Extension of Life-Span by Introduction of Telomerase into Normal
Human Cells
                               Andrea G. Bodnar et al.
                               Science 279, 349 (1998);
                               DOI: 10.1126/science.279.5349.349
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                                                                                                                                              RESEARCH ARTICLES
                                                                                                                                causes cellular senescence.
    Extension of Life-Span by                                                                                                       Introduction of telomerase into nor-
                                                                                                                                mal human cells. To determine if telo-
 Introduction of Telomerase into                                                                                                merase expression increases cell life-span,
                                                                                                                                we transfected hTRT2 normal cells with
       Normal Human Cells                                                                                                       two different hTRT expression constructs.
                                                                                                                                One construct was engineered for in-
                                                                                                                                creased translational efficiency by removal
          Andrea G. Bodnar,* Michel Ouellette,* Maria Frolkis,                                                                  of the 59 and 39 untranslated regions of
            Shawn E. Holt, Choy-Pik Chiu, Gregg B. Morin,                                                                       hTRT and creation of a Kozak consensus
          Calvin B. Harley, Jerry W. Shay, Serge Lichtsteiner,†                                                                 sequence. This engineered hTRT cDNA
                                                                                                                                was cloned downstream of the MPSV pro-
                          Woodring E. Wright†                                                                                   moter (19). The second construct consist-
                                                                                                                                ed of the complete (native) hTRT cDNA
Normal human cells undergo a finite number of cell divisions and ultimately enter a                                             cloned downstream of the SV40 promoter
nondividing state called replicative senescence. It has been proposed that telomere                                             in pZeoSV (19). In the first experiments,
shortening is the molecular clock that triggers senescence. To test this hypothesis, two                                        we compared the life-span of stable clones
telomerase-negative normal human cell types, retinal pigment epithelial cells and fore-                                         transfected with MPSV-hTRT versus
skin fibroblasts, were transfected with vectors encoding the human telomerase catalytic                                         “vector only” clones, and in the second,
subunit. In contrast to telomerase-negative control clones, which exhibited telomere                                            we compared the life-span of activity-
shortening and senescence, telomerase-expressing clones had elongated telomeres,                                                positive and activity-negative stable
                                                                                                                                                                                        Downloaded from www.sciencemag.org on June 1, 2012
divided vigorously, and showed reduced staining for b-galactosidase, a biomarker for                                            clones containing integrated SV40-hTRT
senescence. Notably, the telomerase-expressing clones have a normal karyotype and                                               constructs.
have already exceeded their normal life-span by at least 20 doublings, thus establishing                                            hTRT2 normal retinal pigment epithe-
a causal relationship between telomere shortening and in vitro cellular senescence. The                                         lial cells (RPE-340) were transfected with
ability to maintain normal human cells in a phenotypically youthful state could have                                            the MPSV-hTRT vector at population
important applications in research and medicine.                                                                                doubling (PD) 37, and 27 of the 39 result-
                                                                                                                                ant stable clones (69%) expressed telo-
                                                                                                                                merase activity. BJ foreskin fibroblasts were
                                                                                                                                transfected with the MPSV-hTRT vector
Normal human diploid cells placed in cul-                    expressed in most human somatic tissues                            at PD 58, and 3 of the 22 stable clones
ture have a finite proliferative life-span and               (13, 14), and telomere length is signifi-                          (14%) expressed telomerase activity. Re-
enter a nondividing state termed senes-                      cantly shorter (15). The telomere hypoth-                          verse transcriptase–polymerase chain reac-
cence, which is characterized by altered                     esis of cellular aging (16) proposes that                          tion experiments demonstrated that the
gene expression (1, 2). Replicative senes-                   cells become senescent when progressive                            hTRT mRNA originated from the trans-
cence is dependent upon cumulative cell                      telomere shortening during each division                           fected cDNA and not the endogenous
divisions and not chronologic or metabolic                   produces a threshold telomere length.                              gene (20). Telomerase activity, measured
time, indicating that proliferation is limited                  The human telomerase reverse tran-                              relative to that in the lung cancer–derived
by a “mitotic clock” (3). The reduction in                   scriptase subunit (hTRT) has been cloned                           human cell line H1299, ranged from 65 to
proliferative capacity of cells from old do-                 (17). We recently demonstrated that telo-                          360% in the RPE clones (Fig. 1) and 86 to
nors and patients with premature aging syn-                  merase activity can be reconstituted by                            95% in the BJ clones. This range of
dromes (4), and the accumulation in vivo of                  transient expression of hTRT in normal                             telomerase activity is similar to that ob-
