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TELOMERES, aging AND CANCER

3/7/2013

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Telomeres, as it happened with histones, were looked at as having more of a structural role as chromosome ends than a more active one in terms of regulating cell aging and cancer. A connection between telomere length and these cellular outcomes has become recently more evident.

Telomeres refer to the ends of linear chromosomes (from Greek: telos = end, meros = part) consisting of little caps that contain no genes but specific repetitive DNA sequences as shown in the figure below on the left -a hexanucleotide sequence that goes on and on... They can be visualized under the fluorescence microscope by using appropriate staining techniques, shown on the microscopy photo below on the right.
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These chromatin-related fields (histones, telomeres) have grown and attracted attention from other fields such as medicine, and in turn money has become easier to get for labs working on these subjects although the global economy and science research funding situation make it still hard for many researchers to fund their labs. In the early '90s there were general "chromatin" or "nucleus" meetings with a few dozen people attending from the labs working on many different topics, each of them now a huge field on its own. A few years later meetings became more focused, with several hundred people or more attending just for histones (or a specific aspect within the chromatin field) or telomeres. The '90s was also the decade during which the first whole organisms were "sequenced" for the first time. I remember attending the 1994 "yeast meeting" in Seattle where it was announced that a collaborative effort between different labs in the US and Europe was about to yield the whole genome sequence of the budding yeast Saccharomyces cerevisiae. This yeast (my favorite! check my home page) was the first eukaryotic organism to be sequenced- the total amount of DNA was about 12.5 million base pairs of DNA and it took several years. Later on other organisms were sequenced, including other eukaryotes, different bacterial species, mouse and eventually human. The human genome is about 3.3 billion base pairs of DNA and nowadays you can pay money to have your whole individual genome sequenced in a relatively very short time by specialized companies, and due to high competition, the prices are going down. But as usual, I'm diverging from the topic here, which is telomeres...

Telomeres have been shown to be very important in maintaining chromosome integrity. The mechanism by which these last bits of DNA on either chromosome end are replicated and maintained at a certain length is extremely complex, requiring a group of specialized RNA and proteins together to form the enzyme telomerase, responsible for lengthening telomeres. Telomerase was discovered and studied in different organisms for the first time in the '90s. The telomerase complex includes a "reverse transcriptase" enzyme (for details on these enzymes check my previous post on PCR) called TERT for TElomere Reverse Transcriptase.

Because "DNA breaks" are very bad for the cell (these can be induced by chemical agents, UV and other types of radiation, etc) and have to be sensed and repaired by specialized cellular processes and enzymes, telomeres (which are essentially pieces of DNA exposed at the tips of chromosomes) have to be protected by what is called "capping" so they are not "repaired" and sometimes fused with other chromosome ends in an attempt to fix what the cell might wrongly see as a DNA break. There are proteins bound to telomeres that block access to them, called "shelterins" during times of the cell cycle in which they might be seen as broken chromosomes.

Because of the way telomere replication occurs, they get shorter and shorter with each cell division, until they reach a critical shortness resulting in chromosome instability, cell senescence and eventually cell death. This mechanism is sometimes referred to as a cellular "clock" that regulates how many times a cell should divide before dying.
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Modified from the NIA/NIH at URL: http://www.nia.nih.gov/health/publication/genetics-aging-our-genes/what-happens-when-dna-becomes-damaged

In several organisms where the correlation between cell age and telomere length has been evaluated, it has been shown that in general older cells have shorter telomeres, although this is not the case in every species or in all tissues from the same organism. One problem with these observations is that in general the way telomere length is analyzed involves extracting DNA containing telomeres from a lot of cells, therefore the measurement is an average length from the whole population. As shown in the figure below, in old individuals the accumulation of a proportion of senescent cells with critically short telomeres compromise tissue function and regeneration, contributing to aging and associated diseases. A better indicator is the measurement of the proportion of cells with very short telomeres in a population rather than the average telomere length of the same population.
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Figure modified from the review by Vera and Blasco (2012) “Beyond average: potential for measurement of short telomeres”, Aging, 4:379-392

Aging of course is a topic that everyone is interested in, especially when anti-aging possibilities arise. When telomere length and telomerase were studied further, some commercial products appeared in the market such as  supplements and anti-aging creams claiming development of new formulas containing agents that could sow down aging based on counteracting the short telomeres effect or providing telomerase, such as a $1,500 skin cream (http://tmagazine.blogs.nytimes.com/2010/04/22/miracle-worker/).

In 2009, the Nobel Prize in Physiology or Medicine went to Elizabeth Blackburn, Carol Greider and Jack Szostak for their studies on telomeres. A short interview with Elizabeth Blackburn on new and exciting applied research on telomeres if found at:
http://www.scientificamerican.com/article.cfm?id=blackburn-elizabeth-telomeres-anecdotes-from-nobel-prize-winner

A malignant, cancer cell which divides in an unregulated manner, usually has levels of telomerase activity higher than equivalent cells form the same tissue which are not malignant (these cells in fact have low or no detectable levels of telomerase unless they are stem or progenitor cells). This has been shown to be the case not for early forms of cancer but more advanced ones; telomerase can be detected in approximately 90% of all malignant tumors which makes it a highly attractive therapeutic target. These cells are thought to activate telomerase to lengthen the otherwise critically short telomeres which would induce senescence and death. The presence of active telomerase confers the immortality intrinsic to cancer cells which can divide uncontrollably.
Picture
Modified from the NIA/NIH at URL: http://www.nia.nih.gov/health/publication/genetics-aging-our-genes/what-happens-when-dna-becomes-damaged

Whenever researchers find something that makes cancer cells be what they are, the immediate reaction is to look for ways to eliminate or inhibit this something. For example if it is a protein or enzyme such as telomerase, one can "screen" for inhibitors in vitro in the lab first, then move on to animal models and eventually test a possible cancer therapy in humans in clinical trials. However, there is a 10% of cancers which can extend telomeres by using a telomerase-independent mechanism for which this treatment would not work, and of course there is the concern that the target is actually an enzyme that should be active in stem cells in non-cancerous tissues.

As a final remark, just to emphasize how much better it seems for us to have longer rather than short telomeres, numerous studies that have looked at people with different conditions have found that, besides aging and cancer, short telomeres seem to be associated with the following:

* earlier death (Denmark)
* short sleep duration
* phobias, anxiety, depression, stress, schizophrenia
* childhood chronic or serious illness (Finland)
* several diseases

However, as with all correlations found in clinical research, we have to be very cautious when interpreting these, as they don't necessarily indicate a CAUSAL relationship in one particular direction. All these conditions might affect the way our cells divide and replicate their DNA, resulting in more DNA damage accumulated with time, and therefore shorter telomeres could be a downstream effect.
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    Hi! This is an attempt to write simply about things I feel passionate about. My name is Judith Recht and I am a scientist by training, a later-in-life mother, and an expat in Bangkok, Thailand and Recife, Brazil (~4 years in each country) now back in the US. I was born in one country (USA) grew up in another (Venezuela) raised by Argentine parents and moved around four more times (NYC to Bangkok to Recife to Maryland). This blog is for those of you who might be interested in the diverse topics so far included and others coming up soon.

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