Abstract. Human telomerase reverse transcriptase (hTERT) is the catalytic subunit and the activity determinant factor of the telomerase enzyme which maintains the length of human chromosomes. In recent years it has become an attractive molecular target for cancer gene therapy. In the present study, we show that hTERT siRNA effectively suppressed the expression of hTERT mRNA and hTERT protein levels, reduced telomerase activity, and induced apoptosis of A549 lung adenocarcinoma cells (P<0.05). In vivo, tumors treated with the hTERT siRNA were of reduced sizes, indicating that the hTERT siRNA also reduced the tumorigenic potential of lung adenocarcinoma cells (P<0.05). These results demonstrate that hTERT siRNA can cause effective suppression of telomerase and lead to apoptosis in A549 lung adenocarcinoma cells. hTERT siRNA may, therefore, be a strong candidate for highly selective therapy for chemoprevention and treatment of lung adenocarcinoma.
IntroductionTelomerase, a ribonucleoprotein holoenzyme, maintains the length of telomeres which protect the chromosomes from DNA degradation, end-to-end fusions, rearrangements and chromosome loss at the ends of eukaryotic linear chromosomes. hTERT, the catalytic subunit of the telomerase complex, maintains the length of telomeres by reverse transcription and addition of TTAGGG repeats onto the telomeric ends of the chromosomes (1). The cellular activity of telomerase is determined by the presence or absence of hTERT and hTERT is the major determinant of telomerase activity (2). Human normal somatic cells have no telomerase activity. During each cell division, a portion of terminal DNA repeats may be lost with each cycle of DNA replication. When telomeres reach a critical length, the cells send out a signal to stop chromosome duplication and cellular division, and cellular senescence and apoptosis occur (3). But the majority of cancer cell lines and tumors have high telomerase activities, mainly by enhancing the expression of hTERT (4). Research shows a high expression of the hTERT gene in 90% malignant cancers, while low or undetectable levels in most normal tissue cells. Numerous studies have demonstrated that telomerase activity is present in almost all tumor samples (5), and our previous study has also shown that telomerase activity could be detected in 75% non-small cell lung cancer (NSCLC) specimens (6). Moreover, Tomlinson et al (7) found that the trafficking of hTR to both telomeres and Cajal bodies, where telomerase is active and is not observed in primary cells, depends on hTERT. Furthermore, telomerase seems to exert its anti-apoptotic effects via extratelomeric mitochondria and the caspase pathway (8,9). Therefore, inhibition of hTERT results in an inability of tumor cells to maintain telomeres and in loss of extratelomeric anti-apoptotic roles thus leading to tumor cell apoptosis. In recent years, hTERT has become an attractive molecular target for cancer therapy.Reverse transcriptase inhibitors, antisense oligonucleotides and RNA interference (RNAi) all indu...