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[Cancer Research 61, 27-32, January 1, 2001]
© 2001 American Association for Cancer Research


Advances in Brief

Lack of Telomerase RNA Gene hTERC Expression in Alternative Lengthening of Telomeres Cells Is Associated with Methylation of the hTERC Promoter1

Stacey F. Hoare, Lisa A. Bryce, G. Bea A. Wisman, Sharon Burns, James J. Going, Ate G. J. van der Zee and W. Nicol Keith2

Cancer Research Campaign Department of Medical Oncology, University of Glasgow, Cancer Research Campaign Beatson Laboratories, Bearsden, Glasgow G61 1BD, United Kingdom [S. F. H., L. A. B., S. B., W. N. K.], Department of Gynaecology, University Hospital, 9700 RB, Groningen, the Netherlands [G. B. A. W., A. G. J. v. d. Z.], and Department of Pathology, G4 0SF, University of Glasgow, Scotland, United Kingdom [J. J. G.]


    ABSTRACT
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
The immortal phenotype of most human cancers is attributable to telomerase expression. However, a number of immortal cell lines and tumors achieve telomere maintenance in the absence of telomerase via alternative mechanisms known as ALT (alternative lengthening of telomeres). Here we show that the promoter of the telomerase RNA gene (hTERC) is methylated in three of five ALT cell lines and is associated with a total absence of hTERC expression in the three lines. Treatment with 5-azacytidine in combination with trichostatin A resulted in partial demethylation of the hTERC promoter and expression of the gene. Partial methylation was detected in tumors (5%) and in immortal cell lines (27%). Cell lines with partial methylation express hTERC. Only in ALT cell lines does there appear to be a strong correlation between hTERC promoter hypermethylation and lack of hTERC expression.


    Introduction
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Telomeres are necessary for chromosome stability. However, during cellular replication there is a gradual loss of telomeric sequence because of the inability of conventional DNA synthesis to copy the 3' termini of chromosomes. In the absence of mechanisms to prevent telomere shortening, cells have a limited proliferative life span before entering a growth arrest state termed senescence (1) . In immortal cells including cancer cells, telomere length is maintained through the actions of the specialized reverse transcriptase, telomerase. By providing a counterbalance to telomere shortening, telomerase activity is thought to be essential for immortalization of human cells in vitro and of cancer cells in vivo. Detectable telomerase activity in ~85% of malignant tumors (2) suggests that telomerase activation is the most common mechanism for telomere maintenance in cancer cells. However, a number of immortal cell lines and tumors lack telomerase activity yet have the ability to elongate their telomeres, which suggests the existence of nontelomerase-dependent routes to immortalization (3) . These alternative mechanisms of telomere length maintenance are termed ALT (4) .3 At present, the molecular basis for the ALT pathway is unknown, and it is unclear what determines selection for the ALT pathway or telomerase activation. Because of this lack of knowledge, it has not been possible to induce ALT activity to identify the genes responsible. It would be interesting to determine the status of the telomerase genes and their expression in these ALT lines because this may provide clues as to why ALT has been activated rather than telomerase. Bryan et al. (5) showed that the sequence of hTERC was normal in all of the seven ALT lines looked at, which proved that hTERC mutation was not involved. Whether methylation of the hTERC promoter was influential or not was thought to be an interesting question. Both hTERT and hTERC contain CpG islands (6, 7, 8, 9) , areas defined as having a G + C content of >60% with an observed:expected ratio of CpGs of at least 0.6 (10) . CpG islands are generally unmethylated in normal cells (11) ; however, cytosines within CpG dinucleotides are targets for DNA methyltransferases, so there exists the potential for methylation which would cause transcriptional silencing of an associated gene by impeding the binding of essential transcription factors. Abnormal methylation patterns are a feature of both cultured cells (12) and cancer cells (for recent reviews, see Refs. 13, 14, 15, 16 ), and CpG islands within the promoters of several tumor suppressor genes (e.g., VHL, p16, RB1, MLH1; see Ref. 13 for a review) are subject to hypermethylation and, therefore, transcriptional silencing during carcinogenesis. Therefore, it seemed possible that the CpG islands of hTERC and/or hTERT might be subject to methylation during immortalization by the ALT pathway either in culture or in tumors. In the current study, we investigate hTERC expression levels in relation to methylation status of the promoter in ALT cells, tumors, and normal cells to determine whether methylation regulates expression of this gene.


