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Telomeres and Telomerase: The Means to the End Elizabeth H. Blackburn Nobel Lecture 2009 Karolinska Institutet

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Page 1: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Telomeres and Telomerase:

The Means to the End

Elizabeth H. BlackburnNobel Lecture 2009Karolinska Institutet

Page 2: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Maize breeding

Mayan corn god

- cytogenetics- chromosome discoveries

Ancient….

…. modern

Page 3: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Barbara McClintock

end partTelo-mere(tel’uh mer or te lō mēr)

- named by Hermann Muller

Cold Spring Harbor, 1947

Page 4: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Common Shoelace, 10x.

ag·let (ag’lit) n. A tag or sheath,as of plastic, on the end of a lace,cord, or ribbon to facilitateits passing through eyelet holes.

Page 5: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Pond scum(a.k.a. Tetrahymena thermophila)

Page 6: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Photographed in Prague, 1999,demonstrating an optical principle by which a partial solar eclipse can be viewed.

Joe Gall

Page 7: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Tetrahymena thermophila

- Contains abundant very short linear chromosomes

Page 8: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Beginning to piece together the first telomericDNA sequence…

Page 9: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

… and data that the telomericDNA repeat unit was tandemly repeated

Page 10: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

- Contains abundant very short linear chromosomes

-They end in TTGGGG repeats.

Tetrahymena thermophila

Blackburn and Gall, 1978

Page 11: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Blackburn and Gall, 1978

Szostak and Blackburn 1982; Shampay, Szostak and Blackburn 1984

Chromosome with centromere

Page 12: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

- Contains abundant very short linear chromosomes

-They end in TTGGGG repeats.

- How did the repeats get there?

Tetrahymena thermophila

Blackburn and Gall, 1978

Page 13: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

•Telomeric GGGGTT repeat tracts on minichromosomes in a ciliate were heterogeneous in numbers. Blackburn and Gall, 1978

•Telomeric GGGGTT repeat tract DNA was found added to various sequences in ciliate minichromosomes as a result of new telomeres forming on chromosomes, during development of the somatic nucleus. Blackburn et al, 1982

•Telomeric DNA gradually grew longer as trypanosome cells multiplied. Bernards et al, 1983

•Yeast telomeric TG1-3 repeat DNA was added directly to the ends of Tetrahymena T2G2 repeat telomeres maintained in yeast.Szostak and Blackburn 1982; Shampay, Szostak and Blackburn 1984

RESULTS WITH TELOMERIC DNA THAT COULD NOT BE READILY EXPLAINED BY THEN-CURRENT

MODELS FOR DNA REPLICATION

Page 14: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

•AND……. •Barbara McClintock had noted a maize mutant stock that had lost the normal capacity for broken maize chromosome ends to heal early on plant development.B. McClintock, personal comm. 1983

Was a new enzyme at work in cells that could extend telomeric DNA?

RESULTS WITH TELOMERIC DNA THAT COULD NOT BE READILY EXPLAINED BY THEN-CURRENT

MODELS FOR DNA REPLICATION

Page 15: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

T TG T GTGG G GG GT GTGG G

DISCOVERY OF TELOMERASE

Tetrahymena cell extractMg++dGTP + TTP

5’ 3’ OH

SYNTHETIC TELOMERE IN TEST TUBE

Greider and Blackburn, 1985

T TG T GTGG G GG GT GTGG G G T GTGG G G

Page 16: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

GGGGTTGGGGTTGGGGTTGGGGTTGCCCCAACCC

5'3' AACCCCAAC

5'

3'

The solution to telomere attritionTelomerase: a telomere-synthesizing reverse

transcriptase

ChromosomeTerminus

GGGTTG

Greider and Blackburn, 1985, 1987, 1989

TERTprotein

TERRNA

Page 17: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Blackburn lab members and friends at UC Berkeley 1986

Ed Orias

Page 18: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

TELOMERASE RNA gene

A vector based on Tetrahymena rDNA replication properties

Yu et al, 1990

Page 19: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

GGGGTTGGGGTTGGGGTTGGGGTTGCCCCAACCC

5'3' AACCCCAAC

5'

3'

The solution to telomere attritionTelomerase: a telomere-synthesizing reverse

transcriptase

ChromosomeTerminus

TERTprotein

TERRNA

GC C C

Yu et al, Nature 1990

Page 20: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

How do Tetrahymena

cells respond when telomerase is

nonfunctional?Guo-Liang YuJohn BradleyLaura Attardi

Yu et al, Nature 1990

Page 21: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

GGGGTTGGGGTTGGGGTTGGGGTTGCCCCAACCC

5'3' AACCCCAAC

5'

