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Utilizing Murine Inducible Telomerase Alleles in the Studies of Tissue Degeneration/Regeneration and Cancer
Published on: April 13, 2015
Targeting telomerase
Aisha Siddiqa1, David A Cavazos, Robert A Marciniak
1Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA.
Abstract:
Given the constitutive expression of telomerase in the majority of human tumors, telomerase inhibition is an attractive, broad-spectrum therapeutic target for cancer treatment. Therapeutic strategies for inhibiting telomerase activity have included both targeting components of telomerase (the protein component, TERT, or the RNA component, TERC) or by directly targeting telomere DNA structures. Recently a combination telomerase inhibition therapy has been studied also. The TERT promoter has been used to selectively express cytotoxic gene(s) in cancer cells and a TERT vaccine for immunization against telomerase has been tested. The 10% to 15% of immortalized cancer cells that do not express telomerase use a recombination-based mechanism for maintaining telomere structures that has been called the alternative lengthening of telomeres (ALT). In view of the increasing study of telomerase inhibitors as anticancer treatments, it will be crucial to determine whether inhibition of telomerase will select for cancer cells that activate ALT mechanisms of telomere maintenance.
Insights
Telomerase inhibition is a promising cancer therapy. However, inhibiting telomerase may cause cancer cells to activate alternative lengthening of telomeres (ALT) mechanisms for survival.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Telomerase is constitutively expressed in most human tumors, making it a key therapeutic target.
- Telomerase inhibition strategies include targeting TERT, TERC, telomere DNA, or using combination therapies.
- Some immortalized cancer cells (10-15%) maintain telomeres via alternative lengthening of telomeres (ALT) in a telomerase-independent manner.
Purpose of the Study:
- To investigate the implications of telomerase inhibition as an anticancer strategy.
- To explore the potential for telomerase inhibition to select for cancer cells utilizing alternative lengthening of telomeres (ALT).
Main Methods:
- Review of current therapeutic strategies targeting telomerase.
- Analysis of cancer cell mechanisms for telomere maintenance, including telomerase-dependent and ALT pathways.
- Consideration of the impact of telomerase inhibition on the selection of ALT-positive cancer cells.
Main Results:
- Telomerase inhibition is a broad-spectrum therapeutic approach for many cancers.
- Alternative lengthening of telomeres (ALT) represents a resistance mechanism in a subset of cancer cells.
- The study highlights the critical need to understand the interplay between telomerase inhibition and ALT activation.
Conclusions:
- Telomerase inhibition is a viable anticancer strategy with various therapeutic approaches.
- The emergence of ALT-mediated telomere maintenance under telomerase inhibition pressure is a significant concern.
- Further research is crucial to determine if telomerase inhibition selects for ALT-dependent cancer cells, impacting treatment efficacy.
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