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Six subunits composing the telomerase complex have been cloned:hTR human telomerase RNA, TEP1 telomerase-associated protein 1, hTERT human telom-erase reverse transcriptase, hsp90 heat s

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Differential regulation of telomerase activity by six telomerase

subunits

Joseph Tung-Chieh Chang1, Yin-Ling Chen2, Huei-Ting Yang2, Chi-Yuan Chen2and Ann-Joy Cheng2

1

Department of Radiation Oncology, Chang Gung Memorial Hospital, Taoyuan, Taiwan;2School of Medical Technology and Graduate School of Basic Medical Science, Chang Gung University, Taoyuan, Taiwan

Telomerase is a specialized reverse transcriptase responsible

for synthesizing telomeric DNA at the ends of

chromo-somes Six subunits composing the telomerase complex have

been cloned:hTR (human telomerase RNA), TEP1

(telomerase-associated protein 1), hTERT (human

telom-erase reverse transcriptase), hsp90 (heat shock protein 90),

p23, and dyskerin In this study, we investigated the role of

each the telomerase subunit on the activity of telomerase

Through down- or upregulation of telomerase, we found

that only hTERT expression changed proportionally with

the level of telomerase activity The other components,

TEP1, hTR, hsp90, p23, and dyskerin remained at high and

unchanged levels throughout modulation In vivo and in vitro

experiments with antisense oligonucleotides against each

telomerase component were also performed Telomerase

activity was decreased or abolished by antisense treatment

To correlate clinical sample status, four pairs of normal and malignant tissues from patients with oral cancer were examined Except for the hTERT subunit, which showed differential expression in normal and cancer tissues, all other components were expressed in both normal and malignant tissues We conclude that hTERT is a regulatable subunit, whereas the other components are expressed more constantly in cells Although hTERT has a rate-limiting effect on enzyme activity, the other telomerase subunits (hTR, TEP1, hsp90, p23, dyskerin) participated in full enzyme activi‘ty We hypothesize that once hTERT is expressed, all other telomerase subunits can be assembled to form a highly active holoenzyme

Keywords:hTERT; hTR; telomerase activity; telomerase subunit; TEP1

Normal human somatic cells have a limited proliferative

capacity Malignant cells, in contrast, have acquired the

ability to override senescence Telomere length and

telom-erase activity have recently been implicated in the control

of the proliferative capacity of normal and malignant cells

[1,2] Telomeres consist of hundreds to thousands of

tandem repeats of the sequence TTAGGG, which are

specifically extended by telomerase [1,2] In most human

somatic cells, except for regenerating tissues and activated

lymphocytes, telomerase activity is undetectable and

telo-mere length is progressively shortened during cell

replica-tion [3,4] Cell senescence is though to occur when the

telomere length is critically shortened On the other hand,

most immortalized and human cancer cells exhibit

stabil-ized telomere lengths, and are positive for telomerase

activity [5–7] The above evidence suggests that mainten-ance of telomeric length is required for cells to escape from replicative senescence and to acquire the ability to proliferate indefinitely Telomerase reactivation thus appears to play an important role in cellular immortality and oncogenesis

The subunits comprising the human telomerase complex have been identified:human telomerase RNA (hTR), telomerase-associated protein 1 (TEP1), and human telomerase reverse transcriptase (hTERT) hTR functions

as a template for telomere elongation by telomerase [8] TEP1, which is homologous to the gene of Tetrahymena telomerase component p80, contains WD40 repeats [9,10]

As p80 interacts with telomerase RNA, the function of TEP1 is suspected to be associated with RNA and protein binding hTERT contains reverse transcriptase motifs and functions as the catalytic subunit of telomerase [11,12] Recently, other proteins associated with the telomerase holoenzyme have been reported Heat shock protein 90 (hsp90) and molecular chaperon p23 have been demon-strated to bind to hTERT and contribute to telomerase activity [13] Another nucleolar protein, dyskerin, which is the pseudouridine synthase component of the box

H + ACA snoRNAs, also interacts with hTR [14,15] It

is conceivable that dyskerin mediates interaction of the telomerase ribonuclear protein with the nucleolus to facilitate hTR processing or assembly of the telomerase complex [14–16] Greater expression of hTERT, but less of hTR or TEP1, has been reported to correlate with telomerase activity in cancer cells [17,18] An association

of telomerase activity with the expression of hsp90, p23 or dyskerin has not been reported

Correspondence to A.-J Cheng, School of Medical Technology,

Chang Gung University, 259 Wen-Hwa 1st Road,

Taoyuan 333, Taiwan.

