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Telomerase and the consequences of telomere dysfunction Carol W. Greider Setting the stage: telomere function is conserved Ori Marker Linear plasmid Add Tetrahymena telomeres T Transform f yeastt Telomere Ori Marker Telomere Cell May 1982 Setting the stage: telomere elongation in trypanosomes Nature June 1983 Setting the stage: Yeast sequences added onto Tetrahymena telomeres Telomere Ori Marker Maintain linear plasm id in yeast Remove right telomere Add yeast genomic DNA Yeast telom eres stabilizes linear plasm id Nature July 1984 Two different models for elongation RECOMBINATION 3’ 5 5’ DE NOVO ADDITION 3’ 5’ 5’ 5 Strand invasion Elongation 3’ Extension of 3’ end 3 Repair synthesis Resolution & p synthesis y repair Net telomere elongation Net telomere elongation The hunt for telomerase Telomerase activity identified Greider & Blackburn Cell 1985 Identification of the RNA component Greider & Blackburn Cell 1987 Telomerase uses RNA template to add TTGGGG repeats Greider & Blackburn Nature 1989 What happens without telomerase? Greider & Harley 1988 Telomere shortening in cellular senescence Nature May 1990 Telomeres are shorter in cancer cells Mol Cell Biol. 1990 Nature 1990 Telomerase protein component identified Science 1997 TERT transfection extends the lifespan off human h cells ll Science 1998 Using genetics to examine the role of telomerase in mammals Maria Blasco Telomerase knockout mouse m TR+ / - mTR+ / + m TR+ / - mTR+ / - mTR / mTR- G1 G1 G2 G2 G3 G3 G4 G4 G5 Cell death or Senescence G5 G6 G6 Blasco et al. Cell 1997 Quantiative analysis of telomere length Telomeres shorten progressively in telomerase-null mice m TR+ / - mTR+ / - m TRTR / - (G1) G1 G2 G2 G3 G3 G4 G4 G5 G5 G6 Blasco et al. Cell 1997 Loss of telomere sequence leads to loss of telomere function WT KO-G2 KO-G4 KO-G6 The consequences of short telomeres m TR+ / - mTR+ / + m TR+ / - mTR+ / - mTR / mTR- G1 G1 G2 G2 G3 G3 G4 G4 G5 Cell death or Senescence G5 G6 G6 Mike Hemann Mice with 1/2 short and 1/2 long telomeres show telomere dysfunction m TR+ / - m TR- / - G6 m TR TR- / - (iG7) m TR+ / - (iG7) Hemann et al. Cell 2001 The shortest telomere triggers cell death 100 90 80 70 mTR+/- 60 50 40 MEAN 44 30 20 10 0 100 mTR-/G6 90 80 70 60 50 40 MEAN 24 30 20 10 0 140 mTR / mTR-/(iG7) 120 100 80 60 MEAN 32 40 20 0 140 mTR+/(iG7) 120 100 80 60 MEAN 33 40 20 0 Hemann et al. Cell 2001 Short telomeres induce a DNA damage response Double strand break Telomere shortening DNA Telomere p53 Apoptosis Senescence Telomerase is required for cells that must divide many times CANCER CELLS STEM CELLS Short telomeres supress tumorigenesis Cancer model Effect ff off short telomeres Reference Squameous cell S ll carcinoma i (DMBA) D Decrease Gonzalez-Suarez G l S ett al. l Nat N t Gen. 2000 Colon cancer (APCmin) Decrease (apoptosis) Rudolph et al. Nat Gen. 2001 Lymphoma& fibrosarcoma (INK4a/Arf -/-) Decrease Greenberg et al. Cell 1999 T cell lymphoma (ATM-/-) Decrease (apoptosis) Qi et al al. Can. Can Res. 2003 Wong et al. Nature 2003 Hepatocellular carcinoma (Alb-uPA-/-) (Alb uPA / ) Decrease Farazi et al. Can. Res. 2003 Soft tissue sarcoma (p53-/-) Increase (loss of apoptosis) Artandi et al. Nature 2000 David Feldser Eµ Myc induced B-cell Eµ-Myc B cell lymphoma growth can be blocked by short telomeres Myc+ m TR+ / - mTR+ / - Myc+ m TR- / - G1 Myc+ G1 G1 Myc+ G2 G2 Myc+ G3 G3 Myc+ G4 G4 Myc+ G5 Myc y + G6 G5 G6 Feldser & Greider Cancer Cell 2007 Short telomeres protect against B-cell lymphoma Percen nt alive e Eμ-myc mTR-/- G6 Eμ-myc mTR+/+ mice Eμ-myc - mTR-/G1 D Days Feldser & Greider Cancer Cell 2007 Both apoptosis and senescence block tumor growth Short telomere p53 Bcl‐2 Senescence Apoptosis Feldser & Greider Cancer Cell 2007 Nature 2001 Clinical features of dyskeratosis congentia • Dermatologic criteria – Skin hyperpigmentation – Oral leukoplakia – Nail dystrophy • Mortality –Aplastic anemia –Pulmonary fibrosis –Cancer Julian Chen Telomerase RNA secondary structure CR4/CR5 TERT Human Telomerase RNA Pseudoknot/Template TERT SnoRNA Nhp2 Nop10 Dyskerin Mitchell et al. MCB 1999 Chen