSF11, hnRNPH2, and hnRNPL regulate hTERT β-deletion splicing. A, top, structure of the pSpliceExpress–hTERT reporter gene. SRSF11- and hnRNPH2-binding sites are indicated with asterisks or plus signs, respectively. Bottom, qPCR primers for α+β+/β-deletion hTERT variants. RT primer for reporter gene-derived hTERT mRNA anneals to rat insulin exon 3. B, qRT-PCR of hTERT variants from RNA extracted from HEK293T cells cotransfected with either empty plasmid, splicing factor proteins, and pSpliceExpress–hTERT. Bars represent mean of percentage β site exclusion. Error bars are SEM from 3 biologic replicates assayed in triplicate. C, Western blot analysis of HEK293T cell extracts confirms overexpression of splicing factors. Figure 4. SRSF11, hnRNPH2, and hnRNPL regulate hTERT β-deletion splicing. A, top, structure of the pSpliceExpress–hTERT reporter gene. SRSF11- and hnRNPH2-binding sites are indicated with asterisks or plus signs, respectively. Bottom, qPCR primers for α+β+/β-deletion hTERT variants. RT primer for reporter gene-derived hTERT mRNA anneals to rat insulin exon 3. B, qRT-PCR of hTERT variants from RNA extracted from HEK293T cells cotransfected with either empty plasmid, splicing factor proteins, and pSpliceExpress–hTERT. Bars represent mean of percentage β site exclusion. Error bars are SEM from 3 biologic replicates assayed in triplicate. C, Western blot analysis of HEK293T cell extracts confirms overexpression of splicing factors. Close modal To investigate whether the β-deletion transcripts are actively translated, we determined whether this mRNA transcript is associated with the translation machinery, namely polyribosomes, as mRNAs bound to polyribosomes are highly likely to be translated. Polyribosome profiling was used because antibodies are not available that reliably detect the very low endogenous levels of hTERT isoforms (unpublished data). We carried out polyribosome profiling on the Jurkat cell line because of its relatively high levels of both of hTERT mRNA (BioGPS; ref. 31) and telomerase activity (32). Following sucrose gradient centrifugation, ribosome/polyribosome-containing fractions of Jurkat cell extracts were analyzed for the abundance of hTERT variant mRNAs and compared with the efficiently translated SRSF3 PTC− mRNA and the bona fide NMD-targeted (and therefore poorly translated) SRSF3 PTC+ mRNA by RT-qPCR (Fig. 2D–F; refs. 14, 23). As expected, given its relatively low transcript abundance, hTERT mRNA was present at low amounts in all the ribosome-containing fractions compared with SRSF3 mRNA (Supplementary Fig. S2). Seventeen percent of the input α+ hTERT transcripts were β-deletion (α+β−), and a similar fraction of β-deletion transcripts were associated with polyribosomes (18% and 15% β-deletion transcripts in fractions 8 and 9, respectively), indicating that most of the β-deletion mRNA transcripts are translated. In contrast, of the total input SRSF3 transcripts (PTC+ and PTC−), 15% were PTC+, and only 2% to 3% of the PTC+ SRSF3 transcripts associated with polyribosomes in fraction 8 and 9 (Fig. 2E), as expected for this NMD-targeted mRNA with low translational competence. These results indicate that the β-deletion splice variant, although containing a PTC, is translated because it is associated with multiple (7+) ribosomes and is not depleted from polyribosomes like the bona fide NMD-targeted SRSF3 PTC+ mRNA. The similarity of the polyribosome-bound and total steady-state ratios of β-deletion: α+β+ hTERT mRNAs suggests that both β-deletion and α+β+ hTERT mRNAs are translated in Jurkat cells, producing RT− and RT+ hTERT proteins, respectively. To determine the cellular localization of the β-deletion protein isoform, we designed a β-deletion overexpression construct carrying a C-terminal FLAG/GFP tag (21). When this construct was expressed in HeLa cells, we observed a GFP signal in the nucleus and nucleolus. In addition, we detected cytoplasmic GFP colocalizing with mitochondria (Fig. 3, Supplementary Fig. S3). These results indicate that the RT− β-deletion protein localizes to the nucleus and mitochondria, as was previously described for overexpressed full-length RT+ hTERT protein (33). hTERT β-deletion alternative splicing is regulated by SRSF11, hnRNPL, and hnRNPH2Alternative splicing is regulated both by cis-regulatory sequence elements and protein regulators. A multitude of splicing regulatory proteins work in combination and competition to control the final splicing outcome for an individual pre-mRNA (34). SR proteins and hnRNPs are protein regulators that either enhance or repress splice site recognition and result in exon skipping or inclusion. To further characterize the regulation of the β-deletion splice variant, we designed a splicing reporter minigene (25) encompassing hTERT exons 5 to 9 (Fig. 4A). We separately overexpressed a panel