Cancer cells are often found to be immortal, which suggests that immortalization is integral to cancer cell transformation to a neoplastic growth state
Shortening of telomeres correlates with population doublings, telomere length varies between 7-13 kbp and undergoes 50-100 bp shortening per cell generation
1. Telomeric DNA of normal human cells proliferating in culture progressively shorten during each growth-and-division cycle, until they become so short that they can no longer effectively protect the chromosomes
2. At this point, crisis occurs, chromosomes fuse, and apoptosis will result
Telomere shortening due to end-replication problem
1. Leading strand - DNA polymerase III
2. Lagging strand - Okazaki Fragments, RNA primase lays down RNA primers, DNA pol III lays down the DNA, DNA pol I replaces the RNA primers with DNA, DNA ligase links the Okazaki fragments
Telomerase recognizes the tip of the repeat sequence in telomerase, uses its own RNA template (hTR) and elongates the parental strand in 5' to 3' direction, DNA polymerase can fill in the complementary strand
Proposed mechanism of telomerase preventing senescence
During replicative senescence telomeres lose their single-stranded overhangs, DNA damage signal induces p53 which induces cell arrest, telomerase expression prevents this from occurring
Telomerase expression is repressed in postembryonic cell lineages, these cell lineages are granted only limited postembryonic replicative potential before they enter crisis, cancer cells re-express telomerase and turn back the generational clock
BFB cycles lead to increase in chromosomal rearrangements and the amplification and deletion of chromosomal segments adjacent to breakpoint, resulting in novel oncogenes, amplified oncogenes, loss of TSGs
Cells with unstable genome grow slowly, cells can die as a result of catastrophic genomic instability, cancer cells express hTERT to stabilize their genomes, hTERT repairs chromosome ends in cancer cells and stops the BFB cycles, cancer cells survive and continue to extensively proliferate, chromosomal rearrangements acquired prior to hTERT expression remain in cancer cells