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PMID: 20351727 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S. Review

Alternative lengthening of telomeres: models, mechanisms and implications.

Nature reviews. Genetics ·Vol. 11 ·No. 5 ·2010-05-00 ·Pages 319-30

Cesare AJ, Reddel RR

Abstract

Unlimited cellular proliferation depends on counteracting the telomere attrition that accompanies DNA replication. In human cancers this usually occurs through upregulation of telomerase activity, but in 10-15% of cancers - including some with particularly poor outcome - it is achieved through a mechanism known as alternative lengthening of telomeres (ALT). ALT, which is dependent on homologous recombination, is therefore an important target for cancer therapy. Although dissection of the mechanism or mechanisms of ALT has been challenging, recent advances have led to the identification of several genes that are required for ALT and the elucidation of the biological significance of some phenotypic markers of ALT. This has enabled development of a rapid assay of ALT activity levels and the construction of molecular models of ALT.

MeSH Terms
Animals Humans Models, Genetic Neoplasms/genetics,metabolism Recombination, Genetic Telomere/metabolism Telomere-Binding Proteins/metabolism
Chemicals
Telomere-Binding Proteins
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Cesare Anthony J
Cancer Research Unit, Childrens Medical Research Institute, Sydney, New South Wales, Australia.
Reddel Roger R
References (109)
109 references, click to expand
  1. How shelterin protects mammalian telomeres.
    Annu Rev Genet. 2008;42:301-34 PMID: 18680434
  2. FEN1 contributes to telomere stability in ALT-positive tumor cells.
    Oncogene. 2009 Feb 26;28(8):1162-7 PMID: 19137021
  3. Telomere elongation involves intra-molecular DNA replication in cells utilizing alternative lengthening of telomeres.
    Hum Mol Genet. 2009 Mar 15;18(6):1017-27 PMID: 19095716
  4. Visualizing telomere dynamics in living mammalian cells using PNA probes.
    EMBO J. 2003 Dec 15;22(24):6631-41 PMID: 14657034
  5. A gene expression signature classifying telomerase and ALT immortalization reveals an hTERT regulatory network and suggests a mesenchymal stem cell origin for ALT.
    Oncogene. 2009 Oct 29;28(43):3765-74 PMID: 19684619
  6. Telomeric DNA in ALT cells is characterized by free telomeric circles and heterogeneous t-loops.
    Mol Cell Biol. 2004 Nov;24(22):9948-57 PMID: 15509797
  7. The SMC5/6 complex maintains telomere length in ALT cancer cells through SUMOylation of telomere-binding proteins.
    Nat Struct Mol Biol. 2007 Jul;14(7):581-90 PMID: 17589526
  8. Alterations in p53 and p16INK4 expression and telomere length during spontaneous immortalization of Li-Fraumeni syndrome fibroblasts.
    Mol Cell Biol. 1995 Sep;15(9):4745-53 PMID: 7651392
  9. An alternative pathway for yeast telomere maintenance rescues est1- senescence.
    Cell. 1993 Apr 23;73(2):347-60 PMID: 8477448
  10. DNA damage foci at dysfunctional telomeres.
    Curr Biol. 2003 Sep 2;13(17):1549-56 PMID: 12956959
  11. Long G tails at both ends of human chromosomes suggest a C strand degradation mechanism for telomere shortening.
    Cell. 1997 Mar 7;88(5):657-66 PMID: 9054505
  12. Release of telomeric DNA from chromosomes in immortal human cells lacking telomerase activity.
    Biochem Biophys Res Commun. 1998 Jul 20;248(2):223-7 PMID: 9675117
  13. Topoisomerase IIIalpha is required for normal proliferation and telomere stability in alternative lengthening of telomeres.
    EMBO J. 2008 May 21;27(10):1513-24 PMID: 18418389
  14. Suppression of alternative lengthening of telomeres by Sp100-mediated sequestration of the MRE11/RAD50/NBS1 complex.
    Mol Cell Biol. 2005 Apr;25(7):2708-21 PMID: 15767676
  15. Telomere exchange and asymmetric segregation of chromosomes can account for the unlimited proliferative potential of ALT cell populations.
