Cisplatin is a major chemotherapeutic agent, especially for the treatment of neuroblastoma. Telomeres with their sequence (TTAGGG) n are probable targets for cisplatin intrastrand crosslinking, but the role of telomeres in mediating cisplatin cytotoxicity is not clear. After exposure to cisplatin as single dose or continuous treatment, we found no loss of telomeres in either SHSY5Y neuroblastoma cells (telomere length, 4 kbp), HeLa 229 cells (telomere length, 20 kbp) or in the acute lymphoblastic T cell line 1301 (telomere length, 80 kbp). There was no induction of telomeric single strand breaks, telomeric overhangs were not degraded and telomerase activity was down-regulated only after massive onset of apoptosis. In contrast, cisplatin induced a delayed formation of DNA strand breaks and induced DNA damage foci containing c-H2A.X at nontelomeric sites. Interstitial DNA damage appears to be more important than telomere loss or telomeric damage as inducer of the signal pathway towards apoptosis and/or growth arrest in cisplatin-treated tumour cells. ' 2005 Wiley-Liss, Inc.Key words: telomeres; telomerase; cisplatin; neuroblastoma; apoptosis; DNA damage Cisplatin is a chemotherapeutic agent for the treatment of neuroblastoma, a common solid extracranial malignancy of childhood and infancy. Cisplatin binds to DNA to cause a biological effect by forming cisplatin-DNA adducts and is a potent inducer of apoptosis.1,2 The major DNA adduct formed is the bifunctional intrastrand cross-link between adjacent guanines. It is unclear how the cisplatin-DNA adducts induce cytotoxicty, though this is widely attributed to the formation of various types of cross-links, especially intrastrand cross-links, 3 which are by far the most frequent lesions, 4 although interstrand cross-links might be more cytotoxic.
5Telomeres, the DNA-protein structures that form the ends of chromosomes, play an important role for the stability of the genome. Their shortening with each round of DNA replication is caused by different mechanisms, one of these being their sensitivity to DNA damage. 6 Cisplatin has been shown to bind preferentially to runs of 2 or more consecutive guanines.7 Human telomeric DNA contains triple runs of guanines at high density, therefore cisplatin may preferentially target telomeric DNA. Telomeres end in single stranded overhangs of the G-rich strand, which appear to be essential for telomeric higher order structure 8 and for the generation of DNA damage signals from telomeres.9-11 Telomerase, a reverse transcriptase that uses an RNA template to add telomeric repeats onto the ends of chromosomes, 12,13 is expressed in 94% of neuroblastomas 14 and has been shown to be a powerful independent prognostic factor.15 Thus a specific role of the telomere/telomerase complex in mediating cisplatin-induced neuroblastoma cell death may be expected and has been more or less directly indicated by some data, [16][17][18][19][20][21][22] but refuted by others.
23-25Given these contradictory results, we decided to examine whether there is a...