3'

The solution to telomere attritionTelomerase: a telomere-synthesizing reverse

transcriptase

ChromosomeTerminus

GGGTTG

Greider and Blackburn, 1985, 1987, 1989

TERTprotein

TERRNA

Page 22: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

GGGGTTGGGGTTGGGGTTGGGGTTGCCCCAACCC

5'3' AACCCCAAC

5'

3'

A telomerase RNA mutant unable to copy the template

ChromosomeTerminus

Yu et al, 1990; Gilley et al, 1996

TERTprotein

TERRNA

UA STOP

Page 23: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

cell d

ivisio

ns

Telomeres provide a reservoir of replenishable DNA

No Senescence

Telomeres replenished by telomerase

Tetrahymena thermophila

Plenty of telomerase

Yu et al, Nature 1990

Geneticallykill telomerase

Telomeres progressively shorten

Tetrahymena ceased divisions They become “mortal”

Cells are immortal

Page 24: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

cell

divi

sion

s

After a delay, senescence

Predicted, if DNA replication alone acts on DNA:Loss of DNA from the chromosome end(the DNA ‘end-replication problem’)

Watson, 1972, Olovnikov, 1971

Page 25: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

cell

divi

sion

s

Eventual senescence

Lack of functional telomerase:Progressive loss of DNA from the chromosome end

Page 26: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

cell

divi

sion

s

No SenescenceTelomeres replenished by telomerase

Page 27: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Immortal

Yu et al, Nature 1990

“Mortal”

Inactivate telomerase

Tetrahymena thermophila

Page 28: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

How did Tetrahymena

cells respond when telomerase is

forced to make the wrong DNA sequence?Guo-Liang YuJohn BradleyLaura Attardi

Yu et al, Nature 1990

Page 29: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

GGGGTTGGGGTTGGGGTTGGGGTTGCCCCAACCC

5'3' AACCCCAAC

5'

3'

Telomerase: a telomere-synthesizing reverse transcriptase: the sequence matters

ChromosomeTerminus

Ye at al, 1990; John Bradley unpubl.

TERTprotein

TERRNA

GCC CC

Page 30: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Tetrahymena thermophila WILD TYPE

Page 31: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Tetrahymena thermophila mutant-sequence telomeres

Cells rapidly lost viability!

Page 32: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Telomeres cap ends of chromosomes

Part of an ancient Greeksarcophagus

Pergamonmuseum, Berlin

Page 33: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

McEachern and Blackburn. Nature, 1995.

elomerase

elomere dynamics: a homeostatic system

Page 34: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

In humans?In cancer cells

Page 35: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

HIGH telomerase characterizes malignant human cancer cells

Page 36: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

cell

divi

sion

s

Cells keep dividing

HIGH telomerase characterizes malignant human cancer cells

Cancer-promoting

Context: in cancer cells

Page 37: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

GTTAGGGTTAGGGTTAGGGTTAGCAATCCC

5'3'

ChromosomeTerminus

ProteinTERT

RNATER

CAAUCCCAAUC

5'

3'

Human Telomerase

Exploiting the high telomerase of cancer cells to make toxic telomeric DNA

Page 38: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

GTTAGGGTTAGGGTTAGGCAATCCC

5'3'

ChromosomeTerminus

RNATER

5'

3'

CAAUCCCAAAAUC

Mutant-templateKim et al., 2001

Exploiting the high telomerase of cancer cells to make toxic telomeric DNA

Page 39: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

RNATER

5'

3'

GGGTTAGGGTTTTAG

GTTAGGGTTTTAGGGTTTTAGGCAAUCCCAAAAUC

Mutant-templateKim et al., 2001

Exploiting the high telomerase of cancer cells to make toxic telomeric DNA

Page 40: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Telomeric Complex

• Telomeric DNA • Telomeric sequence-specific binding proteins

Exploiting the high telomerase of cancer cells to make toxic telomeric DNA

Page 41: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Rapid fusions of telomeres uncapped by mutant template telomerase RNA

Page 42: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

WT-telomerase RNA mutant-template telomerase

Mutant telomerase RNA in human bladder cancer (LNCaP) cells

- note cell death

Page 43: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

What have we learned from forcing telomerase misfunction in human cancer cells?