    DNA Repair (Amst). 2008 Feb 1;7(2):199-204 PMID: 18006387
  16. Epigenetic regulation of telomeres in human cancer.
    Oncogene. 2008 Nov 20;27(54):6817-33 PMID: 18762811
  17. Molecular mechanisms of sister-chromatid exchange.
    Mutat Res. 2007 Mar 1;616(1-2):11-23 PMID: 17157333
  18. Telomere recombination requires the MUS81 endonuclease.
    Nat Cell Biol. 2009 May;11(5):616-23 PMID: 19363487
  19. Identification of sister chromatids by DNA template strand sequences.
    Nature. 2010 Jan 7;463(7277):93-7 PMID: 20016487
  20. Multiple mechanisms of telomere maintenance exist and differentially affect clinical outcome in diffuse malignant peritoneal mesothelioma.
    Clin Cancer Res. 2008 Jul 1;14(13):4134-40 PMID: 18593991
  21. Telomere maintenance mechanisms in liposarcomas: association with histologic subtypes and disease progression.
    Cancer Res. 2006 Sep 1;66(17):8918-24 PMID: 16951210
  22. The role of senescence and immortalization in carcinogenesis.
    Carcinogenesis. 2000 Mar;21(3):477-84 PMID: 10688868
  23. p53 binds telomeric single strand overhangs and t-loop junctions in vitro.
    J Biol Chem. 2002 Apr 5;277(14):11625-8 PMID: 11859067
  24. Xrcc3 and Nbs1 are required for the production of extrachromosomal telomeric circles in human alternative lengthening of telomere cells.
    Cancer Res. 2007 Feb 15;67(4):1513-9 PMID: 17308089
  25. Induction of alternative lengthening of telomeres-associated PML bodies by p53/p21 requires HP1 proteins.
    J Cell Biol. 2009 Jun 1;185(5):797-810 PMID: 19468068
  26. Coexistence of alternative lengthening of telomeres and telomerase in hTERT-transfected GM847 cells.
    Mol Cell Biol. 2001 Jun;21(12):3862-75 PMID: 11359895
  27. Frequent recombination in telomeric DNA may extend the proliferative life of telomerase-negative cells.
    Nucleic Acids Res. 2004 Jul 16;32(12):3743-51 PMID: 15258249
  28. Elevated telomere-telomere recombination in WRN-deficient, telomere dysfunctional cells promotes escape from senescence and engagement of the ALT pathway.
    Genes Dev. 2005 Nov 1;19(21):2560-70 PMID: 16264192
  29. TRF2 promotes, remodels and protects telomeric Holliday junctions.
    EMBO J. 2009 Mar 18;28(6):641-51 PMID: 19197240
  30. NBS1 and TRF1 colocalize at promyelocytic leukemia bodies during late S/G2 phases in immortalized telomerase-negative cells. Implication of NBS1 in alternative lengthening of telomeres.
