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Blood, 1 August 2001, Vol. 98, No. 3, pp. 597-603
GENE THERAPY
Transfer of the human telomerase reverse transcriptase
(TERT) gene into T lymphocytes results in extension of
replicative potential
Nathalie Rufer,
Marco Migliaccio,
Jennifer Antonchuk,
R. Keith Humphries,
Eddy Roosnek, and
Peter M. Lansdorp
From the Division of Immunology and Allergology,
University of Geneva, Geneva, Switzerland; Division of Clinical
Onco-Immunology, Ludwig Institute for Cancer Research, CHUV, Lausanne,
Switzerland; Swiss Institute for Experimental Cancer Research,
Epalinges, Switzerland; Terry Fox Laboratory, British Columbia Cancer
Agency, Vancouver, Canada; and the Department of Medicine, University
of British Columbia, Vancouver, Canada.
In most human somatic cells telomeres progressively shorten with
each cell division eventually leading to chromosomal instability and
cell senescence. The loss of telomere repeats with cell divisions may
also limit the replicative life span of antigen-specific T lymphocytes.
Recent studies have shown that the replicative life span of various
primary human cells can be prolonged by induced expression of the
telomerase reverse transcriptase (hTERT) gene. To
test whether introduction of hTERT can extend the life span of primary
human T lymphocytes, naive CD8+ T lymphocytes were
transfected with retroviral vectors containing the hTERT
gene. Transduced T-cell clones expressed high levels of telomerase and
either maintained or elongated their telomere lengths upon culture for
extended periods of time. Two of the transduced subclones retained a
normal cloning efficiency for more than 170 population doublings (PDs).
In contrast, T-cell clones transfected with control vectors exhibited
progressive telomere length shortening and stopped proliferation at
around 108 PDs. Telomerase-positive T clones had a normal 46,XY
karyotype, maintained their cytotoxic properties, and showed very
little staining for the apoptotic marker annexin-V. These results
indicate that ectopic hTERT gene expression is capable of
extending the replicative life span of primary human CD8+
cytotoxic T lymphocytes.

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