2017
DOI: 10.1038/nrm.2016.171
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Telomeres in cancer: tumour suppression and genome instability

Abstract: The shortening of human telomeres has two opposing effects during cancer development. On the one hand, telomere shortening can exert a tumour-suppressive effect through the proliferation arrest induced by activating the kinases ATM and ATR at unprotected chromosome ends. On the other hand, loss of telomere protection can lead to telomere crisis, which is a state of extensive genome instability that can promote cancer progression. Recent data, reviewed here, provide new evidence for the telomere tumour suppress… Show more

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Cited by 583 publications
(531 citation statements)
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References 178 publications
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“…Some cells survive crisis by acquiring the ability to maintain telomeres. However, these survivors contain chromosome fusions formed during crisis through A-NHEJ, which have been shown to be involved in tumor development (Rai et al, 2010;Jones et al, 2014;Maciejowski and de Lange, 2017). Similarly, chromosome fusions as a consequence of telomere loss in tumor cells expressing telomerase also appear to involve A-NHEJ (Fouladi et al, 2000;Lo et al, 2002b).…”
Section: The Sensitivity Of Subtelomeric Regions To Double-strand Breaksmentioning
confidence: 99%
See 1 more Smart Citation
“…Some cells survive crisis by acquiring the ability to maintain telomeres. However, these survivors contain chromosome fusions formed during crisis through A-NHEJ, which have been shown to be involved in tumor development (Rai et al, 2010;Jones et al, 2014;Maciejowski and de Lange, 2017). Similarly, chromosome fusions as a consequence of telomere loss in tumor cells expressing telomerase also appear to involve A-NHEJ (Fouladi et al, 2000;Lo et al, 2002b).…”
Section: The Sensitivity Of Subtelomeric Regions To Double-strand Breaksmentioning
confidence: 99%
“…In addition to BFB cycles, in some cases, fused chromosomes can also undergo catastrophic shattering near telomeres, called chromothripsis (Maciejowski et al, 2015; reviewed by Maciejowski and de Lange, 2017). When dicentric chromosomes are formed, they persist through mitosis and cytokinesis, and long chromatin bridges between daughter cells are formed, which disrupts the formation of a nuclear envelope.…”
Section: The Sensitivity Of Subtelomeric Regions To Double-strand Breaksmentioning
confidence: 99%
“…(96) Revealing these networks by constructing a model of interaction between telomeres, stem cells and mitochondria will provide us advance biomarkers for aging and the strategies for therapy, i.e., telomeres stabilization either through brief telomerase reactivation, p53 modulation, mitochondrial function and biogenesis improvement, and mechanistic target of rapamycin (mTOR) and phosphoinositide 3-kinase (PI3K) pathways modulation, to rejuvenate both proliferating and quiescent the aged tissues. (96) in approximately 90% of all malignant tumors (52), may predict poor or favorable outcome (110,111), thus making telomerase both a highly attractive biomarker and target for the development of mechanism-based cancer diagnostics, prognostics, and therapeutics. (30) Genome instability caused by telomere crisis was found to induce chromosome gains and loses (aneuploidy), translocations, gene loss (manifested as loss of heterozygosity (LOH)) and regional amplification through BFB cycles ( Figure 6).…”
Section: Telomeres and Cancermentioning
confidence: 99%
“…Telomeres are nucleoprotein structures assembled at the ends of eukaryotic chromosomes which protect chromosome ends from being recognized as sites of DNA damage [1]. For this reason, telomeres are essential to genome integrity.…”
Section: Introductionmentioning
confidence: 99%
“…Telomeric repeats are bound by a set of telomere-binding proteins, known as the “shelterin” complex in mammalian cells, which mediate telomere function by preventing the activation of the DNA damage response. Shelterin thus functions to impede the induction of DNA repair mechanisms at chromosome ends, including non-homologous end joining (NHEJ) and homologous recombination (HR), which could lead to chromosome end fusions and genome instability [1]. …”
Section: Introductionmentioning
confidence: 99%