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Molecular and Cellular Biology, June 2000, p. 3764-3771, Vol. 20, No. 11
0270-7306/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Induction of hTERT Expression and Telomerase
Activity by Estrogens in Human Ovary Epithelium Cells
Silvia
Misiti,1
Simona
Nanni,1
Giulia
Fontemaggi,1
Yu-Sheng
Cong,2
Jianping
Wen,2
Hal W.
Hirte,3
Giulia
Piaggio,1
Ada
Sacchi,1
Alfredo
Pontecorvi,1,4
Silvia
Bacchetti,2,* and
Antonella
Farsetti1,5,*
Molecular Oncogenesis Laboratory, Regina
Elena Cancer Institute,1 and Institute
of Experimental Medicine, National Research
Council,5 Rome, and Institute of Medical
Pathology, Catholic University, Milan,4 Italy,
and Department of Pathology and Molecular
Medicine2 and Department of
Medicine,3 McMaster University, Hamilton,
Ontario, Canada
Received 10 November 1999/Returned for modification 21 December
1999/Accepted 2 March 2000
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ABSTRACT |
In mammals, molecular mechanisms and factors involved in the tight
regulation of telomerase expression and activity are still largely
undefined. In this study, we provide evidence for a role of estrogens
and their receptors in the transcriptional regulation of hTERT, the
catalytic subunit of human telomerase and, consequently, in the
activation of the enzyme. Through a computer analysis of the hTERT
5'-flanking sequences, we identified a putative estrogen response
element (ERE) which was capable of binding in vitro human estrogen
receptor
(ER
). In vivo DNA footprinting revealed specific modifications of the ERE region in ER
-positive but not
ER
-negative cells upon treatment with 17
-estradiol (E2),
indicative of estrogen-dependent chromatin remodelling. In the presence
of E2, transient expression of ER
but not ER
remarkably increased
hTERT promoter activity, and mutation of the ERE significantly reduced
this effect. No telomerase activity was detected in human ovary
epithelial cells grown in the absence of E2, but the addition of the
hormone induced the enzyme within 3 h of treatment. The expression
of hTERT mRNA and protein was induced in parallel with enzymatic
activity. This prompt estrogen modulation of telomerase activity
substantiates estrogen-dependent transcriptional regulation of the
hTERT gene. The identification of hTERT as a target of estrogens
represents a novel finding which advances the understanding of
telomerase regulation in hormone-dependent cells and has implications
for a potential role of hormones in their senescence and malignant conversion.
 |
INTRODUCTION |
Most human somatic cells do not
express telomerase, the ribonucleoprotein that elongates telomeric DNA,
or its catalytic protein, hTERT, which is limiting for enzyme activity
(33). In humans, telomerase is regulated in a
tissue-specific manner during development (42); the enzyme
is present in early embryogenesis but is repressed upon cell
differentiation in somatic tissues (27, 42). Loss of
enzymatic activity is accompanied by loss of the full-length transcript
of hTERT and/or by the appearance of alternatively spliced transcripts
that are unlikely to encode functional proteins (21, 42). In
the adult, telomerase persists only in germ line cells and in
progenitor cells of somatic tissues with self-renewing potential, in
agreement with the requirement for the enzyme for sustained cell
proliferation (16). How hTERT silencing is achieved and
which factors contribute to this process are presently unknown, although the regulation of hTERT expression appears to be primarily at
the transcriptional level (42). An understanding of the
molecular mechanisms underlying the regulation of telomerase
activity might allow the modulation of telomerase expression and,
consequently, of cell life span (4, 43), with
important potential therapeutic applications in aging and malignancy.
