Cited by 104Telomeres, Telomerase, and SenescenceGenetics, Aging, and Longevity in Model OrganismsEpigenetics and DNA Methylation

The DOI matches its Crossref record; 89 of the 89 references it cites were found in a registry or an index; 53 of the 73 sources its claims cite were checked for support.

TERT activation targets DNA methylation and multiple aging hallmarks

Open access

Abstract

Insufficient telomerase activity, stemming from low telomerase reverse transcriptase (TERT) gene transcription, contributes to telomere dysfunction and aging pathologies. Besides its traditional function in telomere synthesis, TERT acts as a transcriptional co-regulator of genes pivotal in aging and age-associated diseases. Here, we report the identification of a TERT activator compound (TAC) that upregulates TERT transcription via the MEK/ERK/AP-1 cascade. In primary human cells and naturally aged mice, TAC-induced elevation of TERT levels promotes telomere synthesis, blunts tissue aging hallmarks with reduced cellular senescence and inflammatory cytokines, and silences p16 INK4a expression via upregulation of DNMT3B-mediated promoter hypermethylation. In the brain, TAC alleviates neuroinflammation, increases neurotrophic factors, stimulates adult neurogenesis, and preserves cognitive function without evident toxicity, including cancer risk. Together, these findings underscore TERT's critical role in aging processes and provide preclinical proof of concept for physiological TERT activation as a strategy to mitigate multiple aging hallmarks and associated pathologies.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

A high-throughput screen identified a small molecule TERT activator compound (TAC) that upregulates TERT transcription via MEK/ERK/AP-1. In human cells and naturally aged mice, TAC promoted telomere synthesis, reduced senescence and inflammation, silenced p16INK4a via DNMT3B-mediated promoter hypermethylation, and improved neurogenesis and cognition without evident toxicity.

Key findings

  • Screening ~653,000 compounds in hTERT-Rluc transgenic mouse ear fibroblasts identified TAC, which dose-dependently induced TERT mRNA in primary human MRC-5 fibroblasts, increased H3K27ac and reduced H3K9me3 at the TERT promoter, and after i.p. injection of 6 mg/kg increased human TERT reporter activity in brain, heart, and skeletal muscle of hTERT-Rluc mice.
  • TAC activated MEK/ERK/AP-1 signaling: phospho-kinase arrays showed increased ERK and S6 kinase phosphorylation; the MEK inhibitor trametinib abolished TAC-induced ERK phosphorylation and TERT upregulation; FOS was the most significantly induced common gene in human fibroblasts and iPSC-derived neurons; two AP-1 sites were identified in the 4-kb human TERT promoter, with the conserved site required for TAC-induced promoter activity, and AP-1 inhibitor T-5224 impaired TAC-induced TERT expression.
  • In middle-aged mice, one-week TAC (6 mg/kg/day i.p.) reduced p16Ink4a and SASP components (Il-1α, Il-1β, Mmp-3, Vegf) in PBMCs and decreased p16Ink4a in brain, skeletal muscle, kidney, heart, and liver; this repression was abolished in Tert-null mice. TAC increased methylated CpG sites at the p16Ink4a promoter, and 6-month treatment in 26–27-month-old mice reduced senescent cell burden and IL-1β/IL-6.
  • In the brain, TAC increased mature BDNF and neurogenesis markers (DCX+ newborn neurons, PSA-NCAM+ immature neurons), reduced IBA1+ activated microglia and Il-1β, Il-6, Tnf-α, and in 20–21-month-old mice treated for six months improved Barnes maze, Y-maze, novel-location recognition, rotarod, and grip strength without overt adverse effects.

Methods

  • Cell-based high-throughput screen using adult mouse ear fibroblasts from hTERT-Rluc BAC transgenic reporter mice, screening ~653,000 compounds at 5 μM; hits confirmed by Renilla luciferase, then characterized in primary human MRC-5 and Werner syndrome fibroblasts, human iPSC-derived neurons, and mouse primary cells.
  • Molecular and biochemical assays included phospho-kinase arrays, RNA-seq (human fibroblasts/iPSC neurons treated with 0.5 μM TAC for 1 hr; mouse PBMCs after 1 week; mouse hippocampus after 3 weeks), ChIP-qPCR and ChIP-seq, TERT promoter luciferase reporters with AP-1 deletions, methylation-specific PCR for p16Ink4a, telomere FISH and qPCR, ELISA, immunohistochemistry/immunofluorescence, SA-β-gal staining, and behavioral tests.
  • Animal studies used male C57BL/6 mice, hTERT-Rluc transgenic mice, and Tert-deficient mice; TAC was administered i.p. at 6 mg/kg/day or 6 mg/kg three times per week in mice aged 10–12, 12–14, 20–21, and 26–27 months; pharmacokinetics were measured by mass spectrometry; statistical analyses used GraphPad Prism 8.