of splicing regulatory factors (see Materials and Methods). Overexpression of SRSF11 strongly increased β-deletion splice variant mRNA levels (Fig. 4B–C). Conversely, overexpression of hnRNPL or hnRNPH2 decreased β-deletion splice variant levels. Searches for SRSF11-binding sites within the reporter minigene identified 2 sites upstream of the 3′ splice site in intron 6, 3 sites upstream of the 3′ splice site in intron 8, and 1 site in exon 9 that matched or closely matched the SRSF11 binding site consensus sequence (35, see Supplementary Fig. S4). Interestingly, some hnRNPH2-binding sites overlapped with SRSF11-binding sites. As inclusion or exclusion of the β site depends on whether exon 6 is joined to exon 7 or exon 9, respectively, use of the 3′ splice site of either intron 6 or 8 is central to this alternative splicing decision. Together, these data suggest that SRSF11 and hnRNPH2 compete for binding to these sites to stimulate either β site exclusion or inclusion. The β-deletion protein can act as a dominant-negative telomerase activity inhibitor by sequestering hTRThe role of the β-deletion hTERT in human cancer cells is unknown. Given its nuclear localization (as described above) and high relative abundance of its mRNA (as described further below), we anticipated a possible role for the β-deletion isoform in regulating telomerase activity. The predicted β-deletion protein retains the known hTR-binding domains (36). To test whether the β-deletion protein binds hTR, we isolated RNA from immunoprecipitation-purified telomerase RNPs. FLAG-tagged RT+ WT-hTERT, RT− point mutant D868A-hTERT (37), and RT− β-deletion were overexpressed from a lentiviral vector in GM847 cells, which express hTR but not hTERT (38), thus allowing assembly of a telomerase RNP containing the lentivirally overexpressed hTERT protein. hTR coimmunoprecipitated with FLAG–WT-hTERT, FLAG-D868A–hTERT, and FLAG–β-deletion at 213-, 29-, and 60-fold percent input amounts over vector, respectively (Fig. 5A). As shown in Fig. 5C, less FLAG–β-deletion and FLAG–D868A protein immunoprecipitated than FLAG–WT-hTERT protein, indicating that the hTR was coimmunoprecipitated with the FLAG–β-deletion isoform relatively efficiently. We confirmed this result in a biologic repeat of this experiment and in which we detected the coimmunoprecpitated hTR with a primer pair binding to a different region in hTR (Supplementary Fig. S5). We conclude that the β-deletion protein can bind efficiently to hTR. Figure 5. The β-deletion isoform is a dominant-negative inhibitor of telomerase by sequestering hTR. A, hTR RNA associated with FLAG–hTERT constructs in GM847 cells. RNA from a parallel anti-FLAG immunoprecipitate from B was analyzed for the presence of hTR and GAPDH RNA by RT-qPCR and represented as percentage recovered over input RNA. B, RTA associated with anti-FLAG immunoprecipitates from GM847 cells transduced with indicated lentiviral constructs. C, Western blot analysis of GM847 telomerase RNP immunoprecipitates used in B. D, RTA in UM-UC-3 bladder cancer cells transduced with indicated lentiviral vectors. E, RNA from a parallel sample from D was extracted and analyzed for hTR, and hTERT variant RNA was normalized to GAPDH and vector control. Error bars in B and D represent SD from at least 3 experiments. Figure 5. The β-deletion isoform is a dominant-negative inhibitor of telomerase by sequestering hTR. A, hTR RNA associated with FLAG–hTERT constructs in GM847 cells. RNA from a parallel anti-FLAG immunoprecipitate from B was analyzed for the presence of hTR and GAPDH RNA by RT-qPCR and represented as percentage recovered over input RNA. B, RTA associated with anti-FLAG immunoprecipitates from GM847 cells transduced with indicated lentiviral constructs. C, Western blot analysis of GM847 telomerase RNP immunoprecipitates used in B. D, RTA in UM-UC-3 bladder cancer cells transduced with indicated lentiviral vectors. E, RNA from a parallel sample from D was extracted and analyzed for hTR, and hTERT variant RNA was normalized to GAPDH and vector control. Error bars in B and D represent SD from at least 3 experiments. Close modal We next tested whether β-deletion telomerase can elongate a telomeric DNA by measuring telomerase activity of immunoprecipitated telomerase RNPs. Immunoprecipitated FLAG–WT-hTERT showed an approximately 15,000-fold higher RTA signal over vector, whereas immunoprecipitated FLAG–β-deletion or FLAG–D868A showed essentially background RTA levels relative to vector (Fig. 5B). This result confirms that the β-deletion protein-containing telomerase does not possess telomerase activity, as expected due to the lack of RT motifs B to E and as reported previously (10, 11). The above results indicate that the β-deletion can bind hTR but does not possess telomerase catalytic activity. Therefore, we predicted that the