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Prof. Dr. Mustafa Özdoğan · Medical Oncologist

Discovery of Telomere-Mitochondria Communication: A New Avenue for Cancer Treatment

Discovery of Telomere-Mitochondria Communication: A New Avenue for Cancer Treatment
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Telomeres are terminal regions of chromosomes, which are packages of DNA containing our genetic information. They are located at chromosome ends and have a special role in allowing cells to reproduce while protecting genetic information. They shorten while protecting chromosome-end information during replication. Length decreases with age and repeated cell division. Once telomeres become critically short, cell division stops to protect genetic information, and programmed cell death follows.

The illustration below summarizes their molecular structure.

What are telomeres, and how does telomerase work?

Telomeres Discovered Communicating with Mitochondria

Telomeres are particularly important in cancer and aging. Research has linked shortening to cell death and diseases such as cancer. The new study shows that critically short telomeres communicate with mitochondria, the cell's powerhouses, triggering complex signaling pathways and an inflammatory response that eliminates potentially cancerous cells. The findings could open new approaches to prevention and treatment and to counteracting harmful consequences of aging.

In summary, telomeres shorten with every division in normal cells. When critically short, they send a message to mitochondria, triggering a specific inflammatory response that kills the cell before it becomes cancerous.

Cancer cells have mechanisms preventing telomere shortening. An important player is an enzyme called telomerase , which maintains and renews telomere length at chromosome ends. Telomerase activity is generally increased in cancer cells, allowing them to prevent shortening and continue dividing.

Some cancer cells also repair DNA damage arising from telomere shortening. These repair mechanisms preserve genetic information and enable continued division, thereby contributing to cancer development.

According to the researchers, telomeres and mitochondria clearly act synergistically in processes that kill potentially cancer-causing cells.

When telomeres shorten until they can no longer protect chromosomes, a "cellular crisis" signal is generated and cells die. This beneficial process eliminates cells with critically short telomeres and unstable genomes and is known to provide a powerful barrier against cancer.

Jan Karlseder and lead author Joe Nassour previously discovered that cells in crisis are eliminated through autophagy , a process by which the body disposes of damaged cells.

Jan Karlseder is a leading telomere and cancer researcher. We discussed an earlier study here: Could Removing Telomere Protection Increase Chemotherapy's Power?

The researchers wanted to understand how critically short telomeres cause cell death. Genetic screening of human fibroblasts identified immune-sensing and inflammatory pathways important during this process. In particular, RNA molecules originating from short telomeres activated immune sensors called ZBP1 and MAVS on the outer mitochondrial surface.

These findings reveal important links between telomeres, mitochondria and inflammation. They also show how cells can survive crisis, escape destruction and become cancerous when this process malfunctions.

Related topic: How Exercise Renews Muscle Cells Through Mitophagy

Telomeres, mitochondria and inflammation are usually studied separately as three features of aging. This study suggests that stressed telomeres can send RNA messages to mitochondria and cause inflammation. The findings emphasize examining their interactions to understand aging better and extend healthy lifespan.

Joe Nassour commented:

"Cancer formation is not simple. It is a multistep process requiring many transformations and changes throughout the cell. Better understanding the complex pathways linking telomeres and mitochondria could contribute to future cancer treatments."

The researchers next plan to examine the molecular basis of these pathways in greater detail and explore their potential as targets for cancer prevention or treatment.

Sources

1. Joe Nassour, Lucia Gutierrez Aguiar, Adriana Correia, Tobias T. Schmidt, Laura Mainz, Sara Przetocka, Candy Haggblom, Nimesha Tadepalle, April Williams, Maxim N. Shokhirev, Semih C. Akincilar, Vinay Tergaonkar, Gerald S. Shadel, Jan Karlseder. Telomere-to-mitochondria signalling by ZBP1 mediates replicative crisis. Nature, 2023; DOI: 10.1038/s41586-023-05710-8
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