2016
DOI: 10.1038/srep32280
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Switch telomerase to ALT mechanism by inducing telomeric DNA damages and dysfunction of ATRX and DAXX

Abstract: Activation of telomerase or alternative lengthening of telomeres (ALT) is necessary for tumours to escape from dysfunctional telomere-mediated senescence. Anti-telomerase drugs might be effective in suppressing tumour growth in approximately 85–90% of telomerase-positive cancer cells. However, there are still chances for these cells to bypass drug treatment after switching to the ALT mechanism to maintain their telomere integrity. But the mechanism underlying this switch is unknown. In this study, we used telo… Show more

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Cited by 67 publications
(71 citation statements)
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“…In our study, RAP1 downregulation led to the appearance of TIFs in the context of ATRX loss, suggesting that the two cooperate under normal conditions to maintain telomere capping. Consistent with this finding, telomere dysfunction induced by downregulation of other shelterin components, such as TPP1, also induces ALT in the ATRX-deficient setting (45). The dysfunctional telomeres induced by mutant IDH1-driven RAP1 downregulation do not bind 53BP1 (not shown) and as such do not appear to exist in a "fully uncapped" state (46).…”
Section: Discussionsupporting
confidence: 58%
“…In our study, RAP1 downregulation led to the appearance of TIFs in the context of ATRX loss, suggesting that the two cooperate under normal conditions to maintain telomere capping. Consistent with this finding, telomere dysfunction induced by downregulation of other shelterin components, such as TPP1, also induces ALT in the ATRX-deficient setting (45). The dysfunctional telomeres induced by mutant IDH1-driven RAP1 downregulation do not bind 53BP1 (not shown) and as such do not appear to exist in a "fully uncapped" state (46).…”
Section: Discussionsupporting
confidence: 58%
“…Unfortunately, the primary shortcoming associated with this methodology reflects the inherent biology of abnormally lengthened telomeres, which requires malignant cells to undergo multiple rounds of cell division before telomere attrition results in replicative senescence. This delay allows cancer cells to develop other mechanisms such as ALT to elongate telomeres and overcome the effects of telomere shortening caused by telomerase inhibition (Hu et al, 2016; Queisser et al, 2013). Our data support an alternate strategy of using telomerase activity in cancer cells as a “Trojan horse” to selectively deliver toxic, non-native nucleotides to induce telomere dysfunction and more immediate cell death in cancer cells.…”
Section: Discussionmentioning
confidence: 99%
“…The primary short-coming of telomerase inhibitors, however, is that even after destroying telomerase activity, the cancer cells must go through multiple rounds of DNA replication before telomere attrition results in replicative senescence. This delay can allow cancer cells to develop other mechanisms of survival, such as alternative lengthening of telomeres (ALT), to overcome the effects of telomere shortening caused by telomerase inhibition (Hu et al, 2016; Queisser et al, 2013). To address this problem, we devised an alternative strategy for selectively targeting telomerase-positive cancer cells.…”
Section: Introductionmentioning
confidence: 99%
“…Depletion of DAXX and ATRX in telomerase‐positive cancer cells leads to activation of the ALT mechanism of telomere maintenance, which is associated with formation of longer telomeres (49) and up‐regulation of the telomere repeat‐containing RNA TERRA (41, 42, 50, 51). The placenta is known to contain longer telomeres than most somatic cells and also shows some of the hallmarks of ALT‐based telomere maintenance, which is most likely limited to a subset of placental cells.…”
Section: Discussionmentioning
confidence: 99%