Fax:+ 886 3328 0174,

E-mail:ajchen@mail.cgu.edu.tw

Abbreviations:hTR, human telomerase RNA; TEP1, telomerase

associated protein 1; hTERT, human telomerase reverse

transcriptase; hsp90, head shock protein 90; PTA,

phorbol-12-myristate-13 acetate; PHA, phytohaemagglutinin; PBMC,

peripheral blood mononuclear cells; SFM, serum-free medium;

TRAP/EIA, telomeric repeat amplification protocol-enzyme

immunoassay; TBP, TFIID-binding protein; TAF, TBP-associated

factors; mTEP1, mouse TEP1.

(Received 13 December 2001, revised 25 April 2002,

accepted 28 May 2002)

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The mechanism by which telomerase is activated in

human cancers is unclear In vitro reconstitution

experi-ments have shown that hTR and hTERT are sufficient for

telomerase activity, suggesting minimal catalytic function of

the enzyme [19] Ectopic expression of hTERT in normal

human cells restored telomerase activity, extended the

replicative life span of the cells [20,21], maintained telomere

length, and eliminated tumorigenicity [22,23] The level of

hTERT in cells seems to be a sole component necessary for

regulation of the enzyme’s activity Nevertheless, it remains

unclear whether other telomerase subunits are essential for

the holoenzyme function Down-regulation of telomerase

activity by induction of differentiation of HL-60 cells has

been reported [24,25] To understand the role of each

telomerase subunit in enzyme activity, we used

down-regulation of telomerase by inducing differentiation of

HL-60 cells, and up-regulation of telomerase by stimulating

proliferation of peripheral blood mononuclear cells

(PBMC) to evaluate changes in the telomerase components

We then investigated alterations in telomerase activity after

blocking each telomerase component by antisense

oligonu-cleotides using in vitro and cellular models We also

examined normal and malignant human tissue samples for

the expression of each telomerase subunit and correlated it

with telomerase activity

M A T E R I A L S A N D M E T H O D S

Chemicals

Dimethylsulfoxide, phorbol-12-myristate-13 acetate (PTA),

phenylmethanesulfonyl fluoride, and Wright and Trypan

blue dyes were from Sigma Giemsa stain was from Aldrich,

and phytohaemagglutinin (PHA) and lipofectin reagent

were from Gibco BRL

Oligonucleotides

The oligonucleotides used for PCR amplification are listed

in Table 1 The antisense oligonucleotide against the hTR

gene (anti-hTR) was designed to be complementary to the

template region sequences Other antisense oligonucleo-tides against TEP1 (anti-TEP1), hsp90 (anti-hsp90), p23 (anti-p23), dyskerin (anti-dkc) were designed to be comple-mentary to the region)2 to +20 of the coding sequences All gene sequences were found in the GenBank database Non-specific oligonucleotides, designated as hTR, non-TEP1, non-hsp90, non-p23, and non-dkc, having the same base composition as the antisense oligonucleotides but with different sequences, were used as controls Oligonucleotides used for transfection experiments were modified by phos-phorothiolation All oligonucleotides were from Genasia Scientific Inc., Taipei, Taiwan

Tissue samples, cell lines, and cell culture Human tissues used for this study were from oral cancer patients, admitted to Chang Gung Memorial Hospital of Taiwan Written consent was obtained before use of the tissues in our experiments For each patient, one sample each of malignant tissue and normal mucosa were surgically dissected and frozen immediately in liquid nitrogen until used for molecular assay