β-deletion should act as a dominant-negative inhibitor of endogenous telomerase activity. To test this hypothesis, we overexpressed β-deletion in UM-UC-3 bladder cancer cells. In this cell line, the level of hTR, rather than hTERT, is limiting for telomerase activity (40). Therefore, as expected for this cell line in which hTR is limiting, WT-hTERT overexpression did not alter RTA levels significantly compared with vector control, whereas hTR overexpression increased telomerase activity (Fig. 5D). In contrast to full-length hTERT overexpression, overexpression of either β-deletion or D868A reduced RTA levels in UM-UC-3 cells by 5- and 28-fold, respectively, compared with the endogenous levels. The dominant-negative effect of β-deletion overexpression could be partially rescued by simultaneous overexpression of hTR. This result is consistent with β-deletion competing with endogenous full-length hTERT for hTR binding, yet not having a dominant-negative effect on the endogenous functional hTERT in the UM-UC3 cell line when hTR is no longer limiting. As expected, telomerase activity was not rescued in the D868A transduced cells that received the hTR construct, consistent with the established dominant-negative effect of this mutant. We further confirmed that the effect of the different constructs is attributable to relative expression levels of the hTR and hTERT constructs by measuring the RNA and protein levels of overexpressed constructs using RT-qPCR (Fig. 5D) and Western blot (Supplementary Fig. S6). While WT-hTERT, β-deletion, and D868A mRNA levels and corresponding WT-hTERT and D868A protein levels were similar, β-deletion protein levels were slightly lower. We conclude that when hTR is limiting, the β-deletion protein can act as a dominant-negative inhibitor of telomerase by sequestering hTR from the catalytically active hTERT. However, the greater dominant-negative effect of the full-length D868A mutant compared with β-deletion did not permit any conclusions as to whether D868A inhibited telomerase more due to higher expression levels or by mechanisms other than hTR sequestration. The β-deletion mRNA is highly expressed in breast cancer cell linesAlthough β-deletion transcripts are known to be expressed in a variety of cancer tissues and cell lines (14, 15, 26), few studies have rigorously quantified the abundance of this variant across a large set of cell lines or tumors. We therefore quantified the mRNA expression levels of the 4 hTERT α/β splice variants in a panel of 45 human breast cancer and 5 nonmalignant human breast cell lines (Supplementary Table S1) by RT-qPCR (14). Steady-state levels of the total α/β splice variant mRNAs differed widely between the 50 cell lines (Fig. 6A–D). Across the panel, the α+β+ and β-deletion transcripts together constituted more than 90% of all variants (on average ∼47% each; Supplementary Table S2). The percentage of β-deletion transcripts relative to the total hTERT mRNA ranged from 21% to 79% among individual lines (Fig. 6A). Hence, in individual cell lines, the proportion of RT− β-deletion splice variant mRNA correlated inversely with the proportion of RT+ α+β+ mRNA. In contrast, the α−β+ and α−β− variants together accounted for only 0.4% and 6% average total hTERT transcripts, respectively. Thus, α- hTERT variants are weakly expressed, whereas, on average, β-deletion variants account for about half of the total hTERT mRNAs in these cell lines. Figure 6. Expression of α/β splice variants, telomerase activity, and telomere length in 50 breast cancer cell lines. A–D, levels of indicated splice variants, expressed as transcript numbers, were normalized to GAPDH transcript numbers × 104. E, relative expression of individual α/β hTERT splice variants relative to total amount of hTERT transcripts. F, RTA was measured by RQ-TRAP. G, modal telomere length was determined by Southern blot from TRF. H, regression of log(RTA) and TRF reveals a linear relationship (r = 0.487, P < 0.0001). Results in A–D, F, and G are the average of 2 to 4 biologic replicates and assayed in triplicate reactions (A–D, F); error bars represent SD. Figure 6. Expression of α/β splice variants, telomerase activity, and telomere length in 50 breast cancer cell lines. A–D, levels of indicated splice variants, expressed as transcript numbers, were normalized to GAPDH transcript numbers × 104. E, relative expression of individual α/β hTERT splice variants relative to total amount of hTERT transcripts. F, RTA was measured by RQ-TRAP. G, modal telomere length was determined by Southern blot from TRF. H, regression of log(RTA) and TRF reveals a linear relationship (r = 0.487, P < 0.0001). Results in A–D, F, and G are the average of 2 to 4 biologic replicates and assayed in triplicate reactions (A–D, F); error bars represent SD. Close modal Expression of hTERT splice variants