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Blood, 1 March 2008, Vol. 111, No. 5, pp. 2606-2614.
Prepublished online as a Blood First Edition Paper on December 5, 2007; DOI 10.1182/blood-2007-04-083261.


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HEMATOPOIESIS AND STEM CELLS

A dyskerin motif reactivates telomerase activity in X-linked dyskeratosis congenita and in telomerase-deficient human cells

Rosario Machado-Pinilla1, Isabel Sánchez-Pérez1, José Ramón Murguía2, Leandro Sastre3, and Rosario Perona1

1 Translational Oncology Unit, Instituto de Investigaciones Biomédicas Consejo Superior de Investigaciones, Cientificas/Universidad Autónoma de Madrid (CSIC/UAM), C/ Arturo Duperier, Madrid; 2 Institute of Plant Molecular and Cellular Biology, Universidad Politécnica de Valencia, Valencia; and 3 Department of Control of Gene Expression Regulation, Instituto de Investigaciones Biomédicas, CSIC/UAM, Madrid, Spain

Dyskerin gene is mutated in patients with X-linked dyskeratosis congenita (X-DC), which results in greatly reduced levels of telomerase activity. A genetic suppressor element (GSE) termed GSE24 [NCBI GEO] -2 has been isolated in a screening for cisplatin resistance. GSE24 [NCBI GEO] -2–expressing cells presented impaired telomerase inhibition following in vitro exposure to chemotherapies, such as cisplatin, or telomerase inhibitors. The promoter of the telomerase component hTERT was constitutively activated in GSE24 [NCBI GEO] -2 cells in a c-myc expression–dependent manner. Deletion analyses and mutagenesis of the human c-myc promoter demonstrated that the target sequence for activation was the nuclease hypersensitive element-III (NHEIII) site located upstream to the P1 region of the promoter. Further, expression of GSE24 [NCBI GEO] -2 in cell lines derived from patients with X-DC and in VA13 cells induced increased hTERT RNA and hTR levels and recovery of telomerase activity. Finally, expression of GSE24 [NCBI GEO] -2 was able to rescue X-DC fibroblasts from premature senescence. These data demonstrate that this domain of dyskerin plays an important role in telomerase maintenance following cell insults such as cisplatin treatment, and in telomerase-defective cells in patients with X-DC. The expression of this dyskerin fragment has a dominant function in X-DC cells and could provide the basis for a therapeutic approach to this disease.


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