Altering the telomeric DNA sequence• Rapid fusions cause genomic disaster• Independent of:

• p53, pRb (all mutant sequences tested)• ATM or NHEJ (for certain mutant sequences)

Li et al, 2004; Brad Stohr, Lifeng Xu

Page 44: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Mutant TelomeraseWe are turning the high telomerase activity of tumor cells back onto the cells to cause cell death.Current: in vivo delivery to treat tumors in model systems.

Page 45: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

In normal cellsin humans?

Page 46: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Immortal

Yu et al, Nature 1990

“Mortal”

Inactivate telomerase

Tetrahymena thermophila

Page 47: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

cell

divi

sion

s

Telomeres replenished by telomerase

Cells keep dividing

- Active: stem cells, germ cells- Detectable: many normal adult cell types (quantifiable activity)- Highly active: ~90% of human tumors

In humans

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cell

divi

sion

s

Cells keep dividing

Plenty of telomerase:

Addition and shortening stay balanced

Page 49: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

cell

divi

sion

s

Cells keep dividing

Upregulated telomerase in humans:telomeres grow in vivo

Weng, Granger and Hodes, 1997

Page 50: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Slower net loss/cell divisionce

ll di

visi

ons

senescence comes later

Predicted, if some telomerase:Slow loss of DNA from chromosome ends

Page 51: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Faster net loss/cell division

cell

divi

sion

s

Senescence sooner

Predicted, if less telomerase:Faster loss of DNA from chromosome ends

- genetic- genetic- environment/life factors

Page 52: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Telomerase -known genetic defects in telomerase genes cause disease

risk in mice* and humans**

Telomerase

Telomerelength

maintenance

Reduces ability of cellsto replenish

Disease impact

*Greider, DePinho groups and others ** Dokal group and others

Page 53: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

ChronicStress

Disease impact

Chronic psychological stress -a known non-genetic determinant of human disease risk

Page 54: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Chronic psychological stress and telomeres

Page 55: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

PBM

C te

lom

eras

e ac

tivity

/10

,000

cel

ls

M = .053, SE = .016 M = .092, SE = .016p < .045

The lowest and highest stress quartiles of the whole sample are compared.

Epel et al, 2004, PNAS

Caregiver mothers and chronic stress

0

0.02

0.04

0.06

0.08

0.1

0.12

High stress Low stress0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

High stress Low stress

Aver

age

t/s ra

tio

Low stressHigh stressPB

MC

Tel

omer

e le

ngth

Telomerase activity was ~ 50% lower in high stress

group

controlling for age and body mass index: F(3,27) = 12.8, p < .001

Telomeres were shorter in high stress group (equiv.

9 - 17 yrs of extra “aging”)

Page 56: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Stressor Duration and Telomere lengthStudy 1: Caregiver mothers and chronic stress

0 2 4 6 8 10 12Number of years of care-giving

PB

MC

Tel

omer

e le

ngth

Epel et al, 2004, PNAS

Page 57: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

The more years the mothers had been in this objective stressor situation, the lower* were their PBMC telomere length and telomerase

*after correcting for all other available factors

Study 1: Caregiver mothers and chronic stress

Epel et al, 2004, PNAS

Page 58: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Chronic Stress

Telomerase

TelomereLength

We and others have replicated these findingsin independent studies

Epel et al (2004; 2006; 2008;unpubl.)

Chronic stress - reduces PBMC telomere length maintenance

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4 6 8 10 12 14

Dispostional Pessimism

4000

4500

5000

5500

6000

6500

7000

Tel

omer

e Le

ngth

(ba

se p

airs

)

W

W

W

W

W

W

WW

W

W

W

W

W

WW

W

W

W

W

W

W

W

W

W

W

W

W

W

W

W

W

W

W

WW

W

Figure 1. Association between dispositional pessimism and telomere length in post-menopausal women (r = -.55, p = .001; n = 36). This association appears independent of age, dispositional optimism, perceived stress, neuroticism, and health behaviors.The relationship still remained excluding the one participant in the upper left quadrant, who was not a statistical outlier but who exhibited the longest mean TL(r = -.53, p = .001).

PESSIMISM, INFLAMMATION AND CELL AGING PESSIMISM, INFLAMMATION AND CELL AGING Study 2: Post-menopausal women: Pessimism and

shorter PBMC telomeres

P < .001

O’Donovan, A., Lin, J., Wolkowitz, O., Dhabhar, F.S., Tillie, J.M., Blackburn, E., and Epel, E. Brain, Behavior and Immunity, 2008

Page 60: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

“Every stress leaves an indelible scar, and the organism pays for its survival after a stressful situation by becoming a little older.”