correlates with telomerase activity and breast cancer subtypeGiven the dominant-negative effect of β-deletion overexpression on telomerase activity and the high levels of β-deletion mRNA in cancer cells, we tested 2 end points of possible dominant-negative action of β-deletion in the breast cancer panel: telomerase activity and telomere length. RTA was measured by RQ-TRAP and ranged more than 300-fold across the 50 cell lines—from 4 to 1,285 RTA units (Fig. 6B). As telomerase activity depends on both hTR and hTERT protein (41), we also quantified the levels of hTR RNA across the panel. All 50 cell lines expressed hTR, with expression levels ranging 100-fold between the lines (Supplementary Fig. S7). Telomere length was determined by measuring telomere restriction fragment (TRF) size distribution by southern blot of DNA extracted from each cell line. TRF modal lengths ranged from 867 to 9,071 bp (Fig. 6C). Telomere lengths were stable over time, showing no significant change after 20 continuous passages in 6 randomly selected cell lines (Supplementary Fig. S8). Pearson correlations (Supplementary Table S3) revealed that log(RTA) positively correlated with TRF sizes across the panel (r = 0.487, P < 0.0001, see also Fig. 6D), suggesting that higher telomerase activity generally results in longer telomeres. Log(RTA) levels were slightly negatively correlated with hTR levels (r = −0.300, P = 0.034). Minimally, this indicates that hTR is not a limiting factor for telomerase activity in these cells. The relative level of α+β+ hTERT mRNA correlated positively with log(RTA; r = 0.325, P = 0.021). Conversely, the relative level of the β-deletion variant correlated negatively with log(RTA; r = −0.285, P = 0.045), as has been shown previously in melanoma cell lines and lung cancer (14, 15). TRF lengths did not correlate significantly with either hTERT splice variant expression or hTR expression. This finding suggests that telomere length is determined by factors other than hTERT alternative splicing in these cell lines. Our correlation data, together with the finding that experimentally overexpressed β-deletion can inhibit telomerase activity and bind hTR in cell extracts, suggests that endogenous β-deletion may limit telomerase activity by competing with the catalytically active hTERT protein for hTR. To understand possible roles of β-deletion in cancer, we determined the relationship between hTERT variant mRNA levels, telomerase activity levels, and clinically relevant phenotypes of the panel of 50 breast cancer and nonmalignant breast epithelial cell lines analyzed here. This panel models the transcriptional profiles of the luminal, basal, claudin-low and amplified HER2/ERBB2 receptor gene subtypes defined in primary tumor samples (42, 43). Expression of the RT+ hTERT α+β+ splice variant was statistically significantly higher in the basal subtype (which is associated with poor clinical outcome) and lower in the luminal subtype (which is associated with a better clinical outcome; Supplementary Fig. S9A). Conversely, expression of the RT− β-deletion variant was statistically significantly lower in the basal cell subtype and higher in the luminal subtype (Supplementary Fig. S9B). Furthermore, log(RTA) was statistically significantly higher in cells of the basal subtype then the luminal subtype (Supplementary Fig. S9C). None of the other hTERT splice variants, hTR or TRF size showed any significant differences between the subtypes (data not shown). Together, these results indicate that telomerase activity levels correlated with the major RT+ α+β+ and RT− β-deletion hTERT variants, suggesting that telomerase activity may be regulated by alternative splicing at the hTERT β site in these 2 breast cancer subtypes. Overexpression of the β-deletion protein protects breast cancer cells from apoptosisThere is evidence that hTERT performs additional functions in the cell beyond telomere maintenance. hTERT and mTERT overexpression can protect normal and cancer cells from apoptosis (17, 44, 45), independent of catalytic activity (17, 18, 46). Therefore, we tested the effect of β-deletion variant overexpression on apoptosis in 3 basal subtype breast cancer cell lines, BT549, HCC3153, and HCC1806, chosen for their different levels of β-deletion expression. Apoptosis was induced by treatment with cisplatin for 48 hours, and activation of caspase-3/7 was monitored using a luminescence reporter assay. Cells overexpressing either the β-deletion or WT-hTERT protein showed significantly less caspase-3/7 activation compared with vector controls (Fig. 7A and B). These results indicate that β-deletion, like WT-hTERT, can protect cancer cells from cisplatin-induced apoptosis and cell death. Figure 7. The β-deletion protein protects basal breast cancer cells from apoptosis. BT-549, HCC1806, and HCC3153 that stably