2021
DOI: 10.3390/cancers13051147
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TERT Promoter Alterations in Glioblastoma: A Systematic Review

Abstract: Glioblastoma, the most frequent and aggressive primary malignant tumor, often presents with alterations in the telomerase reverse transcriptase promoter. Telomerase is responsible for the maintenance of telomere length to avoid cell death. Telomere lengthening is required for cancer cell survival and has led to the investigation of telomerase activity as a potential mechanism that enables cancer growth. The aim of this systematic review is to provide an overview of the available data concerning TERT alteration… Show more

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Cited by 44 publications
(35 citation statements)
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References 123 publications
(120 reference statements)
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“…Its dysfunction also causes immense genomic instability. This alteration is present in 44% of GBM [204].…”
Section: Rb Signal Alterationmentioning
confidence: 94%
“…Its dysfunction also causes immense genomic instability. This alteration is present in 44% of GBM [204].…”
Section: Rb Signal Alterationmentioning
confidence: 94%
“…Since multiple molecular pathways lead to telomerase activation, there are several targeting strategies including vaccines and immunotherapies [ 44 ]. To date, there are no approved TERT promoter glioblastoma therapies.…”
Section: Diffuse Gliomamentioning
confidence: 99%
“…Mutations in the promoter of telomerase reverse transcriptase (TERT) are the most common mutations found in GBM, in up to 86% (46,47). Two mutually exclusive hotspots are located -124bp and -146bp upstream of the transcription start site (TSS) and both are C>T transitions, which create DNA consensus sites enabling binding of transcription factors and increased expression of the gene (46,48). TERT promoter mutations as well as TP53, EGFR, and PTEN mutations are believed to occur early during gliomagenesis because they were found in matched GBM tissue samples and the distant subventricular zone (SVZ), which is believed to be the place of origin of gliomas (49).…”
Section: Tert Mutationsmentioning
confidence: 99%