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      TERT—Regulation and Roles in Cancer Formation

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          Abstract

          Telomerase reverse transcriptase (TERT) is a catalytic subunit of telomerase. Telomerase complex plays a key role in cancer formation by telomere dependent or independent mechanisms. Telomere maintenance mechanisms include complex TERT changes such as gene amplifications, TERT structural variants, TERT promoter germline and somatic mutations, TERT epigenetic changes, and alternative lengthening of telomere. All of them are cancer specific at tissue histotype and at single cell level . TERT expression is regulated in tumors via multiple genetic and epigenetic alterations which affect telomerase activity. Telomerase activity via TERT expression has an impact on telomere length and can be a useful marker in diagnosis and prognosis of various cancers and a new therapy approach. In this review we want to highlight the main roles of TERT in different mechanisms of cancer development and regulation.

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          A decade of exploring the cancer epigenome - biological and translational implications.

          The past decade has highlighted the central role of epigenetic processes in cancer causation, progression and treatment. Next-generation sequencing is providing a window for visualizing the human epigenome and how it is altered in cancer. This view provides many surprises, including linking epigenetic abnormalities to mutations in genes that control DNA methylation, the packaging and the function of DNA in chromatin, and metabolism. Epigenetic alterations are leading candidates for the development of specific markers for cancer detection, diagnosis and prognosis. The enzymatic processes that control the epigenome present new opportunities for deriving therapeutic strategies designed to reverse transcriptional abnormalities that are inherent to the cancer epigenome.
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            Alternative lengthening of telomeres: models, mechanisms and implications.

            Unlimited cellular proliferation depends on counteracting the telomere attrition that accompanies DNA replication. In human cancers this usually occurs through upregulation of telomerase activity, but in 10-15% of cancers - including some with particularly poor outcome - it is achieved through a mechanism known as alternative lengthening of telomeres (ALT). ALT, which is dependent on homologous recombination, is therefore an important target for cancer therapy. Although dissection of the mechanism or mechanisms of ALT has been challenging, recent advances have led to the identification of several genes that are required for ALT and the elucidation of the biological significance of some phenotypic markers of ALT. This has enabled development of a rapid assay of ALT activity levels and the construction of molecular models of ALT.
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              Highly recurrent TERT promoter mutations in human melanoma.

              Systematic sequencing of human cancer genomes has identified many recurrent mutations in the protein-coding regions of genes but rarely in gene regulatory regions. Here, we describe two independent mutations within the core promoter of telomerase reverse transcriptase (TERT), the gene coding for the catalytic subunit of telomerase, which collectively occur in 50 of 70 (71%) melanomas examined. These mutations generate de novo consensus binding motifs for E-twenty-six (ETS) transcription factors, and in reporter assays, the mutations increased transcriptional activity from the TERT promoter by two- to fourfold. Examination of 150 cancer cell lines derived from diverse tumor types revealed the same mutations in 24 cases (16%), with preliminary evidence of elevated frequency in bladder and hepatocellular cancer cells. Thus, somatic mutations in regulatory regions of the genome may represent an important tumorigenic mechanism.
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                Author and article information

                Contributors
                Journal
                Front Immunol
                Front Immunol
                Front. Immunol.
                Frontiers in Immunology
                Frontiers Media S.A.
                1664-3224
                19 November 2020
                2020
                : 11
                : 589929
                Affiliations
                [1] 1 Laboratory of Clinical Immunogenetics and Pharmacogenetics, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences , Wroclaw, Poland
                [2] 2 Department of Computer Engineering, Faculty of Electronics, Wrocław University of Science and Technology , Wroclaw, Poland
                Author notes

                Edited by: Katherine Chiappinelli, George Washington University, United States

                Reviewed by: Yu-Sheng Cong, Hangzhou Normal University, China; Martha Allen Zeiger, National Institutes of Health (NIH), United States

                *Correspondence: Marta Dratwa, marta.dratwa@ 123456hirszfeld.pl ; Katarzyna Bogunia-Kubik, katarzyna.bogunia-kubik@ 123456hirszfeld.pl

                This article was submitted to Cancer Immunity and Immunotherapy, a section of the journal Frontiers in Immunology

                Article
                10.3389/fimmu.2020.589929
                7717964
                33329574
                48e3bf70-1dee-4de5-9244-3de933a7652b
                Copyright © 2020 Dratwa, Wysoczańska, Łacina, Kubik and Bogunia-Kubik

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 July 2020
                : 16 October 2020
                Page count
                Figures: 2, Tables: 0, Equations: 0, References: 216, Pages: 16, Words: 7878
                Funding
                Funded by: Narodowe Centrum Badań i Rozwoju 10.13039/501100005632
                Award ID: STRATEGMED3/306853
                Categories
                Immunology
                Review

                Immunology
                telomerase reverse transcriptase,cancer progression,tertp mutations,telomere maintenance mechanisms,tert structural variants,tert epigenetic alterations,tert transcriptional activators and repressors

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