overexpressed β-deletion or vector control for less than 2 weeks were treated with the indicated cisplatin concentration for 48 hours. Bars represent averaged luciferase activity of caspase-3/7 reporter over cell confluency of 4 replicates; error bars represent SEM. Figure 7. The β-deletion protein protects basal breast cancer cells from apoptosis. BT-549, HCC1806, and HCC3153 that stably overexpressed β-deletion or vector control for less than 2 weeks were treated with the indicated cisplatin concentration for 48 hours. Bars represent averaged luciferase activity of caspase-3/7 reporter over cell confluency of 4 replicates; error bars represent SEM. Close modal DiscussionAlthough hTERT alternative splice variants were identified over a decade ago (9), the biologic function of the major β-deletion variant remains unknown. Here, we present evidence that the β-deletion isoform is translated and can act as a dominant-negative inhibitor of telomerase. Although the β-deletion transcript carries a PTC, it is present at high steady-state levels in our panel of breast cancer cell lines, is relatively insensitive to NMD, and associates with polyribosomes, which is strongly indicative of its translation. We show that overexpressed β-deletion protein binds hTR RNA and suppresses telomerase activity. Simultaneous overexpression of hTR was sufficient to rescue this dominant-negative effect of β-deletion overexpression, suggesting that the dominant-negative effect is due to β-deletion binding hTR and either competing or otherwise interfering with full-length, RT+ hTERT function. Interestingly, we show that the RT− β-deletion, like full-length RT+ hTERT, can protect breast cancer cells from cisplatin-induced apoptosis. The β-deletion protein localized to the mitochondria, a potential cellular location where interference with the apoptosis pathway occurs. Our results may explain why β-deletion transcript levels are negatively correlated with telomerase activity in both our study and those of other groups (14, 15). Given its truncated RT domain, our finding that β-deletion lacked telomerase activity is expected and supports previous in vitro studies (10). Alternative splicing of hTERT pre-mRNA into RT− β-deletion seems to be at the expense of RT+ hTERT, and thus less catalytically active telomerase RNP is produced. Furthermore, translated RT− β-deletion protein inhibits catalytically active RT+ telomerase RNP. Thus, higher β-deletion transcript levels predict lower telomerase activity. Another study failed to detect a decrease in endogenous telomerase activity upon overexpression of β-deletion in H1299 cells (11). This discrepancy could be explained by different expression levels of the β-deletion construct, as the prior study did not show β-deletion expression. The α−β+ hTERT variant has also been previously shown to act as a dominant-negative inhibitor of telomerase activity when experimentally overexpressed (11, 47). However, in the panel of breast cancer cell lines examined here, the abundance of α−β+ mRNA is low, whereas the abundant β-deletion mRNA approaches 50%. The inverse correlation between β-deletion and telomerase activity, and the low level of α−β+ mRNA makes it likely that in these cells, inhibition of telomerase is due to the β-deletion. Although it has been shown that that elevated total hTERT mRNA level is linked to poor survival in breast cancer, most primers used to measure hTERT transcript levels by qRT-PCR are not designed to discriminate splice variants from full-length hTERT mRNA (48). We show that higher telomerase activity in basal subtypes is accompanied by a higher percentage of expression of RT+ α+β+ transcripts. Conversely, lower telomerase activity in luminal subtypes correlates with higher levels of the β-deletion variant. Our results indicate that hTERT subtype-specific splicing is one mechanism of differentially regulating telomerase activity in breast cancer subtypes. Little is known about hTERT alternative splicing regulation. Depletion of the chromatin-remodeling protein Brm in NCI-H1299 cells led to a decrease in hTERT α+β+ and β-deletion transcripts (49). Furthermore, Brm and the splicing factors PSF and p54/(nrb)/NONO were shown to bind to the hTERT gene close to exon 7, indicating the possibility of cotranscriptional splicing (49). We studied the splicing regulation of hTERT with a splicing reporter minigene, to improve quantitative detection of the subtle changes in variant expression when splicing regulatory factors are overexpressed. We show that β-deletion splicing is controlled by SRSF11, hnRNPH2, and hnRNPL. Few targets of SFRSF11 are known. Previously, SRSF11 was shown to stimulate the exclusion of tau exon 10, competing with Tra2β for binding to its target site (35). It will be interesting to test whether Tra2β, Brm, PSF, or p54(nrb)/NONO also