Cited by 425Hair Growth and DisordersTelomeres, Telomerase, and Senescencedental development and anomalies

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index; none of the 30 sources its claims cite is checked for support yet.

Conditional telomerase induction causes proliferation of hair follicle stem cells

Open access

Abstract

TERT, the protein component of telomerase, serves to maintain telomere function through the de novo addition of telomere repeats to chromosome ends, and is reactivated in 90% of human cancers. In normal tissues, TERT is expressed in stem cells and in progenitor cells, but its role in these compartments is not fully understood. Here we show that conditional transgenic induction of TERT in mouse skin epithelium causes a rapid transition from telogen (the resting phase of the hair follicle cycle) to anagen (the active phase), thereby facilitating robust hair growth. TERT overexpression promotes this developmental transition by causing proliferation of quiescent, multipotent stem cells in the hair follicle bulge region. This new function for TERT does not require the telomerase RNA component, which encodes the template for telomere addition, and therefore operates through a mechanism independent of its activity in synthesizing telomere repeats. These data indicate that, in addition to its established role in extending telomeres, TERT can promote proliferation of resting stem cells through a non-canonical pathway.

Overview

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Written from the paper’s full text.

TL;DR

Conditional transgenic induction of TERT in mouse skin epithelium is sufficient to drive the telogen-to-anagen transition of the hair follicle cycle and promote hair growth by causing proliferation of quiescent bulge stem cells. This activity does not require TERC and therefore operates independently of telomere synthesis.

Key findings

  • Doxycycline-induced TERT expression in i-TERT mice kept hair follicles in anagen at day 50, whereas i-TERT mice off doxycycline and non-transgenic mice had exited to telogen; the effect occurred with 100% penetrance (18/18 in anagen; chi-square p<0.0001 for i-TERT on vs. off doxycycline).
  • Inducing TERT after follicles had entered the prolonged second telogen (day 40) drove anagen entry by day 9 and mid-anagen by day 12 (p=0.005), and doxycycline-treated i-TERT mice shaved at day 55 showed significant hair growth at 14 days versus controls, which showed none.
  • TERT caused proliferation of quiescent bulge stem cells: BrdU label in CD34+ bulge cells was depleted by 76% (BrdU+ cells/CD34+ cell, p<0.0001) after five weeks of doxycycline, while CD34+ cell numbers remained similar, suggesting division with self-renewal.
  • The effect is TERC-independent: conditional TERT activation induced anagen in 5/5 i-TERT;TERC−/− mice (p=0.0003 vs. i-TERT off doxycycline), identical to TERC+/+ and TERC+/− backgrounds (6/6 in anagen), despite confirmed absence of telomerase activity and TERC RNA.
  • Effects were epithelium-intrinsic: K5-tTA+;tetop-TERT+ mice showed anagen in 5/5 versus telogen in 6/6 littermate controls (p=0.0009), and interfollicular epidermal proliferation was unchanged (4.2 Ki-67+ cells/100μm in i-TERT day 50 vs. 4.3 in non-transgenic day 28).

Methods

  • Conditional tetracycline-regulated transgenic system: mouse TERT cDNA under a tetracycline-responsive promoter (tetop-TERT) crossed with actin-rtTA mice to generate inducible TERT (i-TERT) mice, with doxycycline administered in drinking water; a K5-tTA;tetop-TERT cross (tet-off) restricted expression to the basal layer/outer root sheath.
  • Telomerase activity and expression assessed by TRAP assay, Northern blot, RT-PCR, and RNA in situ hybridization; hair cycle stage assessed by H&E histology of dorsal skin biopsies.
  • Bulge stem cells marked by repeated BrdU injections at 10 days of age followed by a long chase (45–90 days) and visualized by BrdU/CD34 double immunofluorescence on sections and tail epidermal wholemounts; TERC+/− mice backcrossed to FVB/N for six generations were intercrossed to yield TERC+/+, +/−, and −/− i-TERT cohorts.

Limitations

  • The paper states that in this transgenic context "either altered timing of TERT expression or higher protein levels may be important in mediating these new activities for TERT," and calls for loss-of-function studies and experiments to determine whether TERT's function in stem cell proliferation is cell autonomous.
  • Evident from the text: the conclusions rest on transgenic TERT overexpression rather than endogenous TERT, so the physiological relevance of the non-canonical activity is not established here.
  • Evident from the text: mechanistic details of the TERC-independent pathway are not identified, and the work is confined to mouse skin/hair follicle biology.

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Integrity signals

Registry

Crossref · 10.1038/nature03836

Cites

30 of 30 references verified0 citation errors · 0 not checkable

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Verification

Claims the paper makes

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  • It may state two separate claims as one. 7
  • The quote only partly states this claim. 1
  • Probably not a substantial claim. 5
12 of 12
  • The paper relies on this without support.

    Telomere synthesis requires both TERT and TERC.

    “Telomere synthesis requires both TERT and TERC; therefore, if the effects of TERT are retained in a TERC−/− background, telomere extension cannot be required for stem cell activation events mediated by TERT.”
  • The paper relies on this without support.

    The role of TERT in stem cell and progenitor cell compartments is not fully understood.

    “In normal tissues, TERT is expressed in stem cells and in progenitor cells3, but its role in these compartments is not fully understood.”
2 of 2

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Metadata

Authors
Sarin, K. Y., Cheung, P., Gilison, D., Lee, E., Tennen, R. I., Wang, E., Artandi, M. K., Oro, A. E., & Artandi, S. E.
Affiliations
Stanford Medicine (US)
Corresponding author
Artandi, Steven E.
Venue
Nature
Published
2005-08
Volume
436
Issue
7053
Pages
1048-1052
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W2085786821
Cited by
425
References
30
Citations by year
2026: 6 · 2025: 7 · 2024: 10 · 2023: 10 · 2022: 11 · 2021: 9 · 2020: 17 · 2019: 7 · 2018: 14 · 2017: 13 · 2016: 25 · 2015: 14 · 2014: 17 · 2013: 22 · 2012: 33
FWCI
38.35
Type
journal article
Language
en
Open access
Locations
  • Nature (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
  • National Cancer Institute (R55CA109088, K08CA082176)
  • National Institute of General Medical Sciences (T32GM007365)
Topics
  • Health Sciences › Medicine › Dermatology › Hair Growth and Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
  • Health Sciences › Dentistry › General Dentistry › dental development and anomalies
Keywords
telomerase reverse transcriptase, hair follicle stem cells, hair cycle, telogen-to-anagen transition, stem cell proliferation, skin epithelium, telomere maintenance, tissue regeneration, aging
MeSH terms
Animals, Bromodeoxyuridine, DNA-Binding Proteins, Enzyme Induction, Mice, Transgenic, RNA, Stem Cells, Hair Follicle, Transgenes, Telomerase, Cell Proliferation, Mice

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