ALTercations at telomeres: stress, recombination and extrachromosomal affairs

Author:

Loe Taylor K1,Lazzerini Denchi Eros2,Tricola Gianna M.2,Azeroglu Benura2ORCID

Affiliation:

1. 1Department of Molecular Medicine, The Scripps Research Institute, La Jolla, CA 92037, U.S.A.

2. 2Laboratory of Genome Integrity, National Cancer Institute, NIH, Bethesda, MD 20892, U.S.A.

Abstract

Approximately 15% of human cancers depend on the alternative lengthening of telomeres (ALT) pathway to maintain telomeres and proliferate. Telomeres that are elongated using ALT display unique features raising the exciting prospect of tailored cancer therapies. ALT-mediated telomere elongation shares several features with recombination-based DNA repair. Strikingly, cells that use the ALT pathway display abnormal levels of replication stress at telomeres and accumulate abundant extrachromosomal telomeric DNA. In this review, we examine recent findings that shed light on the ALT mechanisms and the strategies currently available to suppress this telomere elongation mechanism.

Publisher

Portland Press Ltd.

Subject

Biochemistry

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