Transcriptional Up-Regulation of TERT and TERC necessarily not mean higher
Telomerase activity: A Report of Telomerase Inhibition with higher Transcription of TERT, TERC and TERF2 in A549 cells treated with Staurosporine
Abstract:
Targeting telomerase is one of the approaches to kill cancer cells since almost 90% cancer are telomerase-positive. TERT and TERC
are essential subunits of telomerase and a number of reports available regarding telomerase inhibitions due to inhibition of either of
the essential subunits. Here, we present inhibition of telomerase activity with up-regulation of TERT and TERC in A549 cells treated
with staurosporin, a potent protein kinase inhibitor. Staurosporin was known to inhibit telomerase and we also observed time-dependent
telomerase inhibition by staurosporin. Notably, staurosporin up-regulates the transcription of TERT and TERC with time. This data
implicates higher expression of TERT and TERC does not enhance telomerase activity always and there must be other post-transcrip
-
tional factors that regulate telomerase activity. Furthermore, staurosporine enhances TERF2 expression in a time-dependent manner
implicating that it may alter native telomere structure. Staurosporine induced apoptosis is well-established fact. Here, we compared
staurosporine induced telomerase inhibition and apoptosis induction in a time frame to elucidate whether these two events are indepen
-
dent or not in our case. We observed that significant apoptosis induction (12h) was earlier event than significant telomerase inhibition
(24h) after staurosporine treatment. Our data suggests, staurosporine transcriptionally elevates TERT and TERC but reduces telomerase
activity and may alter telomere native structure via up-regulation of TERF2. Higher transcription of essential subunits of telomerase
does not assure higher telomerase activity. Since induction of apoptosis is earlier event than telomerase inhibition, staurosporine induces
apoptosis independent of telomerase inhibition.
Keywords: Staurosporine, Telomerase, TERT, TERC, TERF2, TRAP Assay, Apoptosis, Caspase-3, Nuclear Fragmentation
Introduction:
Telomerase, a ribonucleoprotein complex that maintains telomere
length, is highly activated in more than 90% tumor cells and
generally absent in somatic cells. Activation of telomerase enzyme
and telomere stabilization is an important step in tumorigenesis[1]. Telomerase consists of an RNA component (TR or TERC)
that acts as template for synthesis of telomere DNA, and a reverse
transcriptase unit (TERT) having catalytic activity of formation of
telomeric DNA copying RNA template. These two components
are necessary and sufficient for in vitro telomerase activity but
several other accessory factors such as Dyskerin, TEP1 (or
TP1), P23, HSP90, etc. play a role in regulating in vivo activity
[2, 3]. Telomere shortening after each cycle of cell division can be prevented either by telomerase or by recombination-based
mechanism known as alternative lengthening of telomere (ALT)
[4, 5]. Telomere dysfunction has been implicated to genomic
instability, cancer and aging [6–8]. In particular, inhibition of
telomerase and telomere shortening below a critical length
triggers apoptotic death in various cell types whereas induction
of telomerase activity is associated with resistance to apoptosis
[9, 10].
The ectopic expression of TERT subunit increases the life
span of cells by maintaining the telomere length [11, 12]. Since
TERT and TERC are essential subunits of telomerase a number of
reports are there where people targeted TERT or TERC to inhibit
telomerase activity to kill cancer. A number of small molecules not only inhibit catalytic activity but also reduce transcription
of TERT and thereby kill cancer cells [13, 14]. BIBR 1532 is a
catalytic inhibitor of TERT also reduced TERT expression [15].
Similarly, anti-sense RNA against TERC, which is in clinical trial,
is also effective to kill various kinds of cancer via cleavage of
TERC transcript[16, 17]. However, since telomerase is a nucleo-
protein complex there should have post-transcriptional events
which may regulate telomerase activity. Full length expression
of TERT and post-transcriptional alternating splicing of TERT
modulates telomerase activity and are the main rate-limiting
step in telomerase regulation[18, 19]. Furthermore, a number of
reports showed that TERT and TERC have other non-telomeric
functions in cells[20]. So, TERT and TERC expression could be
major factor for telomerase regulation.
In searching for mechanism of telomerase inhibition by
staurosporine, we got an inverse-correlation between telomerase
activity and transcript of TERT / TERC. Staurosporine is well-
known inhibitor of various protein kinases such as PKA, PKC,
PKG etc.[21, 22] and it can inhibit telomerase activity and induce
apoptosis[23]. Since staurosporine is reported to have telomerase
inhibitory effect and apoptotic effect, question remains whether
these two events are linked or independent to each other. Here
we present the data to resolve whether telomerase inhibition and
apoptosis induction by staurosporine is independent to each other.
