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Oligonucleotides and microRNAs Targeting Telomerase Subunits in Cancer Therapy
Adam Eckburg1, Joshua Dein1, Joseph Berei1
1Department of Biomedical Sciences, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USA.
Abstract:
Telomerase provides cancer cells with replicative immortality, and its overexpression serves as a near-universal marker of cancer. Anti-cancer therapeutics targeting telomerase have garnered interest as possible alternatives to chemotherapy and radiotherapy. Oligonucleotide-based therapies that inhibit telomerase through direct or indirect modulation of its subunits, human telomerase reverse transcriptase (hTERT) and human telomerase RNA gene (hTERC), are a unique and diverse subclass of telomerase inhibitors which hold clinical promise. MicroRNAs that play a role in the upregulation or downregulation of hTERT and respective progression or attenuation of cancer development have been effectively targeted to reduce telomerase activity in various cancer types. Tumor suppressor miRNAs, such as miRNA-512-5p, miRNA-138, and miRNA-128, and oncogenic miRNAs, such as miRNA-19b, miRNA-346, and miRNA-21, have displayed preclinical promise as potential hTERT-based therapeutic targets. Antisense oligonucleotides like GRN163L and T-oligos have also been shown to uniquely target the telomerase subunits and have become popular in the design of novel cancer therapies. Finally, studies suggest that G-quadruplex stabilizers, such as Telomestatin, preserve telomeric oligonucleotide architecture, thus inhibiting hTERC binding to the telomere. This review aims to provide an adept understanding of the conceptual foundation and current state of therapeutics utilizing oligonucleotides to target the telomerase subunits, including the advantages and drawbacks of each of these approaches.
Insights
Oligonucleotide-based therapies targeting telomerase subunits, like hTERT and hTERC, show promise as novel cancer treatments. These approaches, including microRNAs and antisense oligonucleotides, offer alternatives to traditional chemotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Telomerase overexpression is a hallmark of cancer, granting cells replicative immortality.
- Targeting telomerase offers a promising alternative to conventional cancer therapies like chemotherapy and radiotherapy.
- Oligonucleotide-based therapies represent a unique and diverse class of telomerase inhibitors with clinical potential.
Purpose of the Study:
- To review the conceptual basis and current status of oligonucleotide-based therapeutics targeting telomerase subunits.
- To explore the advantages and disadvantages of various oligonucleotide approaches for cancer treatment.
- To highlight the role of microRNAs and antisense oligonucleotides in modulating telomerase activity.
Main Methods:
- Review of preclinical and clinical studies on oligonucleotide-based telomerase inhibitors.
- Analysis of microRNA-based strategies targeting hTERT expression.
- Evaluation of antisense oligonucleotides (e.g., GRN163L, T-oligos) and G-quadruplex stabilizers (e.g., Telomestatin).
Main Results:
- MicroRNAs (tumor suppressors like miRNA-512-5p and oncogenic like miRNA-19b) show preclinical promise in targeting hTERT.
- Antisense oligonucleotides effectively target telomerase subunits, advancing novel cancer therapy design.
- G-quadruplex stabilizers inhibit telomerase by preserving telomeric structure, preventing hTERC binding.
Conclusions:
- Oligonucleotide-based strategies targeting telomerase subunits (hTERT, hTERC) are a developing area in cancer therapeutics.
- MicroRNAs and antisense oligonucleotides offer distinct mechanisms for telomerase inhibition.
- Further research into these approaches, including their benefits and limitations, is warranted for clinical application.
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