    Materials and Methods
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Tissue and Tumor Biopsies.
Unfixed tumor biopsy material was obtained from established departmental tumor banks for 21 lung, 28 breast, 15 cervical, 10 colon, and 102 ovarian tumors. Samples of normal tissue were collected at autopsy from cerebral cortex (x 4), medulla oblongata, basal ganglia (x 2), cerebellar cortex (x 2), pons, adrenal cortex and medulla, renal cortex, renal medulla, left ventricle, lung, liver, pancreas, skeletal muscle, skin, spleen, testis, and thyroid. DNA was extracted using standard protocols.

Northern Blot Analysis.
Normal tissue Northern blots were Northern Territory Total RNA Human Normal Tissue Blot III from Invitrogen (Groningen, the Netherlands) and Multiple Choice Human Total RNA Blot 5 from Cambridge Bioscience (Cambridge, United Kingdom). Northern blots of RNA from cell lines were made using the NorthernMax kit (Ambion, Austin, TX). Briefly, total RNA was extracted from cell lines using the RNeasy Midi Kit (Qiagen), and 30 µg resolved on a 1% formaldehyde agarose gel and transferred onto positively charged nylon membrane (Roche Diagnostics). The hTERC probe was generated by PCR with genomic DNA as a template and the following primers: TRC3F 5' CTA ACC CTA ACT GAG AAG GGC GTA 3'; and TRC3R 5' GGC GAA CGG GCC AGC AGC TGA CAT T 3' (amplifying a 154-bp portion of the hTERC transcribed region from position +46 to +199). PCR was carried out using Qiagen reagents and 30 cycles of 95°C for 30 s, 55°C for 30 s, and 72°C for 30 s. The PCR product was purified using the QIAquick PCR purification kit (Qiagen). The 18S rRNA probe came from Ambion. Probes were labeled with [{alpha}-32P]dCTP using the Rediprime II random prime labeling kit (Amersham). Hybridization and washing of the filters were carried out using the NorthernMax solutions according to manufacturer’s protocols (Ambion). Autoradiography was performed using Fuji Super RX film with exposures of 2–18 h. Autoradiographs were quantified using Quantity One (PDI) gel scanner, the hTERC signal was divided by that for 18S to standardize for loading, and then all of the results were compared with HeLa to allow comparisons between blots.

Southern Blot Analysis.
Genomic DNA was extracted from cell lines using a DNA Maxi kit (Blood and Cell Culture; Qiagen). Genomic DNA (30µg) was digested with XmaI enzyme (Promega) overnight at 37°C. This was then divided into three portions; one portion was left untreated, and the other two were digested further with either HpaII or MspI (Life Technologies, Inc.). The digested DNA was separated on a 0.8% agarose gel and transferred onto positively charged nylon membrane (Roche Diagnostics). The probe was generated by PCR amplification of a 412-bp region of the hTERC promoter using Qiagen reagents, genomic DNA as a template, and 1 µM of each of the following primers: Meth1F 5' ATC ACG CCA CTA GAC TCC ATC C 3' (position 68 in sequence AF047386); and Meth1R 5' AGG GCC TAA GAC ACA GAA CAC TAA 3' (position 479 in sequence AF047386). Cycling conditions were 94°C for 2 min, then 30 cycles of 94°C for 30 s, 58°C for 30 s, 72°C for 30 s, followed by 1 cycle of 94°C for 30 s, 58°C for 1 min, and 72°C for 5 min. The PCR product was purified using the QIAquick PCR purification kit (Qiagen) and labeled as described above. Hybridization was carried out at 67°C overnight in a solution containing 5 x SSC, 5 x Denhardt’s solution, 10% dextran sulfate, 0.1% Na PPi, 1% SDS, and 0.1 mg/ml denatured sheared salmon sperm DNA (Sigma Chemical Co.). Blots were then washed in 2 x SSC, 0.1% SDS for 15 min at room temperature, then 15 min at 67°C followed by 3 x 30 min washes in 0.1 x SSC, 0.1% SDS at 67°C. Autoradiography was performed using Kodak Xomat film with exposure of 1–14 days.

