TERT and TERC mutations detected in cryptic dyskeratosis congenita suppress telomerase activity

Introduction A cryptic form of dyskeratosis congenita (cDKC) has a gradual onset without the characteristic physical findings of DKC. cDKC is distinguished from other forms of bone marrow failure (BMF) through analysis of telomere shortening and gene mutations. Mutations in the telomerase reverse transcriptase (TERT) and telomere RNA component (TERC) genes have been detected in most Japanese cDKC patients. Therefore, we investigated the impact of each TERT and TERC mutation on telomerase activity. Methods TERT and TERC mutants observed in DKC or cDKC patients were transfected into Saos‐2 or VA13+TERT (TERT‐expressing VA13 cells) cells to measure telomerase activity. Results Telomerase activity in cells expressing a mutant detected in cDKC patients was significantly lower (P