Cells used included oral cancer cell lines OECM1, OC2 [26], KB, the cervical cancer cell line HeLa, and the leukaemia cell line HL-60 HL-60 cells were grown in RPMI-1640 (Gibco BRL), while others were maintained in Dulbecco’s modified Eagle’s medium (Gibco BRL) Both media were supplemented with 10% fetal bovine serum and antibiotics, and the cells were cultured in a humidified atmosphere containing 5% CO2 Cultures from each cell were harvested every 24 h and monitored for cell number by counting cell suspensions with a haemocytometer Cell viability was determined by staining cells with 0.25% Trypan blue, with the fraction of stain-negative cells taken

as the surviving fraction In all experiments, the cell viability rates were >75%

Induction and assessment of differentiated HL-60 cells Induction of differentiation in HL-60 cells was performed either by treatment with 1.4% dimethylsulfoxide or with

100 ngÆmL)1 TPA for up to 4 days The differentiated HL-60 cells were assessed by morphological change Induction with dimethylsulfoxide led to granulocytic differ-entiation, which was assessed using Wright–l Giemsa stain Cells (5· 104) were prepared on slides by Cytospin (Shandon Southern) and stained, then examined under a light microscope (·1000) Granulocytic differentiation was determined according to the presence of an eccentric or segmented nucleus and the increase in the nucleus/ cytoplasm ratio Induction with TPA led to monocytic differentiation and attachment to the bottom of the culture flask For morphological assessment, the supernatant was aspirated and the TPA-treated cells were examined with a phase contrast microscope (·400) Monocytic cells were identified by the presence of dendriform cytoplasm

Isolation, culture, and activation of PBMC Heparinized peripheral blood was drawn from normal volunteer donors, and the PBMC were separated and isolated from the interface of Ficoll-Hypaque (Pharmacia Biotech) The isolated PBMC were washed three times with

Table 1 Names and the sequences of oligodeoxyribonucleotides used for

RT-PCR analysis.

Gene Name Sequences (5¢ fi 3¢)

Annealing temperature hTR F2b tccctttataagccgactcg 58 C

R3c gtttgctctagaatgaacggtggaag

TEP1 TEP1.1 tcaagccaaacctgaatctgag 58 C

TEP1.2 ccccgagtgaatctttctacgc

hTERT LT5 cggaagagtgtctggagcaa 56 C

LT6 ggatgaagcggagtctgga

hsp90 hsp90-f tccttcgggagttgatctctaatgc 60 C

hsp90-r gaattttgagctctttaccactgtccaa

p23 p23-f accagttcgcccgtccc 60 C

p23-r ccttcgatcgtaccactttgcaga

Dyskerin dkc-f cctcggctgtggaccgg 60 C

dkc-r aaataattacttccgcatccgcca

Actin actin-s gtggggcgccccaggcacc 58 C

actin-a ctccttaatgtcacgcacgatttc

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HBSS solution (Gibco BRL) and resuspended at a