MSP.
Genomic DNA was extracted as it was for Southern blot analysis. Bisulfite modification of 1 µg DNA was performed using the CpGenome DNA Modification Kit following manufacturer’s protocol (Intergen Co., Purchase, NY). PCR amplifications were carried out using three different sets of primers (5' nucleotide positions are given relative to the cloned genomic sequence with GenBank accession no. AF047386, shown in Fig. 2Citation ). Primers that detected methylated genomic sequences were mhtr10F 5' GAC GTA AAG TTT TTT TCG GAC G 3' (position 605); and mhtr10R 5' ACC CGA TAC GCT ACC GAA CG 3' (position 802). Primers that detected unmethylated genomic sequences were uhtr10F 5' GTA AAG ATG TAA AGT TTT TTT TGG ATG 3' (position 600); and uhtr10R 5' CCA CAA CCC AAT ACA CTA CCA 3' (position 807). Control primers that detected wild-type unmodified genomic sequence were whtr10F 5' GTA AAG ACG CAA AGC CTT TCC C 3' (position 600); and whtr10R 5' TGC GCT GCC GGG CGA GTC GG 3' (position 796). MSP was carried out in a 50-µl reaction using 1 x reaction buffer (Qiagen), 1.25 units of HotStarTaq polymerase (Qiagen), 10 mM deoxynucleotide triphosphate, 50 ng of modified/unmodified genomic DNA, and 1 µM of each primer. Cycling conditions were as follows: an initial denaturation at 94°C for 15 min, followed by 35 cycles of 94°C for 30 s, annealing temperature for 45 s, 72°C for 30 s, with a final extension step at 72°C for 5 min. The annealing temperature was 68°C for the wild-type primers, 57°C for the methylated primers, and 58°C for the unmethylated primers. Each DNA sample was included in a reaction with the wild-type primers to check against incomplete bisulfite modification, and the methylated- and unmethylated-specific primer pairs were included in reactions with unmodified DNA to check for specificity. A selection of products were cloned into pPCR-Script (Stratagene) and subjected to Big Dye terminator sequencing on an ABI 373A using T7 and T3 primers.



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Fig. 2. Diagram showing the cloned 1765nt sequence (GenBank accession no. AF047386) containing the hTERC gene and promoter. The transcribed region of hTERC and the CpG island are indicated. The line below represents the 963-bp XmaI fragment, with HpaII sites marked with an H. Below the fragment is shown the approximate location of the probe used for Southern hybridization, as well as the detected fragments of 582 bp if the HpaII sites are unmethylated, and 963 bp if they are methylated. The small arrows marked F and R represent the approximate positions of the MSP primers.

 
Cell Culture.
Cell lines (mainly from the American Type Culture Collection) were cultured in standard conditions using the recommended medium with 10% fetal bovine serum. 5-aza-C (Sigma) was made up in PBS, filter-sterilized, and stored at -20°C. TSA (Sigma) was made up in ethanol and stored at -20°C. Cells were plated out on day 1 at 1.5 x 105 cells/10 cm plate, and on day 2, 5-aza-C was added to a final concentration of 3 µM. On day 5, TSA was added to a final concentration of 500 nM, and the cells were incubated for an additional 24 h before harvesting for RNA, DNA, and protein. The combined use of TSA and 5-aza-C gave more reproducible demethylation and reactivation of gene expression than 5-aza-C alone.

RT-PCR.
RNA was extracted from 5-aza-C + TSA treated and untreated cells using the RNeasy Midi Kit (Qiagen) that included the optional DNase I treatment step, according to manufacturer’s protocol. First-strand cDNA synthesis was carried out in a 40-µl reaction that used 1 µg RNA and the Taqman Gold RT-PCR Kit (PE Applied Biosystems). A control that lacked the reverse transcriptase was included for each sample to check against DNA contamination. cDNA (2 µl) was included in a 50-µl PCR reaction with TRC3F and TRC3R primers (as described for the hTERC Northern probe). Cycling conditions were as follows: 94°C for 15 min, followed by 38 cycles of 95°C for 30 s, 59.5°C for 45 s, 72°C for 30 s, with a final extension step of 72°C for 5 min. PCR with glyceraldehyde-3-phosphate dehydrogenase primers (Clontech) was also performed to confirm cDNA synthesis.


