Targeting human telomerase RNA component using antisense oligonucleotide induces rapid cell death and increases

Leila Asghari-Kia1, Davood Bashash1, Ava Safaroghli-Azar1

  • 1Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Insights

Targeting telomerase with hTR ASODN induces apoptosis in cancer cells. Combining this telomerase inhibitor with arsenic trioxide (ATO) enhances cell death, offering a promising strategy for acute promyelocytic leukemia (APL) treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Telomerase inhibition is a promising cancer therapy strategy.
  • Telomerase plays a role in cancer cell survival and proliferation.
  • Arsenic trioxide (ATO) is used in treating acute promyelocytic leukemia (APL).

Purpose of the Study:

  • To investigate the efficacy of targeting human telomerase RNA template (hTR) using an oligonucleotide-based molecule (hTR ASODN) in cancer cells.
  • To evaluate the synergistic effect of hTR ASODN in combination with ATO.
  • To elucidate the molecular mechanisms underlying the combined treatment's effects.

Main Methods:

  • Treatment of NB4 cells with hTR ASODN as a single agent and in combination with ATO.
  • Assessment of cell survival rates and apoptosis.
  • Analysis of DNA damage response pathways, including p73, ATM, c-Myc, and p21 expression.

Main Results:

  • hTR ASODN reduced NB4 cell survival and induced caspase-3-dependent apoptosis.
  • Combination therapy with ATO and hTR ASODN showed enhanced reduction in cell viability.
  • The combined treatment activated DNA damage response via p73 and ATM upregulation, and c-Myc downregulation.
  • Induction of p21 and altered death promoter/repressor gene balance contributed to growth suppression.

Conclusions:

  • Telomerase activity can attenuate ATO effectiveness in APL treatment.
  • Combining ATO with a telomerase inhibitor like hTR ASODN is a novel and promising strategy.
  • This combination therapy may improve cure rates for APL.

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