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1 Institut National de la Santé et de la Recherche Médicale, Paris, France; 2 Centre dEtude du Polymorphisme Humain, Paris, France; 3 Laboratorio di Oncogenesi Molecolare, Istituto Regina Elena, Roma, Italy; and 4 Cancer Research Unit, Childrens Medical Research Institute, Westmead, New South Wales, Australia
Telomere maintenance activity is a hallmark of cancer. In some telomerase-negative tumors, telomeres become lengthened by alternative lengthening of telomeres (ALT), a recombination-mediated DNA replication process in which telomeres use other telomeric DNA as a copy template. Using chromosome orientation fluorescence in situ hybridization, we found that postreplicative exchange events involving a telomere and another TTAGGG-repeat tract occur at remarkably high frequencies in ALT cells (range 28280/100 metaphases) and rarely or never in non-ALT cells, including cell lines with very long telomeres. Like the ALT phenotype itself, the telomeric exchanges were not suppressed when telomerase was activated in ALT cells. These exchanges are telomere specific because there was no correlation with sister chromatid exchange rates at interstitial locations, and they were not observed in non-ALT Bloom syndrome cells with very high sister chromatid exchange rates.
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