Several lines of evidence suggest that sex steroid hormones may be good
candidates as physiological regulators of hTERT expression. Recent
findings are consistent with the hypothesis that telomerase activity is
potentially under hormonal control in some estrogen-targeted tissues,
such as the endometrium (25, 37, 40), and the prostate (30), and in epithelial cells with high renewing potential
from estrogen-regulated tissues (3). Physiological responses
to estrogen are mediated, within specific tissues, by at least two members of the nuclear hormone receptor superfamily, the estrogen receptors (ERs) ER
and ER
(2). These are
ligand-dependent transcription factors belonging to a large family of
structurally related proteins that are able to modulate the expression
of a variety of genes involved in diverse biological functions, such as
cell proliferation, morphogenesis, cellular differentiation, and
programmed cell death. ERs act by direct interaction of the hormone-receptor complex with a set of specific DNA sequences, the
estrogen response elements (EREs), localized in the 5'-flanking regions
of hormone-regulated genes. Distinct ligand-directed conformational changes of the hormone-receptor complex may result, in turn, in transcriptional silencing or activation of target genes (2, 28). Alternative mechanisms of ER activation, involving
coregulatory proteins (19, 20), transcription factors such
as AP-1 or Sp1 (35, 44), and/or phosphorylation signaling
pathways, have also been reported (2).
The recent cloning and characterization of the hTERT gene and its
promoter region (6, 17, 40, 45) has provided essential reagents for the investigation of the molecular mechanisms involved in
the regulation of telomerase in different cell backgrounds. In this
study, we provide evidence for a potential role of estrogens and ERs in
the transcriptional regulation of hTERT by demonstrating that a
noncanonical ERE within the hTERT promoter is functional in vitro and
in vivo and that the addition of estrogen to human ovary epithelium
cell cultures results in the induction of hTERT expression and of
telomerase activity.
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MATERIALS AND METHODS |
Cells.
Human ovarian surface epithelium (HOSE) cell strains
GRO, LLO, and LEA and immortal HOSE cell line WOO were cultured in E3 medium with 3% fetal calf serum (FCS) (8). The human
ovarian cancer cell line OVCA-433 (36) was grown in RPMI
1640 with 10% FCS, while cervical cancer HeLa cells, breast cancer
MCF-7 and MDA-MB231 cells, and mouse NIH 3T3 fibroblasts were grown in
Dulbecco modified essential medium with 10% FCS. Forty-eight hours
prior to experimental use, the cells were switched to medium
supplemented with hormone-deprived serum (18).
Plasmids and transfections.
Plasmids P-1009 and P-330 and
the pGL2-Enhancer vector have been described previously (6).
P-1009Mut, with a mutated ERE, was generated using a QuickChange
Site-Directed Mutagenesis Kit (Stratagene, La Jolla, Calif.) and the
following oligonucleotide sequence:
5'-CCTCCCCCTTGTGCGGGCATGATGTGATCAGATGTTGGCC-3'.
The hTERT-ERE-TK reporter was generated by inserting double-stranded
oligonucleotides encompassing the hTERT promoter (
956 to
930) into
the linker region of pBLCAT2 (12) upstream of the thymidine
kinase (TK) promoter at bp
105. All constructs were sequenced using
the dideoxynucleotide method (38). pSG5-HEO, encoding human
ER
(13), and the human ER
expression vector (24) were gifts from P. Chambon (Strasbourg, France) and
J. A. Gustafsson (Huddinge, Sweden), respectively. The reporter
vector for the Xenopus laevis vitellogenin B1 (VIT) promoter
has been previously described (12). pCMV-
-gal was used as
an internal control to monitor transfection efficiency. Cells were
electroporated as described previously (12) and assayed for
luciferase and
-galactosidase activities using reagents and
protocols from Promega (Madison, Wis.).
Electrophoretic mobility shift assay.
A
32P-labeled double-stranded oligonucleotide containing the
hTERT ERE (5'-GCATGTGTGTGCGGGCGGGATGTGACCAGATGTGATCC-3'; bp
949 to
935 upstream of the ATG) was assayed for binding to extracts from Spodoptera frugiperda Sf9 cells infected with a
baculovirus expressing human ER
(5) or ER
(Alexis
Biochemicals, Milan, Italy) or with a control baculovirus. As a control
for ER binding, a 32P-labeled double-stranded
oligonucleotide spanning the canonical X. laevis VIT ERE was
used. Competition experiments were performed by adding to the binding
mixture increasing amounts of unlabeled oligonucleotides containing the
hTERT ERE, the human coaggulation factor XII ERE (12), or
the mutant hTERT ERE 20 min prior to the addition of the
32P-labeled probe. Supershift experiments with ER
were
carried out with anti-ER
antibody L-20X (Santa Cruz, Santa Cruz,
Calif.). Binding reactions and native polyacrylamide gel
electrophoresis were carried out as previously described
(12).
