Regulation of the Human Telomerase Gene TERT by Telomere Position Effect—Over Long Distances (TPE-OLD): Implications for Aging and Cancer

摘要

Telomerase is expressed in early human development and then becomes silenced in most normal tissues. Because ~90% of primary human tumors express telomerase and generally maintain very short telomeres, telomerase is carefully regulated, particularly in large, long-lived mammals. In the current report, we provide substantial evidence for a new regulatory control mechanism of the rate limiting catalytic protein component of telomerase (h TERT ) that is determined by the length of telomeres. We document that normal, young human cells with long telomeres have a repressed h TERT epigenetic status (chromatin and DNA methylation), but the epigenetic status is altered when telomeres become short. The change in epigenetic status correlates with altered expression of TERT and genes near to TERT , indicating a change in chromatin. Furthermore, we identified a chromosome 5p telomere loop to a region near TERT in human cells with long telomeres that is disengaged with increased cell divisions as telomeres progressively shorten. Finally, we provide support for a role of the TRF2 protein, and possibly TERRA, in the telomere looping maintenance mechanism through interactions with interstitial TTAGGG repeats. This provides new insights into how the changes in genome structure during replicative aging result in an increased susceptibility to age-related diseases and cancer prior to the initiation of a DNA damage signal. Author Summary Telomerase is very tightly regulated in large, long-lived species such as humans. Telomerase is expressed during early human fetal development, turned off in most adult tissues, and then becomes reactivated in most human cancers. However, the exact mechanism(s) regulating these switches in expression are not fully known. We recently described a phenomenon in which genes near chromosome ends (telomeres) are regulated by telomere length-dependent loops (telomere position effect—over long distances; TPE-OLD). Interestingly, the TERT gene is only a megabase from the human chromosome 5p end. We observed that when telomeres are long, TERT gene expression is repressed and the 5p sub-telomeric region and the TERT locus are spatially co-localized. When telomeres are short, at least one of the TERT alleles is spatially separated from the telomere, developing more active histone marks and changes in DNA methylation in the TERT promoter region. These findings have implications for how cells turn off telomerase when telomeres are long during human fetal development and how cancer cells reactivate telomerase in cells that have short telomeres. These studies add to the growing support for the role of telomeres in regulating gene expression via TPE-OLD. Furthermore, telomere length may be one of the mechanisms of how cells time changes in physiology without initiating a DNA damage response.