Transfusion Medicine and Hemotherapy,
Journal Year:
2024,
Volume and Issue:
51(5), P. 292 - 309
Published: July 30, 2024
Background:
Telomeres
are
the
end-capping
structures
of
all
eukaryotic
chromosomes
thereby
protecting
genome
from
damage
and
degradation.
During
aging
process,
telomeres
shorten
continuously
with
each
cell
division
until
critically
short
prevent
further
proliferation
whereby
cells
undergo
terminal
differentiation,
senescence,
or
apoptosis.
Premature
due
to
telomere
length
(TL)
can
also
result
pathogenic
germline
variants
in
telomerase
complex
related
genes
that
typically
counteract
replicative
shortening
certain
somatic
populations,
e.g.,
hematopoetic
stem
cells.
Inherited
diseases
altered
maintenance
summarized
under
term
biology
disorder
(TBD).
Summary:
Since
TL
both
reflects
but
more
importantly
restricts
capacity
various
human
tissues,
a
sufficient
reserve
is
particularly
important
high
proliferative
activity
(e.g.,
hematopoiesis,
immune
cells,
intestinal
liver,
lung,
skin).
Consequently,
as
observed
TBDs
results
premature
cellular
exhaustion
respective
organ
systems
eventually
leading
life-threatening
complications
such
bone
marrow
failure
(BMF),
pulmonary
fibrosis,
liver
cirrhosis.
Key
Messages:
The
recognition
potential
congenital
origin
approximately
10%
adult
patients
clinical
BMF
utmost
importance
for
proper
diagnosis,
appropriate
patient
family
counseling,
use
inefficient
treatment
avoid
therapy-related
toxicities
including
donor
selection
when
have
transplantation
donors.
This
review
summarizes
current
state
knowledge
about
particular
focus
on
manifestation
patterns
children
(termed
early
onset
TBD)
compared
adults
(late-onset
typical
treatment-
disease
course-related
well
their
prognosis
adequate
therapy.
Thereby,
it
aims
raise
awareness
group
currently
still
highly
underdiagnosed
first
manifests
itself
adulthood.
Cancer Cell,
Journal Year:
2023,
Volume and Issue:
41(4), P. 807 - 817.e6
Published: April 1, 2023
Patients
with
short
telomere
syndromes
(STS)
are
predisposed
to
developing
cancer,
believed
stem
from
chromosome
instability
in
neoplastic
cells.
We
tested
this
hypothesis
a
large
cohort
assembled
over
the
last
20
years.
found
that
only
solid
cancers
which
patients
STS
squamous
cell
carcinomas
of
head
and
neck,
anus,
or
skin,
spectrum
reminiscent
seen
immunodeficiency.
Whole-genome
sequencing
showed
no
increase
instability,
such
as
translocations
chromothripsis.
Moreover,
STS-associated
acquired
maintenance
mechanisms,
including
telomerase
reverse
transcriptase
(TERT)
promoter
mutations.
A
detailed
study
immune
status
revealed
striking
T
immunodeficiency
at
time
cancer
diagnosis.
similar
impaired
tumor
surveillance
was
documented
mice
telomeres.
conclude
patients'
predisposition
is
due
exhaustion
rather
than
autonomous
defects
cells
themselves.
Nature Genetics,
Journal Year:
2024,
Volume and Issue:
56(9), P. 1832 - 1840
Published: Aug. 27, 2024
Telomeres
protect
chromosome
ends
from
damage
and
their
length
is
linked
with
human
disease
aging.
We
developed
a
joint
telomere
metric,
combining
quantitative
PCR
whole-genome
sequencing
measurements
462,666
UK
Biobank
participants.
This
metric
increased
SNP
heritability,
suggesting
that
it
better
captures
genetic
regulation
of
length.
Exome-wide
rare-variant
gene-level
collapsing
association
studies
identified
64
variants
30
genes
significantly
associated
length,
including
allelic
series
in
ACD
RTEL1.
Notably,
16%
these
are
known
drivers
clonal
hematopoiesis-an
age-related
somatic
mosaicism
myeloid
cancers
several
nonmalignant
diseases.
Somatic
variant
analyses
revealed
gene-specific
associations
lengthened
telomeres
individuals
large
SRSF2-mutant
clones,
compared
shortened
expansions
driven
by
other
genes.
Collectively,
our
findings
demonstrate
the
impact
rare
on
larger
effects
observed
among
also
hematopoiesis.
Cell Communication and Signaling,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: March 10, 2025
The
body's
innate
immune
system
plays
a
pivotal
role
in
identifying
and
eliminating
cancer
cells.