    Results
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
hTERC Expression in Cell Lines and Normal Tissues.
hTERC expression was assessed by Northern blotting for 18 immortal and 3 mortal cell lines (Fig. 1A)Citation and 13 normal tissues (Fig. 1B)Citation . Among the immortal cell lines, the expression levels of hTERC are quite variable, as indicated in Table 1Citation . Interestingly, three of five ALT cell lines (KMST-6, SUSM-1, and WI38-VA13/2RA) show a complete lack of hTERC RNA. This confirms previously reported results (5) for SUSM-1 and WI38-VA13/2RA and extends the finding to KMST-6. All of the three mortal cell lines studied (WI38, IMR90, and HEK121) have detectable hTERC expression but at levels consistently lower than those found in the telomerase-positive lines. COLO320-DM showed the lowest hTERC RNA levels among the telomerase-positive immortal lines (22% that of HeLa), and this is still roughly twice the levels seen in the mortal lines; WI38, IMR90, and HEK121 have levels of 7%, 7%, and 12% that of HeLa, respectively.



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Fig. 1. Northern blot analysis of hTERC expression in (A) a range of cell lines and (B) normal tissues. 18S hybridization was used as a loading control. *, only 18 µg RNA loaded compared with 30 µg for the other cell lines.

 

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Table 1 Expression of hTERC and methylation status in cell lines

 
Because of the low levels of hTERC expression found in mortal cell lines and the complete absence of expression in a subgroup of ALT lines, we examined hTERC expression in normal human tissues. As can be seen from the Northern blots of RNA from normal human tissues (Fig. 1B)Citation , hTERC expression was only detected in RNA extracted from the testis. These data are consistent with the distribution of expression routinely detected by RNA in situ hybridization. However, it is possible that the sensitivity of Northern blots and RNA in situ hybridization may not detect extremely low levels or small subpopulations of hTERC expression.

The Northern blot analysis presented above clearly demonstrates differential expression of hTERC between normal tissues, between mortal and immortal cell lines, and in ALT cell lines. Thus it is important to investigate the mechanisms that govern hTERC expression.

Methylation of the hTERC Promoter.
Previously, we have cloned and characterized a region of 1765nt that contained the hTERC gene and its promoter sequence (Ref. 6 ; GenBank accession no. AF047386). The entire transcribed region of hTERC (position 799-1248 of AF047386) lies within a CpG island (as identified by GRAIL, Ref. 6 ). The CpG island (depicted in Fig. 2Citation ) has a G + C content of 66% and a CpG observed:expected ratio of 0.89, thus fulfilling the criteria of Antequera and Bird (10) . Because CpG islands can be subject to hypermethylation, which leads to transcriptional silencing of the associated gene, it was of interest to determine whether methylation of the hTERC promoter was involved in the lack of expression seen in the three ALT cell lines, WI38-VA13/2RA, SUSM-1, and KMST-6, as well as in normal somatic tissue. With this aim in mind, Southern blotting and MSP assays were developed to assess the methylation status of several CpG dinucleotides within the hTERC promoter.

Digestion of genomic DNA first with XmaI and then with either HpaII or MspI enabled us to determine the methylation status of one of four CpG dinucleotides within the hTERC CpG island. XmaI digestion releases a fragment of 963 bp that contained the hTERC promoter, which can be detected by a probe, as shown in Fig. 2Citation . MspI further digests this fragment, cutting at all of the four sites marked "H" in Fig. 2Citation regardless of whether the cytosines within are methylated or not. The probe will therefore detect a fragment of 582 bp in this situation. HpaII, on the other hand, recognizes the same sites as MspI but will only cut if the cytosine of the CpG dinucleotide is unmethylated. If all of the four sites are methylated, HpaII will not digest the fragment further so the probe would detect the full-size 963-bp fragment. This fragment will be shorter if any of the four sites are unmethylated, giving a 582-bp fragment if the most 5' site is free from methylation. Using this method, DNA was examined from 1 mortal and 18 immortal cell lines (listed in Table 1Citation ), 17 different normal tissues, and 176 tumor samples (21 lung, 28 breast, 15 cervical, 10 colon, and 102 ovarian). Representative results are shown in Fig. 3Citation . All of the normal tissues examined showed no evidence of methylation, at least at the most 5' HpaII site, the probe that detected the fully digested 582-bp HpaII fragment (Fig. 3ACitation , and data not shown). There was more evidence of methylation in the cell lines. Several samples showed partial methylation, e.g., A2780 and MCF7 in Fig. 3BCitation (additional cell lines showing a similar result are listed in Table 1Citation ). Of more interest were the ALT cell lines. Of the three that did not express hTERC, two showed complete methylation (WI38-VA13/2RA and SUSM-1) and the third (KMST-6) showed partial methylation, but in addition to the 963-bp and 582-bp HpaII fragments, a third fragment was detected of ~620 bp (data not shown) which indicated that the first and second HpaII-associated CpG sites are not completely methylated in this cell line.