As such there is no report of its effect in telomere-associated
proteins and telomere native structure. Here, we report role of
staurosporine in regulation of telomerase and telomere proteins in
A549 cells.
Materials & methods:
Chemicals and antibodies:
RNase A and Hoechst dye were obtained from Sigma Chemicals
(USA) and Proteinase K was from Life Technologies, (USA).
Reverse transcriptase, first strand buffer and oligo dT were from
Life Technologies (USA), gene specific oligonucleotides for PCR
amplification were from Eurofins (India). Caspase-3 assay kit was
from PharMingen (USA). Other molecular biology grade fine
chemicals were procured locally from SRL, India.
Cell culture:
A549 cells, the epithelial cell line of Human lung carcinoma was
obtained from NCCS, Pune, India. A549 cells were routinely
grown as monolayer in plastic Petri dishes using DMEM
supplemented with 10% FBS (complete medium) at 37
o
C in
humidified atmosphere containing 5% CO
2
[24].
MTT assay:
The cell viability was measured by MTT assay after treatment
with staurosporine. In a 96 well plate, 3000 cells per well in 100
μl fresh medium were seeded for overnight and then treated with
different concentrations of staurosporine (0.005-20nM) for 48h
and the MTT assay was done using standard protocol[25]. After
treatment, the medium was replaced with fresh medium. Then
MTT (0.5mg/ml) was added and incubated in dark for 2 hours.
After incubation medium discarded again and 100 μl of DMSO
added into the wells. Absorbance was recorded at 595 nm in a
Thermo MULTISKAN ESmicro plate reader.
Determination of telomerase activity by PCR based telomerase repeat amplification protocol (TRAP):
Methods for preparation of cell extract and detection of telomerase
activity were similar to described earlier [26].In brief, telomeric
substrate (TS) [5’-AATCCGTCGAGCAGAGTT-3’] was allowed
to extend by cell extract (0.5 μg of total protein) for 30min in
TRAP reaction mixture [20 mMTris.HCl, 1.5 mM MgCl2, 78
mMKCl, 0.0005 % Tween-20, 1 mM EGTA, 50 μM dNTP, 0.1
μg TS, 2.5 μg BSA] in a total volume of 50 μl. The telomeric
product was amplified by PCR (94 0 C for 30 sec, 52 o C for 30 sec, 72 o C for 45 sec; 26- 30 cycles) using the reverse primer (ACX) [5’-CCCTTACCCTTACCCTTACCCTTA-3’]. The internal standards TSNT and NT primers were also used. The telomeric products were resolved on 10% non-denaturing PAGE and silver stained following standard procedure
The image of gel was then documented with BioRad gel documentation system. Image was analyzed with ImageJ and Telomere Products Generation (TPG) were calculated using the
formula as described by Kim et. al.[27]. The intensities of bands
in control lane is taken as 100% and accordingly the telomerase
activity was calculated in treated lanes. The mean telomerase
activity± standard deviations were calculated and plotted. Each
experiment was repeated at least 4 times. The p-values were
calculated using one way ANOVA with a post-hoc test such as the
Dunnett’s test.
Real time PCR of TERC, TERT and TERF2:
The quantitative expression of hTERT, hTERC and TERF2 were
monitored after treatment with staurosporine in at different time
point by Real time PCR using Taqman assay (TERT, Hs00972656_
m1; TERC, Hs03454202_s1; TERF2, Hs00194619_m1;). The reactions were performed under standard assay programme (95
°C for 10 min and then 40 cycles of 95 °C for 15 s, followed
by annealing and extension at 60 °C for 1 min). The threshold
fluorescence signal was set up manually and the corresponding Ct
values were determined. The expression levels were normalized
using 18S rRNA (Hs99999901_s1) as endogenous control by
ΔΔCt method.
Detection of nuclear fragmentation:
Methodology used for the detection of nuclear fragmentation
was same as described earlier [28]. In brief, cells were grown
on coverslip and treated with staurosporine. Then the cells were
washed with PBS and fixed with 70% ethanol for 1 hour at 4
°C. After the fixation cells were stained with 1 mM Hoechst in
phosphate buffered saline (PBS) in the dark at room temperature
for 5 min. and observed under a fluorescence microscope (Zeiss,
Axioscope A1). 200 cells counted each time and analyzed to
determine the fraction of apoptotic cells with fragmented nuclei.