Western blot analysis.
For detection of ER
expression,
cell lysates were resolved by sodium dodecyl sulfate-polyacrylamide gel
electrophoresis and transferred to nitrocellulose membranes (Bio-Rad,
Hercules, Calif.). Immunostaining of proteins was done with antibody
HC-20 according to supplier instructions (Santa Cruz), and detection
was done by enhanced chemiluminescence (Amersham Corp., Arlington
Heights, Ill.).
Genomic footprinting.
Cells were treated with the
DNA-alkylating reagent dimethyl sulfate (DMS) (0.1% for 2 min for
MCF-7, MDA-MB231, and HeLa cells and 0.2% for 4 min for OVCA-433
cells), and their DNA was cleaved with piperidine. Genomic footprinting
was performed by ligation-mediated (LM) PCR (9) with Vent
DNA polymerase for first-strand extension and subsequent PCR
amplification. To generate footprints for the endogenous hTERT gene,
the following primers, specific for the region of interest, were used
(coding strand): primer 1, GAATCGGCCTAGGCTGTG; primer 2, ACCGGGCGCCTCACACCAGCC; and primer 3, ACCGGGCGCCTCACACCAGCCACAACGG. Labeled PCR products were
resolved on a 6% polyacrylamide-8 M urea sequencing gel. Control
samples consisted of chromatin-free DNA from each cell line treated in
vitro with 0.125% DMS for 2 min. Volumetric integration of signal
intensities was performed with NIH Image software (version 1.58), and
quantitation was done as described by Dey et al. (9).
Briefly, the average value of each band from three independent
experiments was normalized to the value of the corresponding band in
the control guanine ladder. Methylation percentages were obtained by
normalization of values for ER
-positive (MCF-7 and OVCA-433) cells
to those for ER
-negative (MDA-MB231 and HeLa) cells, which showed no
protection or hypersensitivity. Values of <15% were considered not
significant (32).
RT-PCR analysis of hTERT mRNA.
Expression of hTERT mRNA was
analyzed by semiquantitative reverse transcription (RT)-PCR
amplification. Total RNA was prepared from HOSE cells using RNAzol B
(Biotech, Rome, Italy) according to the manufacturer's protocol. One
microgram of total RNA was reverse transcribed at 37°C for 45 min in
the presence of random hexamers and Moloney murine leukemia virus
reverse transcriptase (Gibco-BRL). hTERT mRNA analysis was carried out
by PCR amplification of a fragment of 145 bp using primers and
conditions described by Ulaner et al. (42). The housekeeping
aldolase mRNA, used as an external standard, was amplified from the
same cDNA reaction mixture using specific primers (31). The
exponential phase of amplification was previously determined by serial
dilution of RT reaction mixtures for each cDNA template used and PCR
performed under these conditions. Amplified PCR products were
electrophoresed on a 3% agarose gel containing ethidium bromide (0.5 µg/ml) and visualized under UV light.
Immunofluorescence.
LEA and LLO cells, grown in E3 medium
with hormone-deprived serum, were seeded in 35-mm plates. After 16 h, the medium was replaced with fresh medium containing 17
-estradiol
(E2) at a final concentration of 10
7 M or the equivalent
volume of vehicle alone. Cells were immunostained with the
telomerase-specific antibody K-370 as described by Martin-Rivera et al.
(29), and nuclei were stained with Hoechst 33258. Images were captured with a Zeiss fluorescence microscope.
Telomerase assay.
Extracts from GRO, LEA, LLO, and WOO cells
were prepared by detergent lysis, and enzymatic activity was detected
by the PCR-based telomere repeat amplification protocol (TRAP)
(22).
 |
RESULTS AND DISCUSSION |
Ligand-dependent occupancy of the hTERT promoter in vitro and in
vivo.