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Fig. 3. Southern blotting to detect methylation within the hTERC promoter; A, DNA from normal tissues; B, DNA from cell lines; C, DNA from ovarian tumor samples. There are three lanes for each sample, XmaI digestion alone (X), XmaI + HpaII (H), and XmaI + MspI (M). The presence of only the 582-bp band in Lane X indicates lack of methylation at the HpaII sites (e.g., all of the samples in A), only a 963-bp band in Lane X indicates complete methylation at the HpaII sites (e.g., WI38-VA13, SUSM-1), and both bands demonstrate partial methylation (e.g., A2780, MCF7, OV350).

 
Of the 176 tumor samples, partial methylation was only detected in a subset of ovarian tumors as represented in Fig. 3CCitation by sample OV350. Of the 102 ovarian tumors examined, 67 were classed as malignant, 12 borderline, and 23 benign. The nine samples showing partial methylation were all from malignant tumors, possibly reflecting the general increase in CpG island methylation associated with tumor progression (reviewed in Refs. 13, 14, 15, 16 ).

In addition to the panel of cell lines, 13 of the ovarian tumor samples (including all of those showing partial methylation) were investigated further for hTERC promoter methylation using MSP. MSP (17) makes use of the observation that sodium bisulfite converts unmethylated cytosines (but not methylated cytosines) to uracil. PCR primers can then be designed to amplify specifically from methylated or unmethylated sequences. We designed three pairs of primers: one pair specific for methylated hTERC promoter sequence, one specific for unmethylated sequence, and one to detect untreated DNA sequence. All of the three pairs amplified approximately the same region, from around nt605 to nt801 of AF047386 (as shown on Fig. 2Citation ). Each primer covered three CpG dinucleotides, thereby allowing us to examine six different sites. These were CpGs 1–3 and 19–22 of the 73 CpGs present in the hTERC CpG island (numbering from the 5' end). CpG 2 lies within the most 5' HpaII site previously examined by Southern blotting, and CpG 22 crosses the transcription start site of hTERC. Cloning and sequencing of the PCR products from some of the samples enabled us to also determine the methylation status of the intervening CpG sites as well as to confirm that the technique was sufficiently specific.

In general, the MSP results supported those obtained by Southern analysis, e.g., Fig. 4C and DCitation show the results for unmethylated and partially methylated ovarian tumor samples, respectively. The samples predicted to be unmethylated on the basis of Southern blotting are only amplified by the unmethylated DNA-specific primers (Fig. 4C)Citation , whereas those judged from the Southern analysis to be partially methylated support amplification by both the unmethylated DNA- and methylated DNA-specific primers (Fig. 4D)Citation . For the cell lines examined by MSP, only KMST-6 produced results that differed slightly from those obtained by Southern analysis. MSP only amplified a band with the methylated DNA-specific primers (Fig. 4A)Citation , whereas Southern analysis had detected partial methylation (data not shown). Sequencing of the MSP product demonstrated that 20 of the 22 CpG sites between nt605 and nt801 were in fact methylated, which indicated that the hTERC promoter in KMST-6 cells was highly methylated. Sequencing of MSP products from SUSM-1 and WI38-VA13/2RA similarly showed that 21 of the 22 CpG sites were methylated in each case. MSP products from other cell lines were also sequenced to check the specificity of the technique (Table 2)Citation . "Methylated" products consistently contained at least 20 methylated CpGs, whereas "unmethylated" products were generally completely free of methylation, with only one product (from C-33A) showing a single methylated site. This confirms that the MSP technique is specific for detecting methylated and unmethylated regions of the hTERC promoter and strengthens the association between total lack of hTERC RNA and hypermethylation of the promoter as seen in the three ALT lines KMST-6, SUSM-1, and WI38-VA13/2RA. To further investigate this relationship, the three methylated ALT lines were treated with 5-aza-C + TSA to see if hTERC expression could be restored. 5-aza-C inhibits methylation once incorporated into DNA, and TSA has been found to enhance its gene-activating effect by inhibiting histone deacetylases (18) . Partial demethylation of the hTERC promoter (as detected by MSP) was seen in all of the three cell lines. The results for KMST-6 are shown in Fig. 5ACitation . Only in KMST-6 could expression of hTERC be detected (Fig. 5B)Citation , and even then levels were low, suggesting that either incomplete demethylation was preventing greater expression or necessary transcription factors were limiting. The cells remained negative for telomerase activity as measured by the telomeric repeat amplification protocol assay (data not shown). These results would indicate that methylation and associated histone deacetylation are partially responsible for the lack of hTERC expression at least in KMST-6 cells but that additional factors are acting to limit expression. These additional, as yet unknown, factors are important in inhibiting hTERC expression in SUSM-1 and WI38-VA13/2RA because partial demethylation fails to trigger expression of the gene.



