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Updated: Jun 18, 2026

Telomere Length and Telomerase Activity; A Yin and Yang of Cell Senescence
Published on: May 22, 2013
DNA C-circles are specific and quantifiable markers of alternative-lengthening-of-telomeres activity
Jeremy D Henson1, Ying Cao, Lily I Huschtscha
1Children's Medical Research Institute, University of Sydney, New South Wales, Australia.
Abstract:
Alternative lengthening of telomeres (ALT) is likely to be an important target for anticancer treatment as approximately 10% of cancers depend on this telomere maintenance mechanism for continued growth, and inhibition of ALT can cause cellular senescence. However, no ALT inhibitors have been developed for therapeutic use because of the lack of a suitable ALT activity assay and of known ALT-specific target molecules. Here we show that partially single-stranded telomeric (CCCTAA)(n) DNA circles (C-circles) are ALT specific. We provide an assay that is rapidly and linearly responsive to ALT activity and that is suitable for screening for ALT inhibitors. We detect C-circles in blood from ALT(+) osteosarcoma patients, suggesting that the C-circle assay (CC assay) may have clinical utility for diagnosis and management of ALT(+) tumors.
Insights
Alternative lengthening of telomeres (ALT) is a cancer growth mechanism. Researchers developed a C-circle assay to detect ALT activity, aiding in the development of new cancer treatments.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Alternative lengthening of telomeres (ALT) is a telomere maintenance mechanism crucial for the growth of approximately 10% of human cancers.
- Inhibition of ALT can induce cellular senescence, making it a promising target for anticancer therapies.
- The absence of a suitable ALT activity assay and specific molecular targets has hindered the development of ALT inhibitors.
Purpose of the Study:
- To identify ALT-specific molecular markers.
- To develop a reliable assay for measuring ALT activity.
- To explore the clinical utility of the assay for cancer diagnosis and management.
Main Methods:
- Characterization of telomeric DNA circles (C-circles) as specific markers of ALT activity.
- Development of a rapid and linearly responsive C-circle assay (CC assay) for ALT activity.
- Detection of C-circles in blood samples from osteosarcoma patients with ALT(+) tumors.
Main Results:
- Partially single-stranded telomeric DNA circles (C-circles) were identified as specific to the ALT pathway.
- The developed CC assay demonstrated rapid and linear responsiveness to ALT activity.
- C-circles were detected in the blood of osteosarcoma patients with ALT(+) tumors, indicating potential clinical relevance.
Conclusions:
- C-circles are specific biomarkers for the ALT telomere maintenance mechanism.
- The CC assay provides a valuable tool for screening ALT inhibitors and advancing anticancer drug development.
- The CC assay shows potential for clinical applications in diagnosing and managing ALT(+) cancers.
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