A computer-assisted analysis of the hTERT 5'-flanking
sequence (6) revealed a composite regulatory unit comprising
an imperfect palindromic consensus sequence for the ERE
(5'-GGCGGGATGTGACCA-3', at positions
949 to
935 relative
to the ATG), partially overlapping an AP1 binding site and adjacent to
an SP1 motif (Fig. 1a).

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FIG. 1.
(a) Schematic diagram and nucleotide sequence of the
hTERT gene 5'-flanking sequences. The region extending to bp 1009 upstream of the hTERT ATG (+1) and the locations of the two ERE
half-sites and of an additional downstream half-site (black triangles)
are indicated. The hTERT promoter sequence between bp 1009 and 755
is shown below the diagram. The boxes define the composite regulatory
unit comprising an imperfect palindromic ERE at positions 949 to
935, a partially overlapping AP1 binding site, an adjacent SP1 motif,
and the single ERE half-site at positions 794 to 789. The asterisks
indicate G residues altered in the genomic footprints shown in Fig. 2.
(b) ER binding to the hTERT ERE. A 32P-labeled
double-stranded oligonucleotide containing the hTERT ERE sequence was
incubated with extracts of Sf9 cells infected with wild-type (wt)
baculovirus (lane 2) or recombinant baculovirus expressing human ER
(lanes 3 to 10). Lane 1, probe alone; lane 3, recombinant ER alone;
lanes 4 to 9, like lane 3 but with 25-, 100-, and 250-fold molar
excesses of unlabeled oligonucleotides containing the hTERT (lanes 4 to
6) or FXII (lanes 7 to 9) ERE sequences; lane 10, like lane 3 but with
a 250-fold molar excess of an unrelated unlabeled oligonucleotide (NS).
(c) ER binding to EREs. 32P-labeled double-stranded
oligonucleotides containing the VIT ERE (lanes 1 to 4) or the hTERT ERE
(lanes 5 to 8) were incubated with extracts of Sf9 cells infected with
recombinant baculovirus expressing human ER (lanes 2 to 4 and 6 to
8) in the presence of (E2) (lanes 2, 4, 6, and 8) or of TAM (lanes 3 and 7). Anti-ER antibodies (lanes 4 and 8) were used for
supershifting ER -ERE complexes. Lane 1, VIT ERE probe alone; lane 5, hTERT ERE probe alone.
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We first evaluated the ability of the hTERT promoter to bind in vitro
ligand-activated human ERs. Incubation of a 32P-labeled
oligonucleotide spanning the hTERT ERE with extracts from S. frugiperda (Sf9) cells infected with a baculovirus expressing ER
(Fig. 1b, lane 3) resulted in the formation of a specific complex
that was progressively inhibited by increasing concentrations of
unlabeled oligonucleotides corresponding to the hTERT ERE (Fig. 1b,
lanes 4 to 6) or to the well-characterized FXII ERE (12) (Fig. 1b, lanes 7 to 9). Compared to the hTERT ERE, the FXII ERE was a
less efficient competitor, likely because of sequence divergence between the two oligonucleotides within the 5' half-site. No inhibition was observed upon the addition of a 250-fold molar excess of an unrelated oligonucleotide (Fig. 1b, lane 10), and no complex was formed
when the hTERT ERE was incubated with extracts from SF9 cells infected
with wild-type virus (Fig. 1b, lane 2), underscoring the specificity of
the interaction between ER
and the hTERT ERE. An oligonucleotide
containing a mutated hTERT ERE competed weakly for ER binding (data not
shown), in agreement with functional data showing that mutations
strongly reduced the estrogen response of the element (see Fig. 3a and
b). Incubation of 32P-labeled hTERT ERE with Sf9 cells
infected with a baculovirus expressing ER
did not show any
interaction, whether in the presence or absence of E2 or of the
antiestrogen 4-hydroxytamoxifen (TAM). As a control for the
functionality of ER
, the canonical X. laevis VIT ERE was
used (Fig. 1c). In the presence of E2, ER
bound the VIT ERE and was
supershifted upon the addition of anti-ER
antibody (Fig. 1c, lanes 2 and 4, respectively). The addition of TAM to the binding mixture
inhibited the formation of the ER
-VIT ERE complex (Fig. 1c, lane 3).