Caspase-3 activation:
Caspase-3 activity assay was performed according to the protocols
recommended by the manufacturers. In short, cells treated with
different concentrations of staurosporine for different time point
like (0 - 72h), washed twice with PBS and lysed in lysis buffer. The
total protein was estimated in the cell lysate. In caspase-3 activity
assay mixture, 300μg of total proteins and 10 μl of reconstituted
Ac-DEVD-AFC, the substrate for caspase-3, was added and
incubated for 1 h at 370C. The fluorescence of released AFC was
measured in fluorescence spectrophotometer (Agilent Cary Eclipse
Fluorescence Spectrophotometer) with an excitation at 400 nm
and an emission at 505 nm. The inhibitors of the caspase were
used together with their respective substrates during the assay to
check the enzyme-substrate specificity.
Results:
Staurosporine induces dose-dependent cell death in A549
cells:
Survival of A549 cells decreased significantly in a dose dependent
manner after treatment with various doses of Staurosporine (0.005-
20 nM) for 48h. Data is shown in Figure 1. The % of survival
at 0.25nM and 1nM were 73% (p= 4.3E-3) and 66% (p= 1.9E-4)
respectively. At 0.5nM staurosporine the %survival of A549 cells
is about 70% which is significantly lower than untreated control.

Figure 1: Survival fraction of A549 cells in MTT assay after 48
hours treatment with different concentration of Staurosporine.
Telomerase inhibition by staurosporine in A549 cells as
detected by TRAP assay:
We have treated A549 cells with 0.5 nM of staurosporine
for different time interval (0-72h). We observed time dependent
decrease of telomerase and decrease is significant at each time point
as shown in Figure 2A. However, there was very less significant
of telomerase inhibition before 24h treatment of staurosporine
(data not shown). So, telomerase inhibition occurred by 0.5nM
staurosporine at the earliest after 24h treatment of staurosporine.
Amount of telomerase activity at each time point with respect to
the control (0 hour, 100%) is shown in bar diagram in Figure 2B.
This data represents that staurosporine inhibits telomerase activity.

Figure 2: Telomerase activity after treatment with staurosporine.
(A)Reduction of telomerase activity in A549 cells at different time
interval, lane 1 for negative control, lane 2 for 0 hours, lane 3 for
24 hours, lane 4 for 48 hours, lane 5 for 72 hours; (B) Amount of
telomerase activity calculated by TPG; P-values were calculated at
each time with respective to or zero time point.
Expression of TERT, TERC and TERF2:
Since telomerase activity was decreased by staurosporine, we have
checked mRNA expression of two essential subunits of telomerase
(TERT and TERC) and key shelterin protein TERF2 using q-PCR.
Notably, TERT expression increased significantly at each time
point and time-dependent expression profile is shown in Figure
3A. TERC expression was also observed significantly higher at
each time point, shown in Figure 3B. Expression of TERC first
increases at 24h, then a slight decrease was observed at later time
points. This data indicates that staurosporine treatment increases
expression of essential subunits of telomerase but decreases
telomerase activity. Furthermore, we observed higher expression
of key shelterin protein- TERF2 after staurosporine treatment
(Figure 3C). This data implicates that staurosporine may change
native telomere structure and/or ALT pathway.

Figure 3: mRNA expressions from qRT-PCR; (A) Expression of
TERT, (B) TERC and (C) TERF2 in A549 cells after time dependent treatment of staurosporine.

Figure 3: mRNA expressions from qRT-PCR; (A) Expression
of TERT, (B) TERC and (C) TERF2 in A549 cells after time dependent treatment of staurosporine.

figure 4: Induction of apoptosis in A549 cells after treatment with
staurosporine; (A) Nuclear morphology of cells after treatment at
different time, (B) Caspase-3 activation as detected using fluorescence assay
Apoptotic cells were counted under fluorescence microscope
and data was shown in Table 1. % of apoptotic cells increased
significantly at each time point. Caspase-3 activation was also
increased significantly at each time point as shown Figure 4b. This
data implicates that staurosporin induces apoptosis in A549 cells
and significant induction of apoptosis started as early as 12h of
treatment with staurosporine.

Table 1 Fraction of Apoptotic cells after treatment with staurosporine
Discussion:
Here we observed that staurosporine treatment inhibited telomerase
activity along with increase of transcripts of TERT and TERC.