regulate hTERT β site splicing. Why might cancer cells express such high levels of this catalytically inactive hTERT splice variant? We find that overexpression of β-deletion in 3 basal breast cancer cell lines significantly reduced the number of apoptotic events normally induced by cisplatin. However, the molecular mechanism by which full-length hTERT and β-deletion protect against apoptosis is unknown. As we show that β-deletion, like hTERT, localizes to the mitochondria, one possibility is that hTERT and β-deletion interact with the apoptotic pathway at the mitochondria. Others have shown that hTERT overexpression enhances genomic stability and DNA repair (50). It is possible that both full-length hTERT and β-deletion protect against cisplatin-induced apoptosis by increasing the ability of the cells to repair cisplatin-induced DNA damage. Because both full-length RT+ hTERT and RT− β-deletion were capable of protecting cells from apoptosis, and it will be interesting to test which protein domains in hTERT are important for this property. The protection against apoptosis conferred by β-deletion suggests that the hTERT RT domain and C-terminus are not required for evading apoptosis. Further experiments and the generation of a β-deletion-specific antibody are needed to determine the molecular mechanism connecting the β-deletion to the apoptotic pathway. Even though β-deletion can interfere with endogenous telomerase, this effect does not prevent sufficient telomere maintenance because the breast cancer cell lines we tested maintain stable telomere lengths. Ultimately, cancer cells may need to achieve a balance between β-deletion expression that provides the benefit from protection against apoptosis and allowing for proper telomere maintenance. Although interfering with β-deletion splicing regulation might transiently increase resistance to apoptosis, such an approach may be incorporated into therapeutic tools to limit telomere maintenance and proliferation of cancer cells. Disclosure of Potential Conflicts of InterestNo potential conflicts of interest were disclosed. Authors' ContributionsConception and design: I. Listerman, J.J. Lukas, E.H. Blackburn Development of methodology: I. Listerman Acquisition of data (provided animals, acquired and managed patients, provided facilities, etc.): I. Listerman, J. Sun, F.S. Gazzaniga, J.J. Lukas Analysis and interpretation of data (e.g., statistical analysis, biostatistics, computational analysis): I. Listerman, J. Sun, F.S. Gazzaniga, E.H. Blackburn Writing, review, and/or revision of the manuscript: I. Listerman, F.S. Gazzaniga, J. Sun, J.J. Lukas, E.H. Blackburn Administrative, technical, or material support (i.e., reporting or organizing data, constructing databases): J. Sun Study supervision: E.H. Blackburn AcknowledgmentsThe authors thank the following individuals for providing materials: Joe Gray for breast cancer cell lines, Christopher Smith and Alberto Kornblihtt for splicing factor constructs, Stefan Stamm for pSplice Express splicing reporter, Jonathan Weissman for sharing polysome profiling equipment, Beth Cimini for pHR′CMV-GFP-IRES-puro, and Scott Cohen for TERT antibody. They also thank the members of the Blackburn and Stohr labs for critical comments on the manuscript. Grant SupportThis work was supported in part by CA096840 (to E.H. Blackburn) and NCI Breast Cancer SPORE grant CA058207. I. Listerman received support from the German Research Foundation (DFG) and the Human Frontier Science Program. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. References1. Blackburn EH .Telomere states and cell fates . Nature 2000 ; 408 : 53 – 6 . 2. Harley CB ,Futcher AB ,Greider CW .Telomeres shorten during ageing of human fibroblasts . Nature 1990 ; 345 : 458 – 60 . 3. Kim NW ,Piatyszek MA ,Prowse KR ,Harley CB ,West MD ,Ho PL , et alSpecific association of human telomerase activity with immortal cells and cancer . Science 1994 ; 266 : 2011 – 5 . 4. Meyerson M ,Counter CM ,Eaton EN Ellisen LW ,Steiner P ,Caddle SD , et alhEST2, the putative human telomerase catalytic subunit gene, is up-regulated in tumor cells and during immortalization . Cell 1997 ; 90 : 785 – 95 . 5. Sykorova E ,Fajkus J .Structure–function relationships in telomerase genes . Biol Cell 2009 ; 101 : 375 – 92 . 6. Saeboe-Larssen S ,Fossberg E ,Gaudernack G .Characterization of novel alternative splicing sites in human telomerase reverse transcriptase (hTERT): analysis of expression and mutual correlation in mRNA isoforms from normal and tumour tissues . BMC Mol Biol 2006 ; 7 : 26 . 7. Ulaner GA ,Hu JF ,Vu TH ,Oruganti H ,Giudice LC ,Hoffman AR .Regulation of telomerase by alternate splicing of human telomerase reverse transcriptase (hTERT) in normal and neoplastic ovary, endometrium and myometrium . Int J Cancer 2000 ; 85 : 330 – 5 . 