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Blood, Vol. 91 No. 9 (May 1), 1998:
pp. 3255-3262
By
From the Terry Fox Laboratory, British Columbia Cancer Agency; the
Department of Medicine, University of British Columbia, Vancouver,
British Columbia, Canada; and the Geron Corporation, Menlo Park, CA.
Telomerase is a ribonucleoprotein polymerase that synthesizes
telomeric repeats onto the 3
THE ENDS OF all eukaryotic chromosomes
are organized into telomeres that consist of tandem arrays of G-rich
repeats and associated proteins. Telomeres protect chromosomes from
degradation, prevent end-to-end fusions, and position chromosomes
within the nucleus.1,2 In primary somatic cells such as
fibroblasts,3,4 lymphocytes,5 or hematopoietic
progenitors,6 telomeric DNA is gradually lost with each
cell division presumably because conventional DNA polymerases cannot
fully replicate the ends of linear chromosomes.7,8 Progressive shortening of chromosome ends has been suggested to act as
a mitotic clock that may contribute to cellular senescence and eventual
cell mortality of normal mammalian somatic cells.9
On the other hand, cells of the germ line, such as sperm cells, have
long telomeres of 10 to 20 kb that do not appear to shorten with aging
of the organism.4 Such long telomeric ends are assumed to
be maintained by telomerase, a ribonucleoprotein whose primary function
is to synthesize telomeric DNA, thus counteracting losses at the
chromosome termini with each round of replication. The telomerase RNA
component contains a species-specific template for synthesis of
telomeric repeats, and such RNA sequences have been cloned from
ciliates,10 yeast,11,12 mouse,13
and human.14 Recently, the gene encoding the reverse
transcriptase catalytic subunit of telomerase from several species
including humans has also been cloned.15,16 In humans,
telomerase activity is readily detectable in testes and ovaries, but
not in most somatic tissues.17,18 Telomerase activity is
also elevated in carcinomas of the ovary,19 breast,20 liver,21 lung,22
prostate,23 and in neuroblastoma24 and
hematological malignancies.25-27 In addition, the majority of immortal cell lines expresses telomerase, whereas most mortal cells
lack this activity.17 Together, these data strongly suggest that telomerase may be involved in malignant transformation and cellular immortality.
The hematopoietic system replenishes the loss of mature blood cells via
the recruitment of stem cells that have been defined as pluripotential
cells with self-renewal properties. We and others have shown low levels
of telomerase activity in normal bone marrow and peripheral blood
cells, both in progenitors of the myeloid and lymphoid lineages as well
as in terminally differentiated cells such as T and B
cells.26-28 Furthermore, we and others found that
"candidate" hematopoietic stem cells (HSC) upregulate telomerase activity upon stimulation in vitro.28,29 However, as the
vast majority of stem cells are quiescent during steady-state
hematopoiesis,30 the status of telomerase expression in
cycling HSC has not yet been elucidated. This is an important issue
because the self-renewal and replicative potential of the most
primitive hematopoietic cells may depend on telomerase to maintain
stable telomeres.31 In this report, we describe results of
experiments designed to address the question of telomerase expression
in cycling stem cells. For this purpose, we measured telomerase
activity in extracts from purified candidate HSC from human adult bone
marrow stimulated with different cytokines and in extracts from
CD34+CD38 Purification of HSC from adult bone marrow and fetal liver.
Candidate HSC with the phenotype
CD34+CD45RAloCD71lo were obtained
from previously frozen cadaver marrow as previously
described.32 Briefly, mononuclear cells retrieved from the
interface after density separation were stained with 8G12-Cy5
(anti-CD34), 8d2-PE (anti-CD45RA), and OKT9-FITC (anti-CD71) for 30 minutes at 4°C. Cells were washed twice in Hanks' buffered saline
with 0.2% BSA (HB) and stained with 2 µg/mL of propidium iodide (PI)
before suspending in HB at a density of 5 × 106 cells/mL
for sorting. Cells were sorted on a FACStarplus (Becton
Dickinson, San Jose, CA) equipped with argon (488 nm) and helium-neon
(633 nm) lasers.
Cell culture.
Sorted candidate HSC were cultured in serum-free medium consisting of
Iscove's modified Dulbecco's medium (IMDM) supplemented with the
following reagents: bovine serum albumin (BSA) at 2%, sodium
bicarbonate at 0.1%, transferrin at 200 µg/mL, insulin at 10 µg/mL, 2-mercaptoethanol at 10 Telomerase repeat amplification protocol (TRAP) assay.
Telomerase activity was measured by TRAP assay using an end-labeled
telomerase substrate (TS) primer as described.17,27,28 Briefly, cell extracts were prepared by lysing the cells in
CHAPS extraction buffer17 at a concentration
of 500 cells per µL of buffer, centrifuged at 1200g at 4°C,
and 2 µL of these extracts were used in the assay.