To assess the functionality of the hTERT ERE in cells from
estrogen-regulated tissues, we compared the in vivo DNA footprints over
this region in ER
-positive (MCF-7 and OVCA-433) and ER
-negative (MDA-MB231 and HeLa) cells (Fig. 2a)
cultured in the presence or absence of E2 (10
7 M) for
various times. Cells were treated with DMS, and their DNA was analyzed
by LM PCR with primers specific for the region of the hTERT promoter
from positions
1025 to
917 relative to the ATG (Fig. 1a). The
extent of protection or hypersensitivity of specific residues was
evaluated by densitometry (Table 1) (Materials and Methods). A comparison of DNA extracted from DMS-treated cells to purified DNA treated with DMS in vitro (Fig. 2b to e) revealed
a mixed pattern of protected and hyperreactive G residues in cells
constitutively expressing ER
(e.g., MCF-7 and OVCA-433). In
particular, in MCF-7 cells grown in the absence of E2, we observed protection (~70%) of the G at position
954; protection was less pronounced (~40%) in cells grown with the hormone (Fig. 2b, compare lane 2 with lanes 1 and 3). The addition of estrogen resulted in
hypermethylation (30 to 55%) of two clusters of G residues, at
positions
949 to
945, immediately upstream of and within the hTERT
ERE 5' half-site; this result was compatible with unmasking of binding
sites normally inaccessible to transcription factors, as
suggested for the uteroglobin gene enhancer in hormone-treated endometrial cells (39). In OVCA-433 cells (Fig. 2d),
estrogen treatment resulted in a different pattern, with consistent
protection (35 to 45%) of four G residues (at positions
954,
950,
946, and
944) upstream of and within the 5' half-site of the
ERE. In addition, G residues at positions
931 and
927 downstream of
the ERE were protected, in comparison to the results for in vitro-treated DNA or DNA from cells grown without estrogen. Protection of all these regions may be mediated by the conformational and functional changes that the ER undergoes following transition from an
inactive to an active state (2, 28). The presence of a
binding site for AP1 and SP1 adjacent to or within the ERE may also
contribute to this effect, since these nuclear proteins have been shown
to interact with ER
in certain contexts involving estrogen-regulated
promoters (35, 44).

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FIG. 2.
(a) Expression of endogenous ER by Western blot
analysis. ER -negative (HeLa and MDA-MB231) and ER -positive
(OVCA-433 and MCF-7) cells were lysed directly in protein sample
buffer, and equal amounts of protein were separated on a denaturing
12% polyacrylamide gel. Immunostaining was performed with anti-ER
antibody HC-20. As a loading control, proteins were stained with
Ponceau S (data not shown). Treatment with E2 did not affect the levels
of ER in the ER-positive cells (data not shown). (b to e) DMS
genomic footprinting of the hTERT promoter. Cells were treated with the
DNA-alkylating reagent DMS, and their DNA was cleaved with piperidine
and analyzed by LM PCR with primers specific for the region of the
hTERT promoter from bp 1025 to 917 relative to the ATG (Fig. 1a).
(b) Breast cancer MCF-7 cells. (c) Breast cancer MDA-MB231 cells. (d)
Ovarian cancer OVCA-433 cells. (e) Cervical cancer HeLa cells. Length
(in hours) of treatment with E2 (lanes 2, 3, 5 to 9, and 11 to 13) is
indicated. In vitro-methylated DNA from each cell line is shown in
lanes 1, 4, 10, and 14. Protected guanine residues over the ERE region
are indicated by open arrows, while relevant hypermethylated guanine
residues are indicated by filled arrows (b and d). Corresponding G
residues unmodified in ER -negative cells are indicated by arrowheads
(c and e). The asterisks (in panel d) indicate two protected guanine
residues, of unknown significance, downstream of the ERE region.
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In MDA-MB231 and HeLa cells, both of which do not express ER
(Fig.
2a), no genomic footprint was detectable over the region comprising the
ERE, regardless of hormone treatment (Fig. 2c and e); this result
suggests that no factors are bound to this region, at least in these
cell backgrounds. The lack of a footprint in MDA-MB231 cells, which
express low levels of human ER
(1), further indicates
that this receptor does not interact in vivo with the hTERT ERE.