density of 2· 106cellsÆmL)1in RPMI-1640 supplemented

with 20% fetal bovine serum and antibiotics PBMC

(1· 106cellsÆmL)1) were cultured in the presence or absence

of PHA (20 lLÆmL)1PBMC), and incubated at 37C in a

humidified atmosphere containing 5% CO2

Transfection with antisense and nonspecific

oligonucleotides

For the transfection of HL-60 cells, cells were seeded at a

density of 2· 106 per well in a six-well culture plate in

0.8 mL serum-free medium (SFM) Antisense or nonspecific

oligonucleotides in a final concentration of up to 0.7 lMand

20 lL of lipofection reagent in a total of 0.2 mL SFM were

mixed gently at room temperature for 45 min The DNA

mixture was added to the HL-60 cells and incubated for

20 h at 37C in a CO2incubator The culture medium was

then replaced with fresh complete RPMI and further

incubated for 3 days For the transfection of PBMC, cells

were seeded at a density of 2· 106 cellsÆmL)1 in SFM,

followed by transfection with the DNA mixture as described

above After DNA transfection, the culture medium was

replaced with fresh complete RPMI containing 20 lLÆmL)1

PHA, and incubated for a further 3 days Protocols for

transfection of other cells were similar as described above,

except that final concentrations of up to 0.7 lM

oligonuc-leotides and 15 lL lipofection reagent were used to

maintain cell viability

Cellular protein extraction and analysis of telomerase

activity

Treated cells were suspended in a lysis buffer (10 mMTris/

HCl, pH 7.5, 1 mM MgCl2, 1 mM EGTA, 0.5% Chaps,

10% glycerol, 0.1 mMphenylmethanesulfonyl fluoride and

5 mM 2-mercaptoethanol), and incubated for 30 min at

4C while being gently mixed After centrifuging at

14 000 g for 30 min at 4C, the supernatants were

trans-ferred to fresh tubes for the telomerase activity assay

Protein concentrations were determined using the

Coomas-sie Protein Assay Reagent (Pierce)

Assay of telomerase activity was performed by the

telomeric repeat amplification protocol-enzyme

immunoas-say (TRAP/EIA) as described previously [27] Telomerase

activity was determined by the ability to produce telomere

repeats by a PCR-based TRAP assay and measuring the

PCR products using a EIA-based assay Briefly, 0.3 lg

protein extract was added to 30 lL of the TRAP reaction

buffer and incubated at 25C for 15 min, followed by

amplification by 25 cycles of PCR at 94C for 30 s, 55 C

for 30 s, and 72C for 1 min in a DNA Thermal Cycler

After the PCR reactions, 5 lL of the PCR products were

dispensed into streptavidin-coated wells and incubated with

100 lL of antidigoxigenin antibody conjugated with

horse-radish peroxidase (10 mUÆmL)1) at room temperature for

60 min in an EIA reaction buffer After washing, enzyme

reactions were initiated by the addition of 100 lL of

tetramethylbenzidine substrate solution to each well Ten

min later, the reactions were stopped by the addition of

100 lL 2M HCl to each well Colorimetric signals were

determined by measuring the absorbance at 450 nm using

an automatic microwell reader

RNA extraction and analysis of telomerase subunit genes The expression of each of the telomerase subunit genes (hTR, TEP1, hTERT, hsp90, p23 and dyskerin) were analysed by using RT/PCR Total RNA from cells or tissues was isolated by using the TRIzol reagent (Gibco BRL) following the manufacturer’s instructions The con-centration, purity, and amount of total RNA were deter-mined by ultraviolet spectrophotometry

The reverse transcription reaction was performed in a total volume of 30 lL containing 30 ng RNA, 100 pmol poly T oligonucleotide, 4 U avian myeloblastosis virus reverse transcriptase (HT Biotech Ltd, UK), 10 U RNase inhibitor (CalBiochem), and 25 mMdNTP at 42C for 1 h The number of PCR cycles was titrated to avoid reaching the amplification plateau PCR was performed with 30 cycles of denaturation at 94C for 40 s, annealing at 56–

60C for 40 s and extension at 72 C for 1 min PCR products were analysed by either 8% polyacrylamide or 1.5% agarose gel electrophoresis, stained with SyBr Green I (Molecular Probes), then visualized and photographed by illuminating with 254 nm UV

R E S U L T S

Cellular changes in HL-60 cells after induction

of differentiation Over 80% of the HL-60 cells remained viable over the entire course of treatment with dimethylsulfoxide The ratio of differentiated cells (Fig 1A and B) was estimated to be 25% after 2 days of treatment and 70% after 4 days After

