2013
DOI: 10.3389/fonc.2013.00027
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Alternative lengthening of telomeres: remodeling the telomere architecture

Abstract: To escape from the normal limits on proliferative potential, cancer cells must employ a means to counteract the gradual telomere attrition that accompanies semi-conservative DNA replication. While the majority of human cancers do this by up-regulating telomerase enzyme activity, most of the remainder use a homologous recombination-mediated mechanism of telomere elongation known as alternative lengthening of telomeres (ALT). Many molecular details of the ALT pathway are unknown, and even less is known regarding… Show more

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Cited by 79 publications
(74 citation statements)
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“…On the other hand, in telomerase-negative yeast cells, type I recombination amplifies the subtelomeric sequences. It is notable that, in human cells, the absence of ATRX, which we find to be mainly localized at the subtelomeres, is associated with ALT recombination (at least in all clinical samples analyzed), an event that presumably takes place only at the level of telomeric sequences, mainly involving TT AGGG repeats (46). Strikingly, ATRX is a homolog of S. cerevisiae Rad54 (47; http://www.ensembl.org) and Rad54 is essential for operating type I recombination at S. cerevisiae subtelomeres (48,49).…”
Section: Discussionmentioning
confidence: 96%
“…On the other hand, in telomerase-negative yeast cells, type I recombination amplifies the subtelomeric sequences. It is notable that, in human cells, the absence of ATRX, which we find to be mainly localized at the subtelomeres, is associated with ALT recombination (at least in all clinical samples analyzed), an event that presumably takes place only at the level of telomeric sequences, mainly involving TT AGGG repeats (46). Strikingly, ATRX is a homolog of S. cerevisiae Rad54 (47; http://www.ensembl.org) and Rad54 is essential for operating type I recombination at S. cerevisiae subtelomeres (48,49).…”
Section: Discussionmentioning
confidence: 96%
“…However, in a more limited number of cases, telomere maintenance is achieved through mechanisms collectively known as ALT. [1][2][3] ALT has been documented in several species including humans, mice, chickens, C. elegans, and yeasts. [4][5][6][7][8] Approximately 15% of human cancers such as sarcomas, gastric carcinomas, central nervous system malignancies, and bladder carcinomas have activated ALT.…”
mentioning
confidence: 99%
“…12 It is commonly accepted that in the large majority of ALT tumors telomere maintenance occurs via homologous recombination (HR) between telomeric sequences. [1][2][3] In fact, several HR proteins have been found to localize to APBs and their functional inactivation leads to loss of telomeric sequences and eventually cell growth arrest or death. [1][2][3] Among these factors are the MRN complex components MRE11, RAD50 and NBS1, 13,14 which are essential for the early steps of HR, the 2 interacting proteins MUS81 and MMS4, 15 and the 2 RAD51 paralogs XRCC3 and RAD51D, which promote resolution of Holliday junctions in HR intermediates.…”
mentioning
confidence: 99%
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“…It is active in germ cells and stem cells (and cancer cells) but is less active or inactive in fully differentiated cells. The alternative length pathway can also maintain telomere length, and this pathway involves homologous recombination mediated DNA copying of the telomeric DNA template 15 .…”
Section: Telomere Shortening Mechanisms and Length Determinantsmentioning
confidence: 99%