-Hans Selye

A SOBERING THOUGHT..

Chronic stress - reduces PBMC telomere length maintenance

Page 61: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Signal input

Signal Integration andprocessing

??Disease impact

Chronic life stress wears down telomeres

Page 62: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Major common diseases of aging have been linked to

shorter telomeres

(many independent studies)

Page 63: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Telomerase mutations and diseases

Cancer risk Vulliamy, T. et al. (2001)Risques et al; Joshua et al., Shen et al (2007)

Pulmonary fibrosis Armanios, M. et al. (2007) Cardiovascular disease Brouilette, S. et al. (2003)(plaques, heart attacks, Benetos, A. et al. (2004)calcificoric aortic valve stenosis) Kurz, D. J. et al. (2006)

Starr et al (2007)Brouilette et al (2007)

Vascular dementia von Zglinicki, T. et al. (2000)

Degenerative conditions(osteoarthritis, osteoporosis) Zhai, G., et al. (2006)

Valdes, A. M. et al. (2007)Diabetes Valdes, A. M. et al. (2005)

Aviv, A. et al. (2006)General risk factors for chronic disease Gardner, J. P. et al. (2005)

- obesity and insulin resistance

Page 64: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Telomere shortness links to common disease states

Cancer Vulliamy, T. et al. (2001)Risques et al; Joshua et al., Shen et al (2007)

Pulmonary fibrosis Armanios, M. et al. (2007)

Cardiovascular disease Brouilette, S. et al. (2003)(plaques, heart attacks, Benetos, A. et al. (2004)calcificoric aortic valve stenosis) Kurz, D. J. et al. (2006)

Starr et al (2007)Brouilette et al (2007)

Vascular dementia von Zglinicki, T. et al. (2000)

Degenerative conditions(osteoarthritis, osteoporosis) Zhai, G., et al. (2006)

Valdes, A. M. et al. (2007)Diabetes Valdes, A. M. et al. (2005)

Aviv, A. et al. (2006)General risk factors for chronic disease Gardner, J. P. et al. (2005)

- obesity and insulin resistance

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DYNAMICS OF CHANGE?- LONGITUDINAL STUDIES

Page 66: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

The Dogma was…..

• Telomeres shorten over time, unidirectionally – Based entirely on cross sectional studies

Page 67: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

The new findings• Telomeres lengthened in ~1/4th of adults during 2.5 years

MacArthur Aging Study

Epel et al. Aging 2009

05

101520253035404550

Percent

ShorterSameLonger

This opens the door for identifying malleable determinants of rate of change!

Also: Nordfjäll K et al. PLoS Genet. 2009Farzaneh-Far R, et al. PLOS One, in press.

%

Page 68: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

RATE of loss of telomere length predicts cardiovascular disease death in elderly men

Those with telomere shortening (dashed line) over the initial 2.5 year period had 3.0 times greater likelihood of death over the 12 years since the baseline blood draw, compared to those without telomere shortening (solid line).

Epel et al, 2009

Pro

porti

on s

urvi

ving

0 2 4 6 8 10 12Time (years since baseline blood draw)

1.0

0.9

0.8

0.7

0.6

0.5

Telomeresgrew/same

Telomeresshortened

MacArthur Aging Study

Page 69: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

Telomere length and telomerase: Biomarkers or causal mechanisms for aging-related disease

GeneticEnvironmental Life histories/behavioral

Telomeraseactivity

Telomerelength

Risk for aging-related diseases

CancerMental disorder Cardiovascular diseasePoor immune function

Page 70: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

The journey…

From basic biological research on the molecular nature of telomeres and their maintenance mechanisms….

to…..

human life stories and their effects on telomere maintenance….

to….

in turn, the impact of telomeres on health and disease

SUMMARYCorrect telomere maintenance is crucial

Page 71: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn

“SumarianBee Goddessestending a telomere”

Julie Newdoll, 2008

WITH THANKS TO THE MANYWONDERFUL COLLEAGUES WHO,

OVER THE YEARS, HAVEATTENDED TO TELOMERES WITH ME

Page 72: Telomeres and Telomerase: The Means to the End · 2020-02-05 · short linear chromosomes-They end in TTGGGG repeats. - How did the repeats get there? Tetrahymena thermophila. Blackburn