et al. Cell 2000 TERT mutations cause autosomal dominant inheritance of dyskeratosis congentia Hopkins Family 1 I1 2 Genetic anticipation. anticipation Affected people are heterozygous for hTR or hTERT mutations. II 1 2 3 4 5 6 7 ? III 1 2 3 4 Dominant negative or h l i haploinsufficiency? ffi i ? Armanios et al. PNAS (2005) Cast/Ei mice have short telomeres similar to humans Bred mTR null allele onto Cast/Ei background Hemann & Greider NAR 2000 Ling Yang Hao Ling-Yang Progressive telomere shortening during mTR+/- breeding m TR+ / - mTR+ / - HG1 HG1 HG2 HG2 HG3 HG3 HG4 HG4 HG5 Short telomeres in CAST/EiJ mTR+/mTR / mice Hao et al. Cell 2005 Inheritance of short telomeres decreases survival m TR+ / - m TR+ / - HG1 HG1 HG2 HG2 HG3 KO(G2) HG3 HG4 HG4 HG5 KO(G3) KO(G4) KO(G5) Margaret Strong Perce ent surviv val Decreased survival of mTR mTR-// from later generation heterozygous crosses 100 WT KO from HG3 parents 75 KO from HG6 parents KO from HG8 parents 50 25 0 0 100 200 300 400 D ays Inheritance of short telomeres decreases survival. genetic anticipation p in dyskeratosis y congenita. g Resembles g Telomere shortening during mTR+/mTR / breeding affects wildtype offspring m TR+ / - m TR+ / - HG1 HG1 HG2 HG2 HG3 HG3 HG4 WT5* WT5 HG4 HG5 KO(G5) Short telomeres in Wt5* Wt5 mice HG4 KO HG4 HG5 WT5* Hao et al. Cell 2005 Short telomeres cause phenotypes in Wt* mice Testis Apoptosis Genetic disease in the absence of telomerase genetic disease)) mutation ((Occult g Mary Armanios Telomere shortening leads to genetic anticipation Hopkins Family 1 I1 Genetic anticipation off pulmonary l fibrosis. II 1 2 2 3 4 5 6 7 ? III 1 2 3 4 Armanios et al. PNAS (2005) NEJM 357 p1317 (2007) Table 2 Spectrum S ectru of bone marrow, arro lung, and liver disease seen in y of individuals with syndromes telomere shortening Annu. Rev. Genomics Hum. Genet. 2009. 10:45-61 Many phenotypes from telomere shortening syndromes share features of age related disease Bone marrow failure Liver disease Immune senescence Chemotherapy intolerance Increased cancer incidence Pulmonary fibrosis •Implies short telomeres may play a role in disease without mutation. Wildtype yp mice with short telomeres show a decreased number of B and T lymphocytes B Cells T Cells Armanios et al. AJHG 2009 Decreased CD4/CD8 ratio in mice with short telomeres is a hallmark of immune senescence * ** wt9*1 HG9 20 2.0 CD4/CD8 RATIO 1.5 1.0 0.5 0.0 wt Armanios et al. AJHG 2009 Extensive telomere length heterogeneity in the human population Valdes et al, 2005 Lancet (2005) •Combined effect of initial telomere length and environmental history may contribute to age related disease. Summary y and implications p Telomerase is essential for telomere maintenance. Telomere shortening leads to cell death or senescence after many cell divisions. Short telomeres inhibit tumor growth through apoptosis or senescence. Telomerase inhibitors may be effective in cancer therapy. Haploinsufficiency for telomerase causes telomere shortening. Short telomeres limit cell g growth even in the presence of telomerase. Short telomeres may limit long term stem cell division. Summary y and implications p IInheritance h it off short h t ttelomeres l causes phenotypes h t even in wildtype animals (Wt* or occult genetic disease). Short telomeres may cause loss of tissue renewal in normal aging population. Telomere T l llength th may predict di t onsett off certain t i age related diseases. Telomere shortening during mTR+/mTR / breeding affects wildtype offspring m TR+ / - m TR+ / - HG1 HG1 HG2 HG2 HG3 HG3 HG4 WT5* WT5 HG4 HG5 KO(G5) Decreased survival of mTR+/mTR / from later generation heterozygous crosses Inheritance of short telomeres decreases survival. genetic anticipation p in dyskeratosis y congenita. g Resembles g Armanios et al. AJHG 2009 Telomere length equlibrium is reestablished after five generations Armanios et al. AJHG (2009) Wt mice reestablish telomere Wt* equilibrium after several generations mTR+ / - HG4 mTR+ / - HG4 mTR+ / + WT5*1 m TR+ / + WT5*1 m TR+ / + WT5*2 mTR+ / + WT5*2 mTR+ TR / + WT5*3 mTR+ / + WT5*4 mTR+ TR / + WT5*3 mTR+ / + WT5*4 Armanios et al. AJHG 2009