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Blood, 15 March 2005, Vol. 105, No. 6, pp. 2332-2339.
Prepublished online as a Blood First Edition Paper on November 18, 2004; DOI 10.1182/blood-2004-09-3659.
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HEMATOPOIESIS
Functional characterization of telomerase RNA variants found in patients with hematologic disorders
Hinh Ly,
Rodrigo T. Calado,
Paulette Allard,
Gabriela M. Baerlocher,
Peter M. Lansdorp,
Neal S. Young, and
Tristram G. Parslow
From the Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA; the National Heart, Lung, and Blood Institute, Hematology Branch, Bethesda, MD; and the Terry Fox Laboratory, British Columbia Cancer Agency, Vancouver, BC, Canada.
Human telomerase uses a specific cellular RNA, called hTERC, as the template to synthesize telomere repeats at chromosome ends. Approximately 10% to 15% of patients with aplastic anemia or other bone marrow failure syndromes are carriers of hTERC sequence variants whose functional significance, in most cases, is unknown. We screened 10 reported and 2 newly discovered hTERC variants from such patients and found that 10 of these negatively affected telomerase enzymatic function when they were used to reconstitute telomerase enzymatic function in human cells. Most functional deficits were due to perturbations of hTERC secondary structure and correlated well with the degrees of telomere shortening and reduced telomerase activity observed in peripheral blood lymphocytes of the representative patients. We also found no evidence of dominant-negative activity in any of the mutants. Therefore, loss of telomerase activity and of telomere maintenance resulting from inherited hTERC mutations may limit marrow stem cell renewal and predispose some patients to bone marrow failure.

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