The Dual Roles of Telomeres and Telomerase in Aging and Cancer
A special issue of Cancers (ISSN 2072-6694).
Deadline for manuscript submissions: closed (22 March 2023) | Viewed by 40562
Special Issue Editor
Special Issue Information
Dear Colleagues,
Studies over the past three decades have revealed the dual role of both telomeres and telomerase in aging and disease. While the activity of telomerase is necessary for the long-term replicative potential of eukaryotic cells, devoted to maintaining the integrity of genetic material, it is also required for the sustained proliferation of cancer cells. Consequently, telomerase activity is shut down in adult human tissues, and only a few cell types with high proliferation capacity and stem cells maintain telomerase activity throughout their life span. Absent or insufficient telomerase activity results in telomere shortening and consequently in the activation of tumor suppressor checkpoints, preventing tumorigenesis. As a trade-off, telomere shortening limits organismal life span and promotes aging syndromes. In cells with defective check-point activation, aging-associated telomere shortening can promote genome instability and cancer formation.
Increasing evidence indicates that both telomeres and telomerase contribute to cell survival and cancer via mechanisms that go beyond mere telomere length regulation. There is compelling evidence for additional, length-independent roles of telomerase, including gene regulation. Regarding telomeres, it has been shown that telomeres can induce senescence in a length-independent manner and may thus suppress tumorigenesis. This new role of telomeres is ascribed to sensing replication stress that results from aneuploidy or sustained oncogenic signals. Interestingly, telomerase activity abrogates replication-stress-induced senescence independent of its role in telomere elongation and promotes tumorigenesis. The exact nature of telomeric-replication stress and the role of telomerase in this context are two questions remaining to be elucidated experimentally.
Given their pivotal roles in cancer and aging, much hope has been kindled in telomerase inhibition or activation. Nevertheless, a telomerase inhibitor is still not in sight for effective cancer treatment. Regardless, though, can we assess the potential risk that anti-telomerase treatment may provoke alternative lengthening (ALT) of telomeres in cancer cells? On the other hand, may a telomerase activator be useful in attenuating age-related decline in tissue function and improving tissue regeneration? Finally, can we deal with the cancer-promoting features of activated telomerase? New findings may reveal new and safe therapeutic opportunities.
Prof. Dr. Cagatay Günes
Guest Editor
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Keywords
- telomerase
- telomere
- shelterin
- stem cells
- cancer
- aging
- telomeropathies
- ALT
- replication stress
- G-quadruplex structures
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