4 days of treatment with 100 ngÆmL)1TPA, > 90% of the HL-60 cells became attached to the flask and developed dendriform cytoplasm, indicating successful induction (Fig 1C and D) Longer treatment led to cell death, with

an increased fraction of floating rather than attached cells Therefore, we harvested cells treated only for up to 4 days for evaluation of telomerase activity and the subunit expression studies

hTERT expression after modulation of telomerase activity

DMSO treatment led to a decrease in telomerase activity to

 70% of baseline after 1 day, 40% after 2 days, and

> 10% after 4 days (Fig 2A) The expression of hTERT was dramatically decreased after 1 day of treatment, indicating that the hTERT subunit was significantly corre-lated with the decrease in telomerase activity, and was

an earlier event than the change in holoenzyme acti-vity.However, other telomerase components remained unchanged during the entire course of treatment (Fig 2B) Similar results were found in the TPA-treated HL-60 cells Telomerase activity was gradually decreased over 4 days of treatment, accompanied by diminished hTERT expression but little change in other telomerase components (data not shown) Both of these results indicate that hTERT is the component primarily responsible for regulation of telomerase activity

As shown in Fig 3, telomerase activity was up-regulated after 8 h of PHA treatment of PBMC, reaching the highest level at 2–4 days, and gradually decreasing after 4 days

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hTERT expression increased with the increase in telomerase

activity, while expression of the other telomerase subunits

remained unchanged This result further demonstrates that

hTERT is the major component responsible for the

regulation of telomerase activity

Telomerase activity after blockade of telomerase

subunits

Antisense inhibition of each telomerase subunit was carried

out in vitro In this experiment, 5–200 nMof each antisense

or nonspecific oligonucleotide was added to the TRAP

reaction buffer containing the protein extract from HL-60

cells After brief incubation (5 min) on ice, the reaction

mixtures were subjected to telomerase activity assay as

described in Materials and methods Telomerase activity

was inhibited by antisense oligonucleotides in a

dose-dependent manner (Fig 4) For each gene treated with

antisense oligonucleotides at 200 nM, telomerase activity

was completely inhibited (< 5% of untreated control)

Treatment with 50 nM antisense oligonucleotides led to a

dramatic reduction of telomerase activity, to < 20% of the

untreated control, except for anti-dyskerin, which reduced

telomerase activity to only 60% Treatment with 50 nM

nonspecific oligonucleotides did not inhibit telomerase

activity, except for slight inhibition with non-TEP1 (to

80% of control values) A low dose (5 nM) of antisense

oligonucleotides, resulting in lower levels of subunit

inhibi-tion, led to variable but significant effects on telomerase

activity for hTR, TEP1 and p23, whereas inhibition of

dyskerin had the least effect From these antisense studies, it

appears that all of the telomerase subunits contribute to the

full activity of the holoenzyme, although dyskerin plays a lesser role

Transfection of HL-60 cells with anti-TEP1 led to a specific inhibition of TEP1 (Fig 5A) There was no obvious effect on the expression of hTR after transfection of HL-60 cells with anti-hTR, as this antisense oligonucleotide was designed to be complementary to the template region sequence (Fig 5A) Telomerase activity was gradually decreased in cells transfected with specific antisense oligo-nucleotides, to 60% after 2 days and to almost undetect-able levels after 3 days (Fig 5B) However, transfection with nonspecific oligonucleotides had no effect on telom-erase activity (Fig 5B) For the effects of hTR and TEP1 on the activation of telomerase, the model of stimulating PBMC was applied As shown in the Fig 5C, the addition

of anti-hTR or anit-TEP1 to PHA-stimulated PBMC resulted in significantly reduced activation of telomerase after 48 h

For the other cell lines studied (OECM1, KB, OC2, and HeLa), inhibition of the various telomerase subunits (hTR, TEP1, hsp90, p23 and dyskerin) with antisense oligonucleo-tides resulted in a reduction of specific mRNA expression (Fig 6A) and inhibition of telomerase activity in a dose-and time-dependent manner (partial results shown in Fig 6B) The exact effect of each antisense oligonucleotide

on telomerase activity varied according to the cell line This may have resulted from differing endogenous cellular regulatory responses or differing transfection efficiency in the various cell types For example, OECM1 cells generally showed more significant inhibition than other cells (Fig 6B) Nevertheless, inhibition of each telomerase sub-unit caused a reduction of telomerase activity, suggesting