Overall, these results demonstrate that distinct and cell-type specific
remodelling of chromatin takes place over the hTERT ERE upon hormonal
induction and that the expression of ER
is required for this effect.
Functional characterization of the hTERT ERE.
Chimeric
constructs containing the luciferase reporter fused to two fragments of
the hTERT promoter, P-1009 and P-330 (6), only the first of
which contains the ERE, were cotransfected with an ER
expression
vector into NIH 3T3 murine fibroblasts and immortal HOSE WOO cells in
the presence or absence of E2 (10
7 M). In NIH 3T3 cells,
the combination of ER
and estrogen resulted in about 40-fold
enhancement in the activity of the P-1009 promoter. Mutation of the
hTERT ERE in P-1009Mut essentially abrogated the estrogen
responsiveness of this construct (Fig.
3a). No estrogen-mediated activation was
observed with the ERE-negative construct P-330. Similar results were
obtained with WOO cells (Fig. 3b), although in this case the
hormone-dependent induction of the P-1009 promoter was substantially
less pronounced (about fourfold). This reduced responsiveness could be
accounted for by the higher basal level of the promoter in WOO cells
and/or by the effects of other cell-specific factors that may
contribute to hTERT transcriptional regulation in ovarian cells.

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FIG. 3.
Effects of E2 and ERs on hTERT promoter activity. (a and
b) NIH 3T3 or WOO cells, grown in the presence or absence of
10 7 M E2, were cotransfected with 5 µg of the hTERT
promoter-luciferase reporter plasmids (P-1009, P-1009Mut, and P-330) or
the control vector pGL2-Enhancer (pGL2), 5 µg of the ER expression
vector, and 250 ng of pCMV- gal. Cells were assayed for luciferase
and -galactosidase activities after 48 to 72 h. Data are
expressed as light units/ -galactosidase units in the presence (+) or
absence ( ) of hormone. Results represent the average (± standard
error [SE]) of a minimum of three independent experiments, each
performed in duplicate. (c) NIH 3T3 cells were transfected with P-1009,
alone ( ER) or in combination with expression vectors for ER (+ ER ) or ER (+ ER ), in the presence of E2 or TAM. The VIT
promoter (nucleotides 596 to +8), containing a perfect ERE, was used
as a control reporter (VIT). Results represent the average (± SE) of
three independent experiments, each performed in duplicate, and values
are expressed as fold induction (ratio with and without ligand). (d)
NIH 3T3 cells were cotransfected with (+ ER ) or without ( ER )
the expression vector for ER and the hTERT-ERE-TK and TK reporters
as indicated and cultured in the absence or presence of E2. Results of
a representative experiment out of two, each performed in triplicate,
are expressed as fold induction as described for panel c.
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The oncogene c-myc has been shown to activate telomerase
through a variety of sites (45), and estrogens have been
shown to activate c-myc (10). The two
c-myc binding sites within the first 250 nucleotides
upstream of the ATG are present in both the P-1009 and the P-330
constructs; therefore, the observed differences in the activation of
these two reporters cannot be explained by the presence of these sites.
Moreover, the lack of activation with P-1009Mut demonstrates specific
dependence on the hTERT ERE. Thus, our data rule out an indirect effect
of estrogens mediated by the activation of c-myc.
To expand on the results of the electrophorectic mobility shift assays
and DNA footprinting experiments, the potential role of ER
in hTERT
promoter function was evaluated directly by cotransfection of the ER
expression vector and the P-1009 reporter in NIH 3T3 cells (Fig. 3c).
Unlike the results obtained with ER
and in agreement with the
results of the band shift assays, no induction of promoter activity by
ER
over basal levels was observed in the presence of E2. Moreover,
treatment with TAM, which is reported to activate ER
via an AP1
binding site (34), did not elicit a promoter response. As
expected, the addition of TAM virtually abrogated ER
transactivation. These results demonstrate that the ERE contained within the proximal 1 kb of the hTERT promoter is functional and is
necessary for transcriptional regulation by ligand-activated ER
. In
contrast, ER
does not appear to mediate E2 induction of the hTERT promoter.