However,
as
the
ages,
its
functionality
can
deteriorate,
becoming
dysfunctional,
inefficient,
or
even
inactive—a
condition
referred
to
immunosenescence.
This
decline
significantly
increases
risk
of
malignancies.
While
pro-cancer
effects
T-cell
aging
have
been
widely
explored,
there
remains
notable
gap
literature
regarding
impact
on
cells,
such
macrophages
neutrophils.
review
seeks
address
this
gap,
with
emphasis
these
cell
types.
Furthermore,
although
certain
immunotherapies,
including
checkpoint
inhibitors
(ICIs),
demonstrated
efficacy
across
broad
spectrum
cancers,
elderly
patients
are
less
likely
derive
clinical
benefit
from
treatments.
In
some
cases,
they
may
experience
immune-related
adverse
events
(irAEs).
senolytic
strategies
shown
promise
exerting
anti-cancer
effects,
their
reactions
potential
off-target
present
significant
challenges.
aims
elucidate
immunosenescence,
implications
for
safety
ICIs,
anti-aging
treatment
strategies.
addition,
optimizing
therapies
minimize
enhance
therapeutic
outcomes
critical
focus
future
research
endeavors.
Senescence
is
an
inevitable
phenomenon
human
body,
scientists
explored
specific
mechanisms
by
which
immunosenescence
advances
development
cancer.
summarizes
characteristics
be
used
level
surveillance
cancers
due
"Targeting
immunosenescence"
new
idea
strategy
therapy.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(21), P. 15979 - 15979
Published: Nov. 5, 2023
The
maintenance
of
genome
integrity
through
generations
is
largely
determined
by
the
stability
telomeres.
Increasing
evidence
suggests
that
telomere
dysfunction
may
trigger
changes
in
cell
fate,
independently
length.
Telomeric
multiple
tandem
repeats
are
potentially
highly
recombinogenic.
Heterochromatin
formation,
transcriptional
repression,
suppression
homologous
recombination
and
chromosome
end
protection
all
required
for
stability.
Genetic
epigenetic
defects
affecting
homeostasis
cause
length-independent
internal
telomeric
DNA
damage.
Growing
evidence,
including
based
on
Drosophila
research,
points
to
a
checkpoint
mechanism
coordinates
fate
with
state.
According
this
scenario,
telomeres,
irrespective
their
length,
serve
as
primary
sensor
instability
capable
triggering
death
or
developmental
arrest.
factors
released
from
shortened
dysfunctional
telomeres
thought
mediate
these
processes.
Here,
we
discuss
novel
signaling
role
RNAs
early
development.
Telomere
ensures
multicellular
organisms
but
aggravates
aging
process,
promoting
accumulation
damaged
senescent
cells.
Biogerontology,
Journal Year:
2024,
Volume and Issue:
25(2), P. 313 - 327
Published: April 1, 2024
Abstract
Improving
human
healthspan
in
our
rapidly
aging
population
has
never
been
more
imperative.
Telomeres,
protective
“caps”
at
the
ends
of
linear
chromosomes,
are
essential
for
maintaining
genome
stability
eukaryotic
genomes.
Due
to
their
physical
location
and
“end-replication
problem”
first
envisioned
by
Dr.
Alexey
Olovnikov,
telomeres
shorten
with
cell
division,
implications
which
remarkably
profound.
Telomeres
hallmarks
molecular
drivers
aging,
as
well
fundamental
integrating
components
cumulative
effects
genetic,
lifestyle,
environmental
factors
that
erode
telomere
length
over
time.
Ongoing
attrition
resulting
limit
replicative
potential
imposed
cellular
senescence
serves
a
powerful
tumor
suppressor
function,
also
underlies
spectrum
age-related
degenerative
pathologies,
including
reduced
fertility,
dementias,
cardiovascular
disease
cancer.
However,
very
little
data
exists
regarding
extraordinary
stressors
exposures
associated
long-duration
space
exploration
eventual
habitation
other
planets,
nor
how
such
missions
will
influence
telomeres,
reproduction,
health,
risk,
aging.
Here,
we
briefly
review
current
understanding,
advanced
significantly
recent
years
result
NASA
Twins
Study,
most
comprehensive
evaluation
health
spaceflight
ever
conducted.
Thus,
Study
is
forefront
personalized
medicine
approaches
astronauts
sets
stage
subsequent
missions.
We
extrapolate
from
understanding
future
missions,
highlighting
biological
biochemical
strategies
may
enable
survival,
consider
prospect
longevity
extreme
environment
space.
Genome biology,
Journal Year:
2024,
Volume and Issue:
25(1)
Published: May 17, 2024
Abstract
Background
Telomeres
form
repeated
DNA
sequences
at
the
ends
of
chromosomes,
which
shorten
with
each
cell
division.
