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Antisense telomerase treatment: induction of two distinct pathways, apoptosis and differentiation

S Kondo1, Y Tanaka, Y Kondo

  • 1Department of Neurosurgery, Brain Tumor/Neuro-Oncology Center, The Cleveland Clinic Foundation, Ohio 44195, USA. kondos@cesmtp.ccf.org

Insights

Inhibiting telomerase in glioma cells triggered either cell death (apoptosis) or differentiation. This suggests telomerase inhibition is a potential cancer therapy, impacting cell immortality and oncogenesis.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Telomerase, an enzyme elongating telomeric DNA, is implicated in cellular immortality and cancer.
  • Understanding telomerase's role is crucial for developing targeted cancer therapies.

Purpose of the Study:

  • To investigate the effects of inhibiting telomerase activity in human malignant glioma cells.
  • To explore the mechanisms by which telomerase inhibition influences tumor cell fate, including apoptosis and differentiation.

Main Methods:

  • Human malignant glioma cells with telomerase activity were transfected with an antisense vector targeting human telomerase RNA.
  • Cellular responses, including apoptosis, differentiation markers, and protein expression (ICE, CDKIs), were analyzed after 30 cell doublings.
  • The role of cyclin-dependent kinase inhibitors (CDKIs) p21 and p27 in cell survival and apoptosis was assessed.

Main Results:

  • Telomerase inhibition led to apoptosis in some glioma cell subpopulations.
  • Other subpopulations survived, exhibiting reduced DNA synthesis, invasion, and tumorigenicity, alongside increased glial fibrillary acidic protein expression and decreased motility, indicating differentiation.
  • Surviving cells showed increased expression of p21 and p27; antisense oligonucleotides against p27 induced apoptosis in these cells, suggesting p27's protective role in differentiation.

Conclusions:

  • Antisense telomerase treatment effectively inhibits telomerase activity, leading to either apoptosis or differentiation in glioma cells.
  • The balance between apoptosis and differentiation appears regulated by interleukin-1beta-converting enzyme (ICE) and cyclin-dependent kinase inhibitors (CDKIs).
  • Targeting telomerase offers a potential strategy for cancer therapy by inducing cell death or promoting a less aggressive, differentiated tumor phenotype.

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