Tracking proliferation by PKH26 staining.
The proliferative history of cells was followed using PKH26 labeling
and analysis as described.30 Sorted candidate HSC were washed once in Hanks' buffered saline without BSA. The cell pellet was
resuspended in 150 µL of dilutent C (Zynaxis Cell Science, Malvern,
PA), mixed with an equal volume of PKH26-GL (2 × 10 Telomerase activity in candidate stem cells from adult bone marrow.
Cell extracts from adult marrow candidate HSC with the phenotype
CD34+CD45RAloCD71lo were assayed
for telomerase activity by a modified version of the PCR-based TRAP
assay. In addition to the typical ladder of 6 bp repeats that
correspond to the amplified product of the TS primer, an internal
control (TSU2) is coamplified that yields a single lower band of 35 bp
(Fig 1). By normalizing the signal intensity of the telomerase ladder to that of the internal control, sample to sample variation due to PCR amplification efficiency was
minimized, thus allowing for semiquantitative analysis. Treatment with
RNase obliterated the 6-bp ladder, indicating that telomerase was
responsible for this reaction (Fig 1). This modified TRAP assay allowed
us to detect telomerase activity in cell extracts obtained from 10 to
100 cell equivalent of 293 cells, a telomerase-positive immortalized
kidney cell line.
Telomerase activity in candidate HSC after culture in cytokine
combinations of SCF, FL, and IL-3.
Because telomerase activity was reported to increase upon cellular
activation,29,35-37 candidate HSC were cultured in the presence of SCF, IL-3, and FL to examine potential upregulation of
telomerase activity. When the purified cells were cultured in SCF or FL
alone for 5 days, no upregulation of telomerase activity was observed,
whereas IL-3 by itself enhanced telomerase activity (Fig
2). Among combinations of two cytokines,
those containing IL-3 (SCF + IL-3 or FL + IL-3) were more effective
in upregulating telomerase activity than the combination SCF + FL,
giving rise to a twofold increase in telomerase activity
(Fig 2). Total cell extracts derived from candidate HSC cultured in the
presence of SCF + IL-3 + FL also showed enhanced telomerase activity
(Fig 2). The relatively low levels of telomerase activity did not
appear to result from inhibitory substances to the PCR reaction because the internal control was amplified as expected (Fig 2). Furthermore, mixing extracts from hematopoietic cells with those from 293 cells did
not result in any significant decrease in 293 telomerase activity, further indicating that inhibitors of telomerase were unlikely to be
present (data not shown).
IL-3 (lanes 13 and 14). TRAP products were resolved on a 15%
polyacrylamide gel, dried, and exposed to film for 48 hours. The
intensity of the signals was analyzed by a densitometer using ImageQuant program and normalized to that of the internal control. Cellular extracts from BM1 and BM3 yielded similar results.
Telomerase activity in cultured candidate HSC is restricted to
cycling cells.
Because telomerase activity was upregulated in cultures containing
IL-3, SCF + IL-3, FL + IL-3, and SCF + FL + IL-3, we next investigated
whether increased levels of telomerase activity were restricted to
cells of a particular phenotype. Flow cytometric analysis of purified
candidate HSC after 5 days of culture in the seven different cytokine
combinations revealed that in cultures with SCF or FL alone, the
majority of cells retained the
CD34+CD45RAloCD71lo phenotype (Fig
3). On the other hand, in cultures
containing IL-3, the percentage of
CD34+CD45RAloCD71lo cells decreased
to below 50% of total viable cells (Table
1), and increased numbers of
CD34
Telomerase activity in fetal liver
CD34+CD38
The ability to induce or enhance telomerase activity may be important
in maintaining the replicative potential of normal stem cells found in
self-regenerating tissues such as those of the hematopoietic
system.28,29 The studies reported here were aimed to
investigate telomerase expression in the most primitive hematopoietic cells in humans. We confirmed our previous results regarding the low
level of telomerase activity in freshly isolated "candidate" HSC
with the CD34+CD45RAloCD71lo
phenotype from adult marrow.28 These sorted cells are
highly enriched (several hundred-fold when compared with unpurified
cells) in long-term culture-initiating cells (LTC-IC), arguably the
best in vitro assay for human stem cells.38,39
Unfortunately, most bone marrow cells with a
CD34+CD45RAloCD71lo phenotype are
unable to initiate long-term cultures, and rare committed progenitors
from the adult bone marrow also share this phenotype.32 The
latter, which are actively proliferating, could contribute partially or
completely to the low but readily detectable levels of telomerase in
purified candidate HSC before culture.
Submitted November 6, 1996;
accepted December 21, 1997.
We thank Dr Nam Woo Kim (Geron Corperation) for generously sharing
details on the modified TRAP assay before publication. Dr Mark Zijlmans
is thanked for providing the fetal liver cells and Gayle Thornbury and
Wieslawa Dragowska are thanked for their expertise in cell sorting.
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