TERT promoter mutations and telomerase reactivation in urothelial cancer

Reactivation of telomerase, the chromosome end–replicating enzyme, drives human cell immortality and cancer. Point mutations in the telomerase reverse transcriptase (TERT) gene promoter occur at high frequency in multiple cancers, including urothelial cancer (UC), but their effect on telomerase func...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 2015-02, Vol.347 (6225), p.1006-1010
Hauptverfasser: Borah, Sumit, Xi, Linghe, Zaug, Arthur J., Powell, Natasha M., Dancik, Garrett M., Cohen, Scott B., Costello, James C., Theodorescu, Dan, Cech, Thomas R.
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container_end_page 1010
container_issue 6225
container_start_page 1006
container_title Science (American Association for the Advancement of Science)
container_volume 347
creator Borah, Sumit
Xi, Linghe
Zaug, Arthur J.
Powell, Natasha M.
Dancik, Garrett M.
Cohen, Scott B.
Costello, James C.
Theodorescu, Dan
Cech, Thomas R.
description Reactivation of telomerase, the chromosome end–replicating enzyme, drives human cell immortality and cancer. Point mutations in the telomerase reverse transcriptase (TERT) gene promoter occur at high frequency in multiple cancers, including urothelial cancer (UC), but their effect on telomerase function has been unclear. In a study of 23 human UC cell lines, we show that these promoter mutations correlate with higher levels of TERT messenger RNA (mRNA), TERT protein, telomerase enzymatic activity, and telomere length. Although previous studies found no relation between TERT promoter mutations and UC patient outcome, we find that elevated TERT mRNA expression strongly correlates with reduced disease-specific survival in two independent UC patient cohorts (n = 35; n = 87). These results suggest that high telomerase activity may be a better marker of aggressive UC tumors than TERT promoter mutations alone.
doi_str_mv 10.1126/science.1260200
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Point mutations in the telomerase reverse transcriptase (TERT) gene promoter occur at high frequency in multiple cancers, including urothelial cancer (UC), but their effect on telomerase function has been unclear. In a study of 23 human UC cell lines, we show that these promoter mutations correlate with higher levels of TERT messenger RNA (mRNA), TERT protein, telomerase enzymatic activity, and telomere length. Although previous studies found no relation between TERT promoter mutations and UC patient outcome, we find that elevated TERT mRNA expression strongly correlates with reduced disease-specific survival in two independent UC patient cohorts (n = 35; n = 87). 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source American Association for the Advancement of Science; Jstor Complete Legacy
subjects Activation
Aggression
Cancer
Chromosomes
Downstream effects
Enzymes
Mutation
Mutations
Patients
Telomerase
title TERT promoter mutations and telomerase reactivation in urothelial cancer
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