8. Ulaner GA ,Hu JF ,Vu TH ,Giudice LC ,Hoffman AR .Telomerase activity in human development is regulated by human telomerase reverse transcriptase (hTERT) transcription and by alternate splicing of hTERT transcripts . Cancer Res 1998 ; 58 : 4168 – 72 . 9. Kilian A ,Bowtell D ,Abud H ,Hime G ,Venter D ,Keese P , et alIsolation of a candidate human telomerase catalytic subunit gene, which reveals complex splicing patterns in different cell types . Hum Mol Genet 1997 ; 6 : 2011 – 9 . 10. Weinrich SL ,Pruzan R ,Ma L ,Ouellette M ,Tesmer VM ,Holt SE , et alReconstitution of human telomerase with the template RNA component hTR and the catalytic protein subunit hTRT . Nat Genet 1997 ; 17 : 498 – 502 . 11. Yi X ,White DM ,Aisner DL ,Baur JA ,Wright WE ,Shay JW .An alternate splicing variant of the human telomerase catalytic subunit inhibits telomerase activity . Neoplasia 2000 ; 2 : 433 – 40 . 12. Yi X ,Shay JW ,Wright WE .Quantitation of telomerase components and hTERT mRNA splicing patterns in immortal human cells . Nucl Acids Res 2001 ; 29 : 4818 – 25 . 13. Liu WJ ,Zhang YW ,Zhang ZX ,Ding J .Alternative splicing of human telomerase reverse transcriptase may not be involved in telomerase regulation during all-trans-retinoic acid-induced HL-60 cell differentiation . J Pharmacol Sci 2004 ; 96 : 106 – 14 . 14. Lincz LF ,Mudge LM ,Scorgie FE ,Sakoff JA ,Hamilton CS ,Seldon M .Quantification of hTERT splice variants in melanoma by SYBR green real-time polymerase chain reaction indicates a negative regulatory role for the beta deletion variant . Neoplasia 2008 ; 10 : 1131 – 7 . 15. Liu Y ,Wu BQ ,Zhong HH ,Tian XX ,Fang WG .Quantification of alternative splicing variants of human telomerase reverse transcriptase and correlations with telomerase activity in lung cancer . PLoS ONE 2012 ; 7 : e38868 . 16. Park JI ,Venteicher AS ,Hong JY ,Choi J ,Jun S ,Shkreli M , et alTelomerase modulates Wnt signalling by association with target gene chromatin . Nature 2009 ; 460 : 66 – 72 . 17. Rahman R ,Latonen L ,Wiman KG .hTERT antagonizes p53-induced apoptosis independently of telomerase activity . Oncogene 2005 ; 24 : 1320 – 7 . 18. Cao Y ,Li H ,Deb S ,Liu JP .TERT regulates cell survival independent of telomerase enzymatic activity . Oncogene 2002 ; 21 : 3130 – 8 . 19. Stohr BA ,Blackburn EH .ATM mediates cytotoxicity of a mutant telomerase RNA in human cancer cells . Cancer Res 2008 ; 68 : 5309 – 17 . 20. Buhler M ,Muhlemann O .Alternative splicing induced by nonsense mutations in the immunoglobulin mu VDJ exon is independent of truncation of the open reading frame . RNA 2005 ; 11 : 139 – 46 . 21. Cheeseman IM ,Desai A .A combined approach for the localization and tandem affinity purification of protein complexes from metazoans . Sci STKE 2005 ; 2005 : pl1 . 22. Jin L ,Guzik BW ,Bor YC ,Rekosh D ,Hammarskjold ML .Tap and NXT promote translation of unspliced mRNA . Genes Dev 2003 ; 17 : 3075 – 86 . 23. Lareau LF ,Inada M ,Green RE ,Wengrod JC ,Brenner SE .Unproductive splicing of SR genes associated with highly conserved and ultraconserved DNA elements . Nature 2007 ; 446 : 926 – 9 . 24. Schindelin J ,Arganda-Carreras I ,Frise E ,Kaynig V ,Longair M ,Pietzsch T , et alFiji: an open-source platform for biological-image analysis . Nat Methods 2012 ; 9 : 676 – 82 . 25. Kishore S ,Khanna A ,Stamm S .Rapid generation of splicing reporters with pSpliceExpress . Gene 2008 ; 427 : 104 – 10 . 26. Mavrogiannou E ,Strati A ,Stathopoulou A ,Tsaroucha EG ,Kaklamanis L ,Lianidou ES .Real-time RT-PCR quantification of human telomerase reverse transcriptase splice variants in tumor cell lines and non–small cell lung cancer . Clin Chem 2007 ; 53 : 53 – 61 . 27. Wege H ,Chui MS ,Le HT ,Tran JM ,Zern MA .SYBR Green real-time telomeric repeat amplification protocol for the rapid quantification of telomerase activity . Nucl Acids Res 2002 ; 31 : e3- . 28. Holt SE ,Aisner DL ,Baur J ,Tesmer VM Dy M ,Ouellette M , et alFunctional requirement of p23 and Hsp90 in telomerase complexes . Genes Dev 1999 ; 13 : 817 – 26 . 29. Holbrook JA ,Neu-Yilik G ,Hentze MW ,Kulozik AE .Nonsense-mediated decay approaches the clinic . Nat Genet 2004 ; 36 : 801 – 8 . 30. Linde L ,Boelz S ,Neu-Yilik G ,Kulozik AE ,Kerem B .The efficiency of nonsense-mediated mRNA decay is an inherent character and varies among different cells . Eur J Hum Genet 2007 ; 15 : 1156 – 62 . 31. Su AI ,Cooke MP ,Ching KA ,Hakak Y ,Walker JR ,Wiltshire T , et alLarge-scale analysis of the human and mouse transcriptomes . Proc Natl Acad Sci U S A 2002 ; 99 : 4465 – 70 . 32. Strahl C ,Blackburn EH .Effects of reverse transcriptase inhibitors on telomere length and telomerase activity in two immortalized human cell lines . Mol Cell Biol 1996 ; 16 : 53 – 65 . 33. Santos JH ,Meyer JN ,Skorvaga M ,Annab LA ,Van Houten B .Mitochondrial hTERT exacerbates free-radical-mediated mtDNA damage . Aging Cell 2004 ; 3 : 399 – 411 . 