Fig 1 Changes in cell morphology after

induction of differentiation of HL-60 cells by

dimethylsulfoxide and TPA (A) HL-60 cells

cultured in RPMI for 3 days (control for B),

followed by cytospin analysis and staining

(·1000) (B) HL-60 cells treated with 1.4%

dimethylsulfoxide, followed by cytospin

analysis and staining (·1000) (C) HL-60 cells

in suspension after culture in RPMI for 3 days

(control for B) (·400) (D) HL-60 cells after

treatment with 100 ngÆmL)1TPA for 3 days,

attached to flask (·400) suspension and

photographed the attached cells.

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that each component plays a distinct role in the full enzyme

function

Telomerase activity and the expression of each subunit

in normal and malignant tissues

In four pairs of normal and malignant tissue from oral

cancer patients, telomerase activity, as expected, was found

in all the malignant tissue samples but was absent in the

normal counterparts Results of analysis of the expression of

each telomerase subunit are shown in Fig 7 hTERT

expression correlated with telomerase activity, that is, it was

expressed in all telomerase-positive malignant tissue but was

undetectable in all telomerase-negative normal tissue Other

telomerase subunits, however, were found to be more

constantly expressed in both normal and malignant tissue

D I S C U S S I O N

Telomerase activation is stringently repressed in normal

human somatic tissues but reactivated in immortal cells,

suggesting that up-regulation of telomerase participates

in cellular aging and oncogenesis Therefore,

understand-ing telomerase regulatory mechanisms is valuable in

understanding tumour biology as well as in defining molecular targets for clinical application Thus far, six major components of telomerase have been identified;

Fig 2 Changes in telomerase subunits and telomerase activity in

response to induction of differentiation in HL-60 cells with

dimethyl-sulfoxide HL-60 cells were treated with 1.4% dimethylsulfoxide for

4 days Cells were harvested, and RNA and protein fractions were

extracted for subunit expressions and telomerase activity analysis.

(A) Relative telomerase activity on each day (B) RNA expression of

telomerase subunits analysed by RT-PCR and resolved in 1.5%

agarose gel Genes are listed on the left Actin expression was analysed

as a control See Materials and methods for experimental details.

Fig 3 Activation of telomerase activity by stimulating PBMC with PHA (A) Relative telomerase activity on each day (B) RNA expression of telomerase subunits, analysed by RT-PCR and resolved

in 1.5% agarose gel Genes are listed on the left Actin expression was analysed as a control N, sample was not determined See Materials and methods for experimental details.

Fig 4 In vitro analysis of changes in telomerase activity after intro-duction of antisense or nonspecific oligonucleotides Results are presented

as the means of duplicate experiments Antisense oligonucleotides were used at either 200, 50 or 5 n M , while nonspecific oligonucleotides were used at 50 n M as indicated at the top of the figure Relative telomerase activity was obtained after comparing the control sample without treatment with oligonucleotides Telomerase activity was measured by TRAP/EIA.

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except for hTR and hTERT, however, the roles of the

other subunits in enzyme function are still unclear TEP1

protein is thought to be associated with hTR, as the

N-terminal region of TEP1 is homologous to the gene of

Tetrahymena telomerase component p80, which interacts

with telomerase RNA [9,10] The WD40 repeats are found

in proteins involved in a wide variety of cellular processes

ranging from signal transduction to RNA processing [28]

Proteins containing WD repeats are often physically associated with other proteins and are believed in many cases to act as scaffolds upon which multimeric complexes are built [29] Recently, a novel protein containing WD40 repeats was cloned and found to be overexpressed in breast cancer [30] Moreover, a cytoplasmic ribonucleo-protein complex Vaults also shares a common subunit of TEP1 [31,32] Therefore, TEP1 protein in telomerase may play a role in ribonucleoprotein structure, assembly, or may also be involved in cancer progression