The ability of hTERT ERE to respond to E2 on its own was assessed by
cloning a single copy of this element upstream of the TK promoter
(hTERT-ERE-TK construct). With the control vector (TK), in which the
reporter is under the control of the TK promoter (positions
105 to
+51), there was no change in chloramphenicol acetyltransferase activity
upon cotransfection with ER
and treatment with E2 (Fig. 3d). In
contrast, the hTERT ERE was able to confer E2 inducibility (threefold)
to the heterologous TK promoter, demonstrating the regulatory
properties of this element.
Estrogen induction of telomerase activity and hTERT
expression.
To further investigate the potential role of sex
steroid hormones in the regulation of hTERT expression and of
telomerase activity, we made use of normal HOSE cells, derived from
estrogen-responsive tissue from which over 90% of ovarian tumors arise
(23). HOSE cells express substantial levels of ERs
(11, 15; data not shown), and specific transcripts
for both ER
and ER
as well as androgen and progesterone receptors
are detectable in these cells in postmenopausal women (15).
These properties, together with the lack of telomerase activity, make
HOSE cells a suitable model to study the role of steroid hormones in
telomerase regulation.
To assess whether transcriptional induction of hTERT promoter activity
by E2 was paralleled by the induction of hTERT mRNA expression in
estrogen-sensitive tissues, hTERT mRNA levels were measured in
HOSE cells by semiquantitative RT-PCR. In the absence of
hormone, no expression of hTERT mRNA was detected, whereas treatment
with E2 for 6 h resulted in the appearance of a product corresponding to the amplified hTERT cDNA fragment (Fig.
4). The prompt estrogen induction of
hTERT mRNA is in agreement with a regulatory mechanism acting at the
transcriptional level. In addition to the mRNA, expression of the hTERT
protein in the same set of primary ovarian cells was monitored by
indirect immunofluorescence. Figure 5
shows the results obtained with LEA (Fig. 5a, b, e, and f) and LLO
(Fig. 5c, d, g, and h) cells stained with antibody K-370 to the
telomerase protein (Fig. 5a, c, e, and g). As a control, telomerase-positive, ER
-negative HeLa cells were included in each
assay (data not shown). In the absence of hormone, no fluorescent signal was detected (Fig. 5a and c), in agreement with the lack of
hTERT transcripts. The addition of E2 (Fig. 5e and g) for 6 h
resulted in specific staining in over 70% of the cells. The staining
pattern was predominantly nuclear and punctuated, as described for
hTERT (14, 29). However, in the majority of LEA cells,
staining extended to the cytoplasm (Fig. 5e); the reason for this dual
pattern in not clear, but the morphology of cells with nuclear and
cytoplasmic staining suggested that they might be approaching
senescence.

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FIG. 4.
Expression of hTERT mRNA in HOSE cells upon estrogen
treatment. Total RNA was extracted from LEA (lanes 1 and 2) and LLO
(lanes 3 and 4) cells grown in the presence (+) or absence ( ) of
10 7 M E2 for 6 h. RT-PCR analysis was performed
using primers specific for the hTERT and housekeeping aldolase genes
and the conditions described in Materials and Methods. Lane 5, HeLa
cell RNA as a control; lane 6, no cDNA template. Positions of molecular
size markers are indicated.
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FIG. 5.
Induction of hTERT expression by E2. LEA (a, b, e, and
f) and LLO (c, d, g, and h) cells were grown in the absence (a to d) or
presence (e to h) of E2 and stained with anti-hTERT antibody K-370 (a,
c, e, and g) or with Hoechst 33258 (b, d, f, and h). Uninduced cells (a
and c) did not express hTERT, while treatment with the hormone for
6 h resulted in abundant nuclear accumulation of the protein (e
and g). Magnification, ×85.