34. Chen M ,Manley JL .Mechanisms of alternative splicing regulation: insights from molecular and genomics approaches . Nat Rev Mol Cell Biol 2009 ; 10 : 741 – 54 . 35. Wu JY ,Kar A ,Kuo D ,Yu B ,Havlioglu N .SRp54 (SFRS11), a regulator for tau exon 10 alternative splicing identified by an expression cloning strategy . Mol Cell Biol 2006 ; 26 : 6739 – 47 . 36. Lai CK ,Mitchell JR ,Collins K .RNA binding domain of telomerase reverse transcriptase . Mol Cell Biol 2001 ; 21 : 990 – 1000 . 37. Harrington L ,Zhou W ,McPhail T ,Oulton R ,Yeung DS ,Mar V , et alHuman telomerase contains evolutionarily conserved catalytic and structural subunits . Genes Dev 1997 ; 11 : 3109 – 15 . 38. Bryan TM ,Marusic L ,Bacchetti S ,Namba M ,Reddel RR .The telomere lengthening mechanism in telomerase-negative immortal human cells does not involve the telomerase RNA subunit . Hum Mol Genet 1997 ; 6 : 921 – 6 . 39. Cohen SB ,Graham ME ,Lovrecz GO ,Bache N ,Robinson PJ ,Reddel RR .Protein composition of catalytically active human telomerase from immortal cells . Science 2007 ; 315 : 1850 – 3 . 40. Xu L Blackburn EH .Human cancer cells harbor T-stumps, a distinct class of extremely short telomeres . Mol Cell 2007 ; 28 : 315 – 27 . 41. Cairney CJ ,Keith WN .Telomerase redefined: integrated regulation of hTR and hTERT for telomere maintenance and telomerase activity . Biochimie 2008 ; 90 : 13 – 23 . 42. Neve RM ,Chin K ,Fridlyand J ,Yeh J ,Baehner FL ,Fevr T , et alA collection of breast cancer cell lines for the study of functionally distinct cancer subtypes . Cancer Cell 2006 ; 10 : 515 – 27 . 43. Heiser LM ,Sadanandam A ,Kuo WL ,Benz SC ,Goldstein TC ,Ng S , et alSubtype and pathway specific responses to anticancer compounds in breast cancer . Proc Natl Acad Sci U S A 2012 ; 109 : 2724 – 9 . 44. Lee MK ,Hande MP ,Sabapathy K .Ectopic mTERT expression in mouse embryonic stem cells does not affect differentiation but confers resistance to differentiation- and stress-induced p53-dependent apoptosis . J Cell Sci 2005 ; 118 : 819 – 29 . 45. Massard C ,Zermati Y ,Pauleau AL ,Larochette N ,Metivier D ,Sabatier L , et alhTERT: a novel endogenous inhibitor of the mitochondrial cell death pathway . Oncogene 2006 ; 25 : 4505 – 14 . 46. Del Bufalo D ,Rizzo A ,Trisciuoglio D ,Cardinali G ,Torrisi MR ,Zangemeister-Wittke U , et alInvolvement of hTERT in apoptosis induced by interference with Bcl-2 expression and function . Cell Death Differ 2005 ; 12 : 1429 – 38 . 47. Colgin LM ,Wilkinson C ,Englezou A ,Kilian A ,Robinson MO ,Reddel RR .The hTERTalpha splice variant is a dominant negative inhibitor of telomerase activity . Neoplasia 2000 ; 2 : 426 – 32 . 48. Bieche I ,Nogues C ,Paradis V ,Olivi M ,Bedossa P ,Lidereau R , et alQuantitation of hTERT gene expression in sporadic breast tumors with a real-time reverse transcription-polymerase chain reaction assay . Clin Cancer Res 2000 ; 6 : 452 – 9 . 49. Ito T ,Watanabe H ,Yamamichi N ,Kondo S ,Tando T ,Haraguchi T , et alBrm transactivates the telomerase reverse transcriptase (TERT) gene and modulates the splicing patterns of its transcripts in concert with p54(nrb) . Biochem J 2008 ; 411 : 201 – 9 . 50. Sharma GG ,Gupta A ,Wang H ,Scherthan H ,Dhar S ,Gandhi V , et alhTERT associates with human telomeres and enhances genomic stability and DNA repair . Oncogene 2003 ; 22 : 131 – 46 . ©2013 American Association for Cancer Research. 2013 Supplementary dataCiting articles viaEmail alertsWhat happens if telomerase is blocked?Without telomerase, telomere shortening eventually limits the growth of cells, either by senescence, in cells with intact cell cycle checkpoints (a G1 cell cycle block), or by crisis in cells with inactivated checkpoints (telomeric end-to-end fusions cause chromosome breakage and mitotic catastrophe) (Shay and Wright, ...
What would happen if telomerase was inactivated?Telomeres and cancer
Without telomerase activity, these cells would become inactive, stop dividing and eventually die. Drugs that inhibit telomerase activity, or kill telomerase-producing cells, may potentially stop and kill cancer cells in their tracks.
How does the end replication problem relate to human health?Consequently, the end-replication problem causes telomeres to shorten in human tissue cells with increasing age. Eventually, the repercussions of ever-shortening telomeres are dysfunctional telomeres and signals for cellular and organismal senescence.
What happens when telomerase is activated?Cancer cells often avoid senescence or cell death by maintaining their telomeres despite repeated cell divisions. This is possible because the cancer cells activate an enzyme called telomerase, which adds genetic units onto the telomeres to prevent them from shortening to the point of causing senescence or cell death.
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