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Blood, 15 October 2004, Vol. 104, No. 8, pp. 2523-2531.
Prepublished online as a Blood First Edition Paper on June 29, 2004; DOI 10.1182/blood-2003-12-4251.
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Submitted December 12, 2003
Accepted June 4, 2004
Transcriptional activation of hTERT through the NF-kB pathway in HTLV-I transformed cells
Uma Sinha-Datta, Izumi Horikawa, Eriko Michishita, Abhik Datta, Janitzia C Sigler-Nicot, Megan Brown, Mirdad Kazanji, Carl J Barrett, and Christophe Nicot*
* Corresponding author; email: cnicot{at}kumc.edu.
In immortal cells existence of a mechanism for the maintenance of telomere length is critical. In most cases this is achieved by the reactivation of telomerase, a cellular reverse transcriptase that prevents telomere shortening. Here we report that the telomerase gene (hTERT) promoter is up regulated during transmission of human T-cell lymphotropic virus type-I (HTLV-I) to primary T-cells in vitro and in ex vivo ATLL samples, but not asymptomatic carriers. Although Tax impaired induction of hTERT mRNA in response to mitogenic stimulation, transduction of Tax into primary lymphocytes was sufficient to activate and maintain telomerase expression and telomere length when cultured in the absence of any exogenous stimulation. Transient transfection assays revealed that Tax stimulates the hTERT promoter through the NF-kB pathway. Consistently, Tax mutants inactive for NF-kB activation could not activate the hTERT nor sustain telomere length in transduced primary lymphocytes. Analysis of the hTERT promoter occupancy in vivo using chromatin immunoprecipitation assays suggested that an increased binding of c-Myc and Sp1 is involved in the NF-kB-mediated activation of the hTERT promoter. This study establishes the role of Tax in regulation of telomerase expression, which may cooperate with other functions of Tax to promote HTLV-I-associated adult T-cell leukemia.

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