Cited by 411Telomeres, Telomerase, and SenescenceCancer-related Molecular PathwaysGenetics, Aging, and Longevity in Model Organisms

The DOI matches its Crossref record; 99 of the 99 references it cites were found in a registry or an index; none of the 76 sources its claims cite is checked for support yet.

Telomere dysfunction and tumour suppression: the senescence connection

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Deng, Yibin, Chan, Suzanne S., Chang, Sandy·2008·Nature Reviews Cancer

Abstract

Long-lived organisms such as humans have evolved several intrinsic tumour suppressor mechanisms to combat the slew of oncogenic somatic mutations that constantly arise in proliferating stem-cell compartments. One of these anticancer barriers is the telomere, a specialized nucleoprotein complex that caps the ends of eukaryotic chromosome. Impaired telomere function activates the canonical DNA damage response pathway that engages p53 to initiate apoptosis or replicative senescence. Here, we discuss how p53-dependent senescence induced by dysfunctional telomeres may be as potent as apoptosis in suppressing tumorigenesis in vivo.

Overview

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TL;DR

This review argues that dysfunctional telomeres activate a DNA damage response that engages p53-dependent apoptosis and replicative senescence, and that senescence can be as potent as apoptosis for suppressing tumorigenesis in vivo. Mouse models with short/dysfunctional telomeres show reduced tumor incidence and progression when p53 signaling is intact.

Key findings

  • Telomere dysfunction triggers a DDR through ATM/ATR, CHK1/CHK2, p53 and p21, leading to apoptosis or replicative senescence; dysfunctional telomeres form TIFs containing γ-H2AX, 53BP1, NBS1, MDC1 and CHK2.
  • In mouse cancer models, short dysfunctional telomeres suppress tumors when p53 is intact: G6 mTerc−/−;Ink4a−/− mice showed reduced tumor incidence from 64% to 31%; late-generation mTerc−/− mice produced 20-fold fewer skin tumors; late-generation mTerc−/− Eμ-myc mice had only 25% lymphoma incidence versus wild-type/early-generation mice developing B-cell lymphoma by 200 days.
  • p53-dependent apoptosis appears dispensable for spontaneous tumor suppression when senescence is activated: Bcl-2-overexpressing G5/6 mTerc−/− Eμ-myc bone marrow failed to produce tumors 100 days post-transplantation, with small encapsulated tumors showing a 3-fold decrease in mitotic index and positive SA-β-Gal, p16 and p15 staining.
  • In iG1 mTerc−/− p53R172P mice, which lack p53-dependent apoptosis but retain senescence, tumor formation was nearly completely suppressed: 0/23 tumors in p53P/+ and 1/9 in p53P/P mice, with robust SA-β-gal staining in multiple organs.

Methods

  • This is a Perspective/review synthesizing published experimental studies; no new primary data are reported.
  • Evidence comes largely from mouse models, including successive generations of telomerase knockout (mTerc−/−) mice, Eμ-myc lymphoma, p53 R172P knock-in, Ink4a−/−, ApcMin, hepatocellular carcinoma and skin carcinogenesis models, plus human cell lines and xenograft studies of telomerase inhibitors.
  • Main analysis compares tumor incidence, latency, survival, cytogenetic hallmarks of telomere dysfunction, DDR markers/TIFs, and senescence markers such as SA-β-gal, p16, p15, p21 and p53.

Limitations

  • Stated: anti-telomerase therapy requires an intact p53 pathway, but p53 is mutated in approximately 50% of human cancers; senescent tumor cells may secrete tumor-promoting products; and this therapy will not work in ALT tumors lacking functional telomerase.
  • Stated: the role of the p16Ink4a-RB pathway in the telomere DDR is unclear, and p21 loss in late-generation mTerc−/− mice did not increase chromosomal instability or tumorigenesis, suggesting redundancy or additional p53-dependent effects.
  • Evident: conclusions rely heavily on mouse models, with possible mouse–human differences in DDR wiring; the review also notes historical difficulty in reliably detecting senescent cells in vivo.

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Integrity signals

Registry

Crossref · 10.1038/nrc2393

Cites

99 of 99 references verified0 citation errors · 0 not checkable

Statistics

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Verification

Claims the paper makes

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Show all 39 claims

  • It may state two separate claims as one. 38
  • Probably not a substantial claim. 6
  • The quote only partly states this claim. 2
44 of 44
  • The paper relies on this without support.

    Long-lived organisms such as humans have evolved intrinsic tumor suppressor mechanisms to combat oncogenic somatic mutations that arise in proliferating stem cell compartments.

    “Long lived organisms such as humans have evolved several intrinsic tumor suppressor mechanisms to combat the slew of oncogenic somatic mutations that constantly arise in proliferating stem cell compartments.”
  • The paper relies on this without support.

    Findings from mouse models of telomere dysfunction and cancer are informative about human tumor suppression and tumorigenesis.

    “late generation mTerc−/− p53+/− mice emerged with a tumor spectrum that strikingly resembled those of aged humans: carcinomas of the skin, breast, and intestine with cytogenetic hallmarks of telomere dysfunction emerged as the largest group of tumors47.”
  • The paper relies on this without support.

    p53 is mutated in approximately 50% of all human cancers.

    “p53 is mutated in approximately 50% of all human cancers.”
  • The paper relies on this without support.

    The G-rich strand of telomeric DNA can fold into a 4-stranded G-quadruplex (G4), whose stabilization perturbs telomere function.

    “The G-rich strand of telomeric DNA can fold into a 4-stranded G-quadruplex (G4), whose stabilization perturbs telomere function.”
4 of 4

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Metadata

Authors
Deng, Y., Chan, S. S., & Chang, S.
Affiliations
The University of Texas MD Anderson Cancer Center (US)
Corresponding author
Chang, Sandy
Venue
Nature Reviews Cancer
Published
2008-06
Volume
8
Issue
6
Pages
450-458
ISSN
  • 1474-175X (ISSN-L)
  • 1474-1768
OpenAlex
W2036639619
Cited by
411
References
98
Citations by year
2026: 9 · 2025: 10 · 2024: 9 · 2023: 9 · 2022: 11 · 2021: 16 · 2020: 13 · 2019: 22 · 2018: 18 · 2017: 28 · 2016: 18 · 2015: 31 · 2014: 22 · 2013: 31 · 2012: 30
FWCI
4.85
Type
journal article
Language
en
Open access
Locations
  • Nature reviews. Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Abraham J. and Phyllis Katz Foundation
  • National Institutes of Health
  • National Institute on Aging (R01AG028888)
  • National Cancer Institute (K01CA124461, R01CA129037)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
  • Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
Keywords
telomere dysfunction, replicative senescence, tumor suppression, apoptosis, DNA damage response, telomeres, carcinogenesis, stem cells
MeSH terms
Animals, DNA Damage, Humans, Neoplasms, Tumor Suppressor Protein p53, Retinoblastoma Protein, Telomere, Cellular Senescence, Apoptosis, Telomerase, Cyclin-Dependent Kinase Inhibitor p21

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