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Finally, telomerase activity in extracts of HOSE cell strains (GRO,
LEA, and LLO) and in immortal HOSE cells (WOO) grown in the absence or
presence of estrogens was assayed by TRAP (Fig. 6). As reported previously
(8), extracts from mortal cells were telomerase negative in
the uninduced state (Fig. 6, lanes 3, 7, and 11). Upon the addition of
E2 (10
7 M) to the culture medium, telomerase activity was
induced within 3 h of treatment and increased marginally by 6 h. By 24 h, enzymatic activity was reduced, likely because of E2
intracellular catabolism (46). No hormonal induction of
telomerase activity was observed in human embryonic kidney cells, which
are telomerase negative and non-estrogen responsive (data not shown).
Extracts from immortal WOO cells were telomerase positive, even in the
absence of E2 (8); estrogen treatment did not induce
significant changes in telomerase activity (Fig. 6, lanes 15 to 18),
suggesting that once telomerase reactivation has taken place (here
through cell immortalization), no estrogen-dependent modulation of
enzymatic activity is detectable.

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|
FIG. 6.
Telomerase activity in response to E2 treatment.
Telomerase activity was assayed by TRAP in extracts from GRO (lanes 3 and 4), LEA (lanes 7 to 10), LLO (lanes 11 to 14), and WOO (lanes 15 to
18) cells. Assays shown were performed with 5 µg of protein, except
in the case of WOO cells (10 µg of protein; similar results were
obtained with 1 µg of protein). Cells were grown in the presence of
E2 at 10 7 M for the indicated times. As positive and
negative controls, 0.1 µg of protein from telomerase-positive HeLa
cells was assayed before and after heat inactivation (no E2) (lanes 2 and 1, respectively).
|
|
Taken together, the above results indicate that estrogen treatment
induces de novo hTERT expression and telomerase activity in
telomerase-negative primary ovary epithelial cells with rapid kinetics
strongly indicative of hormone-dependent transcriptional regulation of
the hTERT gene. Our results differ from those of Tanaka et al.
(41), who failed to detect changes in telomerase activity
upon estrogen treatment of human endometrial cells. However, as the
authors themselves suggested, this lack of response may have been
related to the cells used, telomerase-positive endometrial cells that
were unable to proliferate in vitro. Moreover, it has been shown that
estrogen effects on the endometrium are mediated indirectly by
ER-positive stromal cells (7).
In conclusion, the finding that hormone treatment of
telomerase-negative ovary epithelium cells activates hTERT expression and telomerase provides, to our knowledge, the first direct evidence that a "physiological" stimulus may reverse telomerase silencing in
normal cells. In addition, the identification of the hTERT gene as a
target of hormones greatly advances the understanding of telomerase
regulation in normal and malignant hormone-dependent cells and provides
a suitable model for investigating the effects of steroid hormones in
cell senescence and oncogenesis.
After submission of this paper, Kyo et al. (26) reported the
activation of hTERT expression and of telomerase by E2 in MCF-7 breast
cancer cells. Together with our results, these findings indicate that
estrogens play a role in the regulation of telomerase expression in
estrogen-targeted tissues under different physiological and
pathological conditions.
 |
ACKNOWLEDGMENTS |
We are grateful to Jan-Ake Gustafsson for the ER
expression
vector and to Maria Blasco for antibody K-370. We also thank the
anonymous reviewer for very helpful suggestions on the role of
c-myc in the response of telomerase to estrogens.
This work was supported by grants from Associazione Italiana per la
Ricerca sul Cancro (AIRC), Ministero della Sanità, Ministero dell'Università e della Ricerca Scientifica e
Tecnologica (MURST), and the National Cancer Institute of Canada (NCIC)
to S.B.
S.M. and S.N. contributed equally to this work.
 |
FOOTNOTES |
*
Corresponding author. Mailing address for Silvia
Bacchetti: Department of Pathology and Molecular Medicine, McMaster
University, Hamilton, Ontario L8N 3Z5, Canada. Phone: (905) 525-9140, ext. 22296. Fax: (905) 546-9940. E-mail:
bacchett{at}fhs.mcmaster.ca. Mailing address for Antonella
Farsetti: Molecular Oncogenesis Laboratory, Regina Elena Cancer
Institute, Via delle Messi d'Oro 156, 00158 Rome, Italy. Phone:
(39-06) 4985-2531. Fax: (39-06) 4180-526. E-mail:
farsetti{at}crs.ifo.it.
 |
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