Literature reviews show that telomerase inhibition can be achieved
by reducing transcription of TERT/TERC or post-transcription
cleavage of mRNA of TERC as discussed in introduction section. But reverse is not true – i.e., higher expression of TERT/TERC transcript is not always associated with higher telomerase activity. So, post-transcriptional processing, modification and telomerase assembly may be the rate-limiting step of telomerase regulation.
This data is also corroborated with other reports of non-telomerase function of TERT and TERC [29]. Thus TERT and TERC are not only involved in telomerase activity. Notably, our data
raises interesting question regarding mechanism of telomerase inhibition by staurosporine. It is well-known that phosphorylation can modulate gene expression and staurosporine may induce transcription of telomerase subunits via inhibition of protein kinases.
However, we did not check phosphorylation status of the
regulatory genes. Furthermore, PKC can regulate TERT transcript
[19]. Notably, phosphorylation of TERT subunit by PKC favors
its nuclear localization and assembly of telomerase holoenzyme
[30, 31]. Thus, in spite of increase of TERT/TERC transcript,
telomerase assembly may decrease due to inhibition of PKC by
staurosporine in our case. Furthermore, TERT phosphorylation at
ser/thr residue is required for its activity[32]. So, here inhibition of
telomerase activity by staurosporine via inhibiting phosphorylation
of hTERT subunit cannot be ruled out. TERF2 is a key shelterin
protein to retain native capped structure at telomere and depletion
of TERF2 makes the telomere open, leading to induce DNA
damage signal[33]. On the other hand, telomere damage induces
up-regulation of TERF2 [34]. We also observed up-regulation
of TERF2 and TERF1 after telomere damage by bleomycin or
g-quadruplex ligand (communicated). Here, we observed TERF2
up-regulation after treatment with staurosporine. So, staurosporine
may increase TERF2 via telomere damage. However, we did not
check telomere damage by staurosporine in our experimental
condition. As we mentioned earlier that phosphorylation can be a
switch for modulation of gene expression. So, increase of TERF2
expression due to inhibition of phosphorylation by staurosporine
cannot be ruled out.
Phosphorylation of target proteins may activate or deactivate number
of proteins that are involved in apoptosis. One common example is
phosphorylation of bcl-2 family members, which consists the anti-
apoptotic proteins bcl-2, bcl-xLII and pro-apoptotic proteins bax
and bad. Phosphorylation modifies the function of bcl-2 family
members with changing pattern of dimerization [35, 36]. The
various caspases that gets activated in cells after receiving death
signal are also regulated by phosphorylation apart from apoptotic
stimulus [37, 38]. We did not check the phosphorylation status
of those proteins involved in apoptotic pathways. So, apoptosis
induction by staurosporine may be via inhibition of several
protein kinases. Again, telomerase inhibition may lead to telomere
shortening that may induce DNA damage induced apoptosis[39].
So, induction of apoptosis by staurosporine may be resulted due to
inhibition of telomerase[9] or may be independent of telomerase
regulation such as inhibition of phosphorylation of bcl-2 protein
[35, 36]. To distinguish whether apoptosis induction was related or
unrelated to telomerase regulation we have carried out time kinetics
of apoptosis induction and telomerase activity after treatment with
staurosporine. Here, we observed appreciable apoptosis induction
after 12h of treatment where as significant reduction of telomerase
activity was observed after 24h treatment of staurosporine. The
result demonstrate that the apoptosis induction was earlier event
than telomerase inhibition. Hence, staurosporine independently
induce apoptosis reduce telomerase activity.
Conclusion:
Staurosporine reduces telomerase activity with increase of TERT
and TERC transcription. This data implicates that up-regulation of
TERT and TERC transcription does not imply higher telomerase
activity. It also increases expression of key shelterin TERF2
indicating that it can alter telomere native structure or ALT
pathway. Staurosporine also induces apoptosis independent of
telomerase inhibition in A549 cells.
Conflict of interest:
There is no conflict of interest in publishing this work.
Acknowledgement:
G thanks DST, Government of India, for providing
infrastructural facility in Department of Biochemistry &
Biophysics, University of Kalyani under DST-FIST program.
UG is also grateful to DST (SR/SO/BB-0017/2010), New Delhi,
Government of India DBT (BT/PR 4809/BRB/10/1028/2012),
New Delhi, Government of India for partial financial assistance.
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