The essential roles of hTR and TEP1 in telomere length maintenance and telomerase activity have been investigated

in vivo, using mouse embryonic stem cells lacking mouse telomerase RNA or the mouse TEP1 (mTEP1) gene Functional analysis of mouse embryonic stem cells with-out mouse telomerase RNA shows a lack of detectable

Fig 6 Telomerase activity after introduction of antisense oligonucleo-tides into various cells Results are presented as the means of two independent experiments Antisense oligonucleotides at 0.2 l M (anti-TEP1 or anti-hTR) or 0.5 l M (anti-hsp90, anti-p23 or anti-dyskerin) were transfected into various cells and telomerase activity was meas-ured after 2 days by TRAP/EIA (A) OECM1 cells were transfected with each antisense oligonucleotide and the expression of each telomerase subunit gene was measured Actin expression for each treatment was determined as an mRNA control C, Control sample, with lipofectin transfection only; A, antisense transfected sample (B) Cells included OECM1, HeLa, KB, and HL-60, and OC2 as indicated each at the top of the figure Relative telomerase activity was obtained by comparison with the untreated control sample.

Fig 5 Telomerase activity after introduction of antisense

oligonucleo-tides (A) Antisense oligonucleotides against either TEP1 (anti-TP1) or

hTR (anti-hTR) were transfected into HL-60 cells and TEP1 and hTR

expression was measured after 3 days by TRAP/EIA Actin expression

for each treatment was determined as mRNA control TEP1

expres-sion was inhibited significantly by anti-TP1 treatment The expresexpres-sion

of hTR has not much affected by anti-hTR, because this antisense

oligonucleotide was designed to be complementary to the template

region sequence (B) Antisense oligonucleotides against either TEP1

(anti-TP1) or hTR (anti-hTR), or nonspecific oligonucleotides

(non-TP1 and non-hTR) were transfected into HL-60 cells and telomerase

activity was measured by TRAP/EIA cells 3 days later (C) Telomerase

activity after introduction of antisense oligonucleotides into

PHA-stimulated lymphocytes Ficoll-Hypaque isolated lymphocytes were

treated with PHA with or without anti-TP1 or anti-hRT and cultured

for up to 48 h.

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telomerase activity but maintenance of telomere length [33].

These results demonstrate the necessity for hTR in

telom-erase and suggest a telomtelom-erase-independent pathway in

maintaining telomere length Our results of antisense

manipulation of the hTR subunit are in agreement with

this finding Embryonic stem cells without mTEP1 reveal no

alteration in telomerase activity compared to wide-type

cells, suggesting a redundant role for mTEP1 [34] When we

inhibited TEP1, however, there was complete inhibition of

telomerase activity in vitro and significant inhibition in cells,

indicating that this protein is required for full activity of the

telomerase Several possibilities may explain this finding In

the in vivo mouse model, mTEP1 may be associated with

only a fraction of the total telomerase activity, or other

telomerase-associated proteins may share a redundant role

with mTEP1, so that its disruption might have no overt

phenotypic consequence [34] In our in vitro experiment,

because of the shortage of cellular salvage pathways and the

complete inhibition of TEP1 function by high

concentra-tions of antisense oligonucleotides, telomerase activity was

dramatically diminished Alternatively, hTR and hTERT

may play a minimal catalytic activity in telomerase, while

the assembly of other telomerase subunits may amplify the

enzyme function In this scenario, deletion of mTEP1 in embryonic stem cells would have no effect on telomerase activity, and the level may be sufficient for mouse develop-ment In our experiments, the relatively high levels of telomerase present in cancer cell lines were significantly decreased upon inhibition of TEP1 by antisense oligonu-cleotides A similar example can be found in transcription factor TFIID TFIID contains a core TFIID-binding protein (TBP) plus several TBP-associated factors (TAFs) TBP alone stimulates minimal transcriptional activity in the TATA box region of the promoter, but when it is associated with complete TAFs, it strongly facilitates transcriptional activity [35] Recently, an in vitro reconstitution study has been reported to support this hypothesis A reconstituted complex of hTERT and hTR was detected by EMSA, and its activity was stimulated more than 30-fold by the addition

of cell extract, indicating the presence of a cellular factor contributing to the stimulatory effect of telomerase activity [36]