Limitations

  • The paper states that TAC’s impact on lifespan extension remains undetermined; dose optimization, dosing schedules, maximum tolerated dose, and drug metabolites/liabilities were not assessed; species differences require toxicity studies in non-human primates and humans; and cancer incidence should be monitored in clinical trials of sustained TAC administration.
  • The paper states that additional molecular mediators may be involved because most biologically active small molecules exhibit polypharmacology, and future chemical proteomics with structural and functional validation are needed to identify TAC’s precise target(s).
  • The text also makes evident that sample sizes were not statistically predetermined, normality was assumed but not formally tested, investigators were generally not blinded to allocation or outcome assessment, and animal studies used male mice only.

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Integrity signals

Registry

Crossref · 10.1016/j.cell.2024.05.048

Cites

89 of 89 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

49 Own result · 23 Own interpretation · 20 Partly supported · 8 Own method · 6 No full text of the sources · 5 Supported · 2 Supported so far · 1 Mixed support · 1 Couldn’t confirm · 1 Not checked yet · 1 No basis given · accuracy not yet measured

Verify all 2 references — free account
  • It may state two separate claims as one. 40
  • Probably not a substantial claim. 22
56 of 56
  • The paper relies on this without support.

    Telomerase activity is tightly regulated in most adult somatic cells, primarily due to transcriptional repression of TERT.

    “While essential for cell viability in normal healthy tissues, telomerase activity is tightly regulated in most adult somatic cells, primarily due to transcriptional repression of the core catalytic subunit of telomerase, TERT.”
  • The paper relies on this without support.

    Development of compounds that induce TERT expression has been hampered by a lack of understanding of their downstream mechanisms of action.

    “While promising, the development of these compounds has been hampered by a lack of understanding of their downstream mechanisms of action.”
  • The paper relies on this without support.

    The importance of each pathway and associated promoter binding elements in regulating TERT transcription in human adult somatic tissues remains unclear.

    “In addition, while numerous pathways regulate TERT gene transcription, the importance of each pathway and their associated promoter binding elements in regulating the transcription of TERT in human adult somatic tissues remains unclear.”
  • The paper relies on this without support.

    TERT protein half-life is 2–3 hours.

    “Moreover, while the half-life of TAC is short, TERT protein half-life is 2–3 hours and its actions can be more enduring via such actions as DNMT3B-mediated silencing of the p16INK4a promoter.”
  • The authors state this as an assumption.

    All data distributions were assumed to be normal, although this was not formally tested.

    “All data distributions were assumed to be normal, but this was not formally tested.”
5 of 5

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Metadata

Authors
Shim, H. S., Iaconelli, J., Shang, X., Li, J., Lan, Z. D., Jiang, S., Nutsch, K., Beyer, B. A., Lairson, L. L., Boutin, A. T., Bollong, M. J., Schultz, P. G., & DePinho, R. A.
Affiliations
  • The University of Texas MD Anderson Cancer Center (US)
  • Scripps Research Institute (US)
Corresponding author
DePinho, Ronald A.
Venue
Cell
Publisher
Elsevier BV
Published
2024-07
Volume
187
Issue
15
Pages
4030-4042.e13
ISSN
0092-8674 (ISSN-L)
OpenAlex
W4399886291
Cited by
104
References
88
Citations by year
2026: 45 · 2025: 48 · 2024: 11
FWCI
15.79
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Commons-TMC (Texas Medical Center) (submittedVersion)
Funders
  • National Institutes of Health (R01 CA084628, P30 CA016672, S10 RR029552)
  • G. Harold and Leila Y. Mathers Foundation
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
Keywords
telomerase reverse transcriptase, telomere maintenance, hallmarks of aging, cellular senescence, neuroinflammation, adult neurogenesis, cognitive function, p16INK4a, DNMT3B, DNA methylation, transcriptional co-regulation, age-related diseases
MeSH terms
DNA Methyltransferase 3B, Aging, Animals, Brain, DNA (Cytosine-5-)-Methyltransferases, Humans, Male, Mice, Inbred C57BL, Promoter Regions, Genetic, Telomere, Cellular Senescence, Transcription Factor AP-1, Telomerase, DNA Methylation, Cyclin-Dependent Kinase Inhibitor p16, Mice, Neurogenesis

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