    J Biol Chem. 2000 Sep 29;275(39):30618-22 PMID: 10913111
  31. Dynamics of telomeres and promyelocytic leukemia nuclear bodies in a telomerase-negative human cell line.
    Mol Biol Cell. 2009 Apr;20(7):2070-82 PMID: 19211845
  32. The Yin and Yang of the MMS21-SMC5/6 SUMO ligase complex in homologous recombination.
    DNA Repair (Amst). 2009 Apr 5;8(4):499-506 PMID: 19217832
  33. Multiple roles for MRE11 at uncapped telomeres.
    Nature. 2009 Aug 13;460(7257):914-8 PMID: 19633651
  34. A survey of telomerase activity in human cancer.
    Eur J Cancer. 1997 Apr;33(5):787-91 PMID: 9282118
  35. Probing PML body function in ALT cells reveals spatiotemporal requirements for telomere recombination.
    Proc Natl Acad Sci U S A. 2009 Sep 15;106(37):15726-31 PMID: 19717459
  36. Different telomere damage signaling pathways in human and mouse cells.
    EMBO J. 2002 Aug 15;21(16):4338-48 PMID: 12169636
  37. Control of telomere length by a trimming mechanism that involves generation of t-circles.
    EMBO J. 2009 Apr 8;28(7):799-809 PMID: 19214183
  38. Repression of an alternative mechanism for lengthening of telomeres in somatic cell hybrids.
    Oncogene. 1999 Jun 3;18(22):3383-90 PMID: 10362359
  39. A RAP1/TRF2 complex inhibits nonhomologous end-joining at human telomeric DNA ends.
    Mol Cell. 2007 May 11;26(3):323-34 PMID: 17499040
  40. The Saccharomyces cerevisiae WRN homolog Sgs1p participates in telomere maintenance in cells lacking telomerase.
    EMBO J. 2001 Feb 15;20(4):905-13 PMID: 11179234
  41. Functional dissection of human and mouse POT1 proteins.
    Mol Cell Biol. 2009 Jan;29(2):471-82 PMID: 18955498
  42. The frequency of homologous recombination in human ALT cells.
    Cell Cycle. 2004 May;3(5):547-9 PMID: 15034305
  43. Evidence for alternative lengthening of telomeres in liposarcomas in the absence of ALT-associated PML bodies.
    Int J Cancer. 2008 Jun 1;122(11):2414-21 PMID: 18311780
  44. DNA damage induces alternative lengthening of telomeres (ALT) associated promyelocytic leukemia bodies that preferentially associate with linear telomeric DNA.
    Cancer Res. 2007 Aug 1;67(15):7072-7 PMID: 17652140
  45. Telomere elongation in immortal human cells without detectable telomerase activity.
    EMBO J. 1995 Sep 1;14(17):4240-8 PMID: 7556065
  46. Structure, dynamics and functions of promyelocytic leukaemia nuclear bodies.
    Nat Rev Mol Cell Biol. 2007 Dec;8(12):1006-16 PMID: 17928811
  47. A theory of marginotomy. The incomplete copying of template margin in enzymic synthesis of polynucleotides and biological significance of the phenomenon.
    J Theor Biol. 1973 Sep 14;41(1):181-90 PMID: 4754905
  48. Telomere loops and homologous recombination-dependent telomeric circles in a Kluyveromyces lactis telomere mutant strain.
    Mol Cell Biol. 2008 Jan;28(1):20-9 PMID: 17967889
  49. A robust assay for alternative lengthening of telomeres in tumors shows the significance of alternative lengthening of telomeres in sarcomas and astrocytomas.
    Clin Cancer Res. 2005 Jan 1;11(1):217-25 PMID: 15671549
  50. Flap endonuclease 1 contributes to telomere stability.
    Curr Biol. 2008 Apr 8;18(7):496-500 PMID: 18394896
  51. Telomere dynamics in an immortal human cell line.
    EMBO J. 1994 Oct 17;13(20):4953-62 PMID: 7957062
  52. Telomerase-negative immortalized human cells contain a novel type of promyelocytic leukemia (PML) body.
    Cancer Res. 1999 Sep 1;59(17):4175-9 PMID: 10485449
  53. The telomeric protein TRF2 binds the ATM kinase and can inhibit the ATM-dependent DNA damage response.
    PLoS Biol. 2004 Aug;2(8):E240 PMID: 15314656
  54. Protection of telomeres through independent control of ATM and ATR by TRF2 and POT1.
    Nature. 2007 Aug 30;448(7157):1068-71 PMID: 17687332
  55. POT1b protects telomeres from end-to-end chromosomal fusions and aberrant homologous recombination.
    EMBO J. 2006 Nov 1;25(21):5180-90 PMID: 17053789
  56. The epigenetic regulation of mammalian telomeres.
    Nat Rev Genet. 2007 Apr;8(4):299-309 PMID: 17363977
  57. Alternative lengthening of telomeres in mammalian cells.
    Oncogene. 2002 Jan 21;21(4):598-610 PMID: 11850785
  58. p53 deficiency rescues the adverse effects of telomere loss and cooperates with telomere dysfunction to accelerate carcinogenesis.
    Cell. 1999 May 14;97(4):527-38 PMID: 10338216
  59. Defective telomere lagging strand synthesis in cells lacking WRN helicase activity.
    Science. 2004 Dec 10;306(5703):1951-3 PMID: 15591207
  60. Human POT1 is required for efficient telomere C-rich strand replication in the absence of WRN.
    Genes Dev. 2009 Dec 15;23(24):2915-24 PMID: 20008939
  61. Acquisition of telomere repeat sequences by transfected DNA integrated at the site of a chromosome break.
    Mol Cell Biol. 1993 Feb;13(2):977-83 PMID: 8423817
  62. Extra-chromosomal telomere repeat DNA in telomerase-negative immortalized cell lines.
    Biochem Biophys Res Commun. 1998 Jun 29;247(3):765-72 PMID: 9647768
  63. Disruption of telomere maintenance by depletion of the MRE11/RAD50/NBS1 complex in cells that use alternative lengthening of telomeres.