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Fig. 4. MSP results for A and B, cell lines; C, ovarian tumor samples judged to be unmethylated by Southern analysis; and D, ovarian tumor samples judged to be partially methylated by Southern analysis, e.g., OV350 in Fig. 3Citation C. Untreated DNA was included to confirm specificity of primers for bisulfite-modified DNA. There are two lanes for each sample: PCR with primers for unmethylated DNA giving a 208-bp product (U), and with those for methylated DNA giving a 198-bp product (M). Lane L contains a molecular weight marker.

 

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Table 2 Sequencing of MSP products

Cloning and sequencing of several MSP products revealed which CpG sites were methylated. Both methylated and unmethylated products were sequenced from COLO320-DM and HeLa because these samples were partially methylated. The 22 CpG sites are the most 5' sites within the hTERC CpG island, site 1 lying at position 607-8 in sequence AF047386.

 


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Fig. 5. Results of treating KMST-6 cells with 5-aza-C + TSA; A, MSP of untreated DNA, KMST-6 before 5-aza-C treatment, and KMST-6 treated with 5-aza-C + TSA in duplicate, which shows amplification with the unmethylated primers in addition to the methylated primers, demonstrating partial demethylation; B, RT-PCR of hTERC showing expression in the KMST-6 samples treated with 5-aza-C + TSA. +, indicates addition of reverse transcriptase; -, where the reverse transcriptase was omitted from the cDNA synthesis reaction. RNA from 5637 cells was used as a positive control, and a no-template control (NT control) was included in the PCR to control for contamination.

 

    Discussion
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Southern blotting and MSP assays were developed to look at methylation of the hTERC promoter with a view to determining whether methylation played a role in the regulation of expression of this gene. We found no evidence of hTERC promoter methylation in normal somatic tissues or in mortal cell lines, suggesting that methylation is not normally involved in inhibiting hTERC expression in telomerase-negative cells. This is not wholly unexpected because promoter-associated CpG islands usually remain free from methylation regardless of the expression status of the gene, the exceptions being for genes on the inactive X chromosome and genes subject to imprinting (11) . Although a degree of methylation was seen in 6 of 13 telomerase-positive immortal cell lines and 9 of 102 ovarian tumors, this did not correlate with expression levels. However, hypermethylation of the promoter was found in three immortal cell lines, all of which were telomerase-negative ALT cell lines, and these were the only samples to show a complete absence of hTERC RNA. Therefore, it would appear that heavy methylation of the hTERC promoter is associated with a total lack of expression, although lesser degrees of methylation do not seem to affect expression levels. Similar results (19 , 20) have recently been published regarding methylation at the promoter of the telomerase catalytic component gene (hTERT), with hypermethylation only being seen in a proportion of ALT cell lines where it was associated with a lack of hTERT expression.