Hsp90 and molecular chaperon p23 have been demon-strated to bind to hTERT and are considered to be telomerase subunits [13] P23 was first identified as a component of progesterone and glucocorticoid receptor complexes [37] Subsequently, it was found that p23 is associated with hsp90 in these complexes and that the presence of both molecules is required to maintain these receptors in a ligand binding state [37] These observations led to the concept of a molecular chaperon machine or foldosome that mediates assembly of a biologically active protein complex Similarly, hsp90 and p23 in the telom-erase complex may also serve this foldosome function to assemble the active holoenzyme Geldanamycin, an hsp90 inhibitor, has been found to reduce the activity of reconstituted telomerase in cell extracts, demonstrating the role of hsp90 in the holoenzyme complex [36] In our

in vitro and cellular study of antisense oligonucleotide inhibition, blockage of hsp90 or p23 significantly decreased telomerase activity, further supporting the inference that these molecules play a role in the assembly of active telomerase Whether these molecules, like TEP1, have an additional stimulatory effect on telomerase requires further investigation Antisense inhibition of dyskerin, although showing comparable inhibition of telomerase function in cells, exhibited a weaker inhibition of telomerase activity

in the in vitro assay As dyskerin is believed to be involved

in hTR processing or assembly into the telomerase complex [14], the weaker inhibition leads us to suspect that this processing occurs at an earlier step of telomerase holoen-zyme assembly

The correlation of telomerase activity with the expression

of telomerase subunits hTERT, hTR and TEP1 has been reported Expression of hTERT, and less so of hTR or TEP1, has been found to correlate with telomerase activity

in many cancer cells [17,18] We further studied telomerase activity in relation to the expression of hsp90, p23 and dyskerin in human tissue samples and found no correlation These results indicate that hTERT is strongly associated with telomerase activity while other components are more constantly expressed in cells

As described above, the experiments with ectopic expres-sion of hTERT suggests that the level of hTERT in cells is a rate-limiting component for the regulation of enzyme activity Nevertheless, these results still cannot rule out the

Fig 7 Expressions of telomerase activity and the subunits in human

tissues Four pairs of normal (N) and tumour (T) tissues from oral

cancer patients were examined (A) Relative telomerase activity of each

sample compared to the OC2 cancer cell line Telomerase activities are

determined by PCR/EIA Each sample indicated as patient :tissue

below each bar represents the specific patient and tissue (B) The

expression of six telomerase subunits in the samples determined by

RT-PCR Each sample is indicated at the top of the figure Lane C

indicates the control experiment which contained all of the RT-PCR

reagents except tissue RNA Six telomerase subunits were examined

by RT-PCR and are indicated at the left of the figure See Materials

and methods for experimental details.

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necessity of other telomerase components for full activity of

the enzyme In the present study, we demonstrated that

hTERT is a regulatable component and responsible for the

activation of telomerase, as it responded to environmental

stimulation in both up- and down-regulation models The

other telomerase components retained expression at

relat-ively constant levels in both human tissue samples and cell

lines, and showed a lesser response to environmental

changes In addition, our antisense experiments showed

that inhibition of any component could result in the

reduction of telomerase activity, suggesting that each

telomerase subunit is necessary for full enzyme activity

We conclude that hTERT is a regulatable subunit, while the

other components are more constantly expressed We

hypothesize that once hTERT is expressed, all of the other

telomerase subunits can be assembled to form a highly

active holoenzyme

A C K N O W L E D G E M E N T S

This work was supported by National Science Council Research Grant

NSC89-2314-B-182-068 of Taiwan and Chang Gung Medical Research

Grant CMRP869 We thank M J Buttrey for critical reading and

correction of the manuscript.

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