    J Biol Chem. 2007 Oct 5;282(40):29314-22 PMID: 17693401
  64. Molecular characterization of inter-telomere and intra-telomere mutations in human ALT cells.
    Nat Genet. 2002 Mar;30(3):301-5 PMID: 11919561
  65. Altered distribution of the promyelocytic leukemia-associated protein is associated with cellular senescence.
    Cell Growth Differ. 1997 May;8(5):513-22 PMID: 9213441
  66. A human cell line that maintains telomeres in the absence of telomerase and of key markers of ALT.
    Oncogene. 2005 Nov 24;24(53):7893-901 PMID: 16116482
  67. Cell-cycle-regulated association of RAD50/MRE11/NBS1 with TRF2 and human telomeres.
    Nat Genet. 2000 Jul;25(3):347-52 PMID: 10888888
  68. Homologous recombination generates T-loop-sized deletions at human telomeres.
    Cell. 2004 Oct 29;119(3):355-68 PMID: 15507207
  69. ALT-associated PML bodies are present in viable cells and are enriched in cells in the G(2)/M phase of the cell cycle.
    J Cell Sci. 2000 Dec;113 Pt 24:4577-85 PMID: 11082050
  70. Immortal, telomerase-negative cell lines derived from a Li-Fraumeni syndrome patient exhibit telomere length variability and chromosomal and minisatellite instabilities.
    Carcinogenesis. 2003 May;24(5):953-65 PMID: 12771041
  71. Telomeric recombination in mismatch repair deficient human colon cancer cells after telomerase inhibition.
    Cancer Res. 2004 May 15;64(10):3444-51 PMID: 15150096
  72. Identification of candidate alternative lengthening of telomeres genes by methionine restriction and RNA interference.
    Oncogene. 2007 Jul 12;26(32):4635-47 PMID: 17297460
  73. Unusual telomeric DNAs in human telomerase-negative immortalized cells.
    Mol Cell Biol. 2009 Feb;29(3):703-13 PMID: 19015236
  74. Activation of the ALT pathway for telomere maintenance can affect other sequences in the human genome.
    Hum Mol Genet. 2005 Jul 1;14(13):1785-94 PMID: 15888482
  75. Telomeric circles: universal players in telomere maintenance?
    Nat Struct Mol Biol. 2009 Oct;16(10):1010-5 PMID: 19809492
  76. A novel telomere structure in a human alternative lengthening of telomeres cell line.
    Cancer Res. 2005 Apr 1;65(7):2730-7 PMID: 15805272
  77. The basic domain of TRF2 directs binding to DNA junctions irrespective of the presence of TTAGGG repeats.
    J Biol Chem. 2006 Dec 8;281(49):37486-95 PMID: 17052985
  78. Subtelomeric DNA hypomethylation is not required for telomeric sister chromatid exchanges in ALT cells.
    Oncogene. 2009 Apr 9;28(14):1682-93 PMID: 19252523
  79. DNA ligase IV-dependent NHEJ of deprotected mammalian telomeres in G1 and G2.
    Curr Biol. 2002 Oct 1;12(19):1635-44 PMID: 12361565
  80. Telomere uncapping and alternative lengthening of telomeres.
    Mech Ageing Dev. 2008 Jan-Feb;129(1-2):99-108 PMID: 18215414
  81. Human RAP1 inhibits non-homologous end joining at telomeres.
    EMBO J. 2009 Nov 4;28(21):3390-9 PMID: 19763083
  82. Alternative lengthening of telomeres is characterized by high rates of telomeric exchange.
    Cancer Res. 2004 Apr 1;64(7):2324-7 PMID: 15059879
  83. Functional human telomeres are recognized as DNA damage in G2 of the cell cycle.
    Mol Cell. 2005 Nov 23;20(4):551-61 PMID: 16307919
  84. Origin of concatemeric T7 DNA.
    Nat New Biol. 1972 Oct 18;239(94):197-201 PMID: 4507727
  85. Cellular and molecular consequences of defective Fanconi anemia proteins in replication-coupled DNA repair: mechanistic insights.
