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Updated: Jul 26, 2025

Utilizing Murine Inducible Telomerase Alleles in the Studies of Tissue Degeneration/Regeneration and Cancer
Published on: April 13, 2015
Short-Term TERT Inhibition Impairs Cellular Proliferation via a Telomere Length-Independent Mechanism and Can Be
Aamir Amin1, Marzia Morello2, Maria Raffaella Petrara1
1Department of Surgery, Oncology and Gastroenterology, Section of Oncology and Immunology, University of Padova, 35128 Padova, Italy.
Abstract:
Telomerase reverse transcriptase (TERT), the catalytic component of telomerase, may also contribute to carcinogenesis via telomere-length independent mechanisms. Our previous in vitro and in vivo studies demonstrated that short-term telomerase inhibition by BIBR1532 impairs cell proliferation without affecting telomere length. Here, we show that the impaired cell cycle progression following short-term TERT inhibition by BIBR1532 in in vitro models of B-cell lymphoproliferative disorders, i.e., Epstein-Barr virus (EBV)-immortalized lymphoblastoid cell lines (LCLs), and B-cell malignancies, i.e., Burkitt's lymphoma (BL) cell lines, is characterized by a significant reduction in NF-κB p65 nuclear levels leading to the downregulation of its target gene MYC. MYC downregulation was associated with increased expression and nuclear localization of P21, thus promoting its cell cycle inhibitory function. Consistently, treatment with BIBR1532 in wild-type zebrafish embryos significantly decreased Myc and increased p21 expression. The combination of BIBR1532 with antineoplastic drugs (cyclophosphamide or fludarabine) significantly reduced xenografted cells' proliferation rate compared to monotherapy in the zebrafish xenograft model. Overall, these findings indicate that short-term inhibition of TERT impairs cell growth through the downregulation of MYC via NF-κB signalling and supports the use of TERT inhibitors in combination with antineoplastic drugs as an efficient anticancer strategy.
Insights
Short-term inhibition of telomerase reverse transcriptase (TERT) impairs cancer cell growth by reducing MYC levels via NF-κB signaling. This strategy, combined with chemotherapy, shows promise for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Telomerase reverse transcriptase (TERT) is implicated in carcinogenesis through mechanisms beyond telomere length.
- Previous studies showed short-term TERT inhibition by BIBR1532 impairs cell proliferation without affecting telomere length.
Purpose of the Study:
- To investigate the cell cycle effects of short-term TERT inhibition in B-cell malignancies.
- To elucidate the molecular mechanisms underlying TERT inhibition-induced cell cycle arrest.
- To evaluate the efficacy of TERT inhibition in combination with antineoplastic drugs.
Main Methods:
- In vitro studies using EBV-immortalized LCLs and Burkitt's lymphoma cell lines.
- Analysis of NF-κB p65, MYC, and P21 expression and localization.
- In vivo studies using wild-type zebrafish embryos and a zebrafish xenograft model.
- Combination therapy with BIBR1532 and cyclophosphamide or fludarabine.
Main Results:
- Short-term TERT inhibition reduced NF-κB p65 nuclear levels, leading to MYC downregulation.
- MYC downregulation correlated with increased P21 expression and nuclear localization, promoting cell cycle inhibition.
- BIBR1532 treatment decreased Myc and increased p21 expression in zebrafish embryos.
- Combination therapy significantly reduced xenografted cell proliferation compared to monotherapy.
Conclusions:
- Short-term TERT inhibition impairs cancer cell growth by downregulating MYC through NF-κB signaling.
- TERT inhibitors combined with antineoplastic drugs represent a potential anticancer strategy.
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