Yet,
factors
modulating
telomere
attrition
and
health
consequences
thereof
are
not
fully
understood.
To
address
this,
we
leveraged
data
from
326,363
unrelated
UK
Biobank
participants
European
ancestry.
Results
Using
linear
regression
bidirectional
univariable
multivariable
Mendelian
randomization
(MR),
elucidate
relationships
between
leukocyte
length
(LTL)
142
complex
traits,
including
diseases,
biomarkers,
lifestyle
factors.
We
confirm
that
telomeres
age
show
a
stronger
decline
in
males
than
females,
these
contributing
to
majority
5.4%
LTL
variance
explained
by
phenome.
MR
reveals
23
traits
LTL.
Smoking
cessation
high
educational
attainment
associate
longer
LTL,
while
weekly
alcohol
intake,
body
mass
index,
urate
levels,
female
reproductive
events,
such
as
childbirth,
shorter
also
identify
24
affected
risk
for
cardiovascular,
pulmonary,
some
autoimmune
diseases
being
increased
short
other
conditions
cancers.
Through
MR,
may
partially
mediate
impact
attainment,
childbirth
on
proxied
lifespan.
Conclusions
Our
study
sheds
light
modulators,
consequences,
mediatory
role
telomeres,
portraying
an
intricate
relationship
lifestyle,
socio-economic
Nature Communications,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 19, 2025
Abstract
To
assess
the
contribution
of
rare
coding
germline
genetic
variants
to
prostate
cancer
risk
and
severity,
we
perform
here
a
meta-analysis
37,184
cases
331,329
male
controls
from
five
cohorts
with
whole
exome
or
genome
sequencing
data,
one
cohort
imputed
array
data.
At
gene
level,
our
case-control
collapsing
analysis
confirms
associations
between
damaging
in
four
genes
increased
risk:
SAMHD1
,
BRCA2
ATM
at
study-wide
significance
level
(
P
<
1×10
−8
),
CHEK2
suggestive
threshold
2.6×10
−6
).
Our
case-only
analysis,
reveals
that
AOX1
are
associated
more
aggressive
disease
(OR
=
2.60
[1.75–3.83],
1.35×10
as
well
confirming
role
determining
severity.
single-variant
study
missense
variant
TERT
is
substantially
reduced
0.13
[0.07–0.25],
4.67×10
−10
non-synonymous
further
three
ANO7
SPDL1
AR
)
HOXB13
BIK
Altogether,
this
work
provides
deeper
insights
into
architecture
biological
basis
potential
implications
for
clinical
prediction
therapeutic
strategies.
NEJM Evidence,
Journal Year:
2025,
Volume and Issue:
4(3)
Published: Feb. 25, 2025
Extremely
short
telomeres
in
patients
with
dyskeratosis
congenita
and
related
telomere
biology
disorders
(TBDs)
lead
to
premature
cellular
senescence
bone
marrow
failure.
Zinc
finger
SCAN
domain-containing
4
(ZSCAN4)
elongates
by
recombination.
We
report
a
clinical
study
which
EXG34217,
the
term
given
for
autologous
CD34+
hematopoietic
stem
cells
from
TBD
exposed
temperature-sensitive
Sendai
virus
vector
encoding
human
ZSCAN4
at
33°C
24
hours,
was
infused
into
without
preconditioning.
Four
were
enrolled;
two
experienced
successful
mobilization
during
second
attempt
underwent
apheresis
EXG34217
infusion,
follow-up
of
5
months
(both
ongoing).
observed
elongation
(1.06-
1.34-fold)
ex
vivo.
In
one
patient,
treatment
associated
change
mean
absolute
neutrophil
count
(ANC)
1.78×103
3.18×103
cells/μl;
lymphocyte
subpopulation
length
changed
3.6
6.7
kb
(50th
percentile
age).
other
lowest
ANC
0.6×103/μl
1.2×103/μl;
this
has
occurred
patient
receiving
prior
intermittent
low-dose
granulocyte-colony-stimulating
factor
injections.
During
mobilization,
all
mild
moderate
pain
or
after
line
replacement,
had
blood
infection
fever
hypoxemia.
After
no
acute
safety
issues
noted;
long-term
cardiac
pulmonary
adverse
events
these
similar
symptoms
patient's
underlying
conditions.
Although
definitive
conclusions
cannot
be
drawn
EXG34217-treated
patients,
results
warrant
further
investigation
treating
TBDs.
(Funded
Elixirgen
Therapeutics;
ClinicalTrials.gov
number,
NCT04211714.).