    Mutat Res. 2009 Jul 31;668(1-2):54-72 PMID: 19622404
  86. Ku70 stimulates fusion of dysfunctional telomeres yet protects chromosome ends from homologous recombination.
    Nat Cell Biol. 2006 Aug;8(8):885-90 PMID: 16845382
  87. Evidence for an alternative mechanism for maintaining telomere length in human tumors and tumor-derived cell lines.
    Nat Med. 1997 Nov;3(11):1271-4 PMID: 9359704
  88. TRF2 protects human telomeres from end-to-end fusions.
    Cell. 1998 Feb 6;92(3):401-13 PMID: 9476899
  89. Telomeres and telomerase: the path from maize, Tetrahymena and yeast to human cancer and aging.
    Nat Med. 2006 Oct;12(10):1133-8 PMID: 17024208
  90. A novel mechanism for telomere size control in Saccharomyces cerevisiae.
    Genes Dev. 1996 Jun 1;10(11):1310-26 PMID: 8647430
  91. Pot1 deficiency initiates DNA damage checkpoint activation and aberrant homologous recombination at telomeres.
    Cell. 2006 Jul 14;126(1):49-62 PMID: 16839876
  92. Mammalian telomeres end in a large duplex loop.
    Cell. 1999 May 14;97(4):503-14 PMID: 10338214
  93. The DNA damage machinery and homologous recombination pathway act consecutively to protect human telomeres.
    Cell. 2006 Nov 17;127(4):709-20 PMID: 17110331
  94. The alternative lengthening of telomeres phenotype in breast carcinoma is associated with HER-2 overexpression.
    Mod Pathol. 2009 Nov;22(11):1423-31 PMID: 19734843
  95. Alternative lengthening of telomeres and survival in patients with glioblastoma multiforme.
    Lancet. 2003 Mar 8;361(9360):836-8 PMID: 12642053
  96. Structural and functional relationships of the XPF/MUS81 family of proteins.
    Annu Rev Biochem. 2008;77:259-87 PMID: 18518821
  97. The first molecular details of ALT in human tumor cells.
    Hum Mol Genet. 2005 Oct 15;14 Spec No. 2:R191-6 PMID: 16244317
  98. Flap endonuclease 1: a central component of DNA metabolism.
    Annu Rev Biochem. 2004;73:589-615 PMID: 15189154
  99. Cell cycle-dependent role of MRN at dysfunctional telomeres: ATM signaling-dependent induction of nonhomologous end joining (NHEJ) in G1 and resection-mediated inhibition of NHEJ in G2.
    Mol Cell Biol. 2009 Oct;29(20):5552-63 PMID: 19667071
  100. Telomerase-independent telomere length maintenance in the absence of alternative lengthening of telomeres-associated promyelocytic leukemia bodies.
    Cancer Res. 2005 Apr 1;65(7):2722-9 PMID: 15805271
  101. Localization of hRad9, hHus1, hRad1, and hRad17 and caffeine-sensitive DNA replication at the alternative lengthening of telomeres-associated promyelocytic leukemia body.
    J Biol Chem. 2004 Jun 11;279(24):25849-57 PMID: 15075340
  102. A role for monoubiquitinated FANCD2 at telomeres in ALT cells.
    Nucleic Acids Res. 2009 Apr;37(6):1740-54 PMID: 19129235
  103. Telomere shortening associated with chromosome instability is arrested in immortal cells which express telomerase activity.
    EMBO J. 1992 May;11(5):1921-9 PMID: 1582420
  104. Activation and regulation of ATM kinase activity in response to DNA double-strand breaks.
    Oncogene. 2007 Dec 10;26(56):7741-8 PMID: 18066086
  105. Break-induced replication and recombinational telomere elongation in yeast.
    Annu Rev Biochem. 2006;75:111-35 PMID: 16756487
  106. Telomerase activity is associated with an increase in DNA methylation at the proximal subtelomere and a reduction in telomeric transcription.
    Nucleic Acids Res. 2009 Mar;37(4):1152-9 PMID: 19129228
  107. SGS1 is required for telomere elongation in the absence of telomerase.
    Curr Biol. 2001 Jan 23;11(2):125-9 PMID: 11231130
  108. A DNA damage checkpoint response in telomere-initiated senescence.
    Nature. 2003 Nov 13;426(6963):194-8 PMID: 14608368
  109. Telomeres shorten during ageing of human fibroblasts.
    Nature. 1990 May 31;345(6274):458-60 PMID: 2342578
Article Info
Journal
Nature reviews. Genetics
Abbr.
Nat Rev Genet
ISSN
1471-0064
Published
2010-05-00
Epub
2010-00-30
Pages
319-30
Language
English
Region
England
NLM ID
100962779
Subset
IM
Analysis Services
Analysis Services

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