It has been observed that during tumorigenesis and during the culturing of cells in vitro there is a general increase in methylation at CpG islands (12) . This could explain the results seen here. Apart from the mortal and the ALT cell lines, the remaining cell lines and the vast majority of the tumor samples were positive for telomerase and presumably rely upon telomerase for their immortality. Therefore, there would be considerable selection pressure to retain expression of telomerase components including hTERC. Methylation at CpG islands would be increasing generally, but there would be strong pressure to prevent hypermethylation and consequent down-regulation of hTERC because the resulting cells would lose their immortality. Such cells may indeed arise, e.g., Bryan et al. (21) found that telomerase-negative subclones did occasionally arise from cultures of telomerase-positive 293 and HeLa cells, but presumably these cells would be lost from tumors and cultures because they would no longer be immortal. Partial methylation, however, does not appear to affect expression of hTERC and can therefore be tolerated; this was seen in 6 of 13 telomerase-positive immortal cell lines and in 9 of 102 ovarian tumor samples. Interestingly, methylation was only seen in the malignant tumor samples, not the benign or borderline ones, perhaps reflecting increasing levels of CpG island methylation during tumor progression. Perhaps a thorough study of highly advanced tumors would detect similar methylation patterns among other types of tumor, not just ovarian.

In 3 of 5 of the ALT cell lines looked at in this study, methylation at the hTERC-associated CpG island has progressed to the stage where at least 90% of CpG sites upstream of the transcription start site are methylated, and there is no hTERC expression. Such a relationship between extreme hypermethylation of the promoter and lack of expression was also found at the hTERT gene in three ALT lines: SUSM-1 (20) , GM847, and WI38-VA13/2RA (19) . It could be that one or both of the hTERC and hTERT genes are hypermethylated in all of the ALT lines. SUSM-1 and WI38-VA13/2RA are hypermethylated at both loci, GM847 is hypermethylated at the hTERT promoter, and KMST-6 is hypermethylated at hTERC; however, only a single locus has been looked at in other ALT lines. What this actually means in terms of ALT versus telomerase activation is difficult to assess. It is possible that heavy methylation at either of the telomerase gene loci causes loss of expression and, therefore, loss of telomerase activity leading to selection for ALT activation. However, it is also possible that telomerase has never been activated in these cells, and ALT has been activated first, thereby eliminating any selection pressure to keep the hTERC and hTERT promoters free from hypermethylation, so the trend for increased methylation in an in vitro culture system is free to target both loci. At present, the only evidence that could help decide this issue comes from demethylation experiments.

In this study and the recently published hTERT studies (19 , 20) , treatment with 5-aza-C either alone or in combination with the histone deacetylase inhibitor TSA has had mixed success in triggering expression of the target gene. Where expression has been achieved, the levels appear low in comparison with other immortal cell lines, and no telomerase activity has been detectable (this study, data not shown; Ref. 19 ). Although it is possible that the treatment is unable to fully restore the chromatin to an active state, there is also the possibility that necessary transcription factors are limiting for hTERC and/or hTERT in ALT cell lines, and even when expression is achieved, the levels may be insufficient for active telomerase. If this is the case, it may be that the ALT pathway has become activated before any activation of telomerase, thereby eliminating selection pressure to keep the hTERC and hTERT promoters free of hypermethylation, which increases the likelihood that they will become methylated during culturing in vitro.

Whatever the cause, there is certainly a strong association between hypermethylation of the hTERC promoter and total lack of the RNA. We have shown this to be the case in 3 of 3 ALT cell lines that do not express hTERC, thereby making hTERC methylation a marker for a significant subset of ALT lines.


    FOOTNOTES
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 Supported by the Cancer Research Campaign (United Kingdom) and Glasgow University. Back

2 To whom requests for reprints should be addressed, at Cancer Research Campaign Department of Medical Oncology, University of Glasgow, Cancer Research Campaign Beatson Laboratories, Garscube Estate, Switchback Road, Bearsden, Glasgow G61 1BD, United Kingdom. Phone: 44-141-330-4811; Fax: 44-141-330-4127; E-mail: n.keith{at}beatson.gla.ac.uk Back

3 The abbreviations used are: 5-aza-C, 5-azacytidine; ALT, alternative lengthening of telomeres; TSA, trichostatin A; hTERC, telomerase RNA gene; hTERT, telomerase reverse transcriptase gene; MSP, methylation-specific PCR; RT-PCR, reverse transcription-PCR. Back

Received 8/14/00. Accepted 11/13/00.


    REFERENCES
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 

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