senescent cells with altered patterns of gene                human diploid cells, which express low                             served for tumor cell lines (13). Thirty-
expression (5, 6), implicate cellular senes-                 levels of the template RNA component of                            three RPE clones and 24 BJ clones trans-
cence in aging and age-related pathologies                   telomerase (hTR) but do not express                                fected with the control plasmid were also
(1, 2).                                                      hTRT (18). This provided the opportuni-                            isolated; RPE clones that generated suffi-
   Telomere loss is thought to control                       ty to manipulate telomere length and test                          cient cells for the TRAP assay (n 5 15)
entry into senescence (7–10). Human                          the hypothesis that telomere shortening                            (Fig. 1) and control BJ clones (n 5 15)
telomeres consist of repeats of the se-
quence TTAGGG/CCCTAA at chromo-
some ends; these repeats are synthesized by                                                                                                   Fig. 1. Telomerase activity in stable
                                                                                                                                      99
                                                                        C 7
                                                                           3
                                                                          18
                                                                          20
                                                                                                                                   12
                                                                           0
the ribonucleoprotein enzyme telomerase                                                                                                       RPE clones. Stable human RPE
                                                                      PD
                                                                        T3
                                                                                       T7
                                                                                               T8
                                                                                                      T1
                                                                                                               T4
                                                                                                                      T5
                                                                        C
(11, 12). Telomerase is active in germline                   Cell #   500 500 500 500 100 500 100 500 100 500 100 500 100 500     0 100 500   clones obtained by transfection
cells and, in humans, telomeres in these                                                                                                      with a control vector (clone num-
cells are maintained at about 15 kilobase                                                                                                     bers prefixed with “C”) or with a
                                                                                                                                              vector expressing the hTRT cDNA
pairs (kbp). In contrast, telomerase is not                                                                                                   (“T” clones) were analyzed for te-
                                                                                                                                              lomerase activity by the TRAP as-
A. G. Bodnar, M. Frolkis, C.-P. Chiu, G. B. Morin, C. B.
Harley, and S. Lichtsteiner are at Geron Corporation, 230                                                                                     say (19). “PD37” represents the cell
Constitution Drive, Menlo Park, CA 94025, USA. M.                                                                                             population at the time of transfec-
Ouellette, S. E. Holt, J. W. Shay, and W. E. Wright are in                                                                                    tion. The number of cells assayed
the Department of Cell Biology and Neuroscience, Uni-                                                                                         for each clone is indicated above
versity of Texas Southwestern Medical Center, 5323 Har-                                                                                       each lane. “IC” is the internal control
ry Hines Boulevard, Dallas, T X 75235 –9039, USA.
                                                                                                                                              in the TRAP assay. The positive
* These authors contributed equally to this work.              IC —                                                                           control was the telomerase activity
†To whom correspondence should be addressed. E-mail:
                                                                                                                                              extracted from H1299 cells (20).
slichtste@geron.com; wright@utsw.swmed.edu
                                                www.sciencemag.org           z SCIENCE z VOL. 279 z 16 JANUARY 1998                                                             349
were negative for telomerase activity. BJ             by a ribonuclease protection assay, hTRT             lengths to determine if the hTRT-reconsti-
fibroblasts were also transfected with the            mRNA was undetectable in activity-neg-               tuted telomerase acts on its normal chro-
pZeoSV-hTRT construct at PD 44. Six of                ative BJ cells but readily observed in               mosomal substrate (21). Telomeres in the
76 clones (8%) expressed telomerase ac-               hTRT1 clones (20).                                   hTRT2 cells decreased by 0.4 to 1.3 kbp
tivity ranging from 10 to 30% of that in                 Telomere lengthening in hTRT1 nor-                (Fig. 2), comparable to the shortening seen
the reference H1299 cell line. As assessed            mal cells. We then measured telomere                 in mass cultures at equivalent PDs, whereas
                                                                                                           telomeres in the hTRT1 RPE and BJ clones
                                                                                                           transfected with the MPSV-hTRT vector
A                   RPE                                BJ                                                  increased by 3.7 kbp (6 1.4 kbp, n 5 26)
                                                                                                           and 7.1 kbp (6 0.3 kbp, n 5 3), respective-
                                                  C 8
      PD37
      C 55
                                                      5
       18
      T70
         1
         1
         4
         8
         4
         3
         2
      T61
         2
         3
         6
                                                 PD
                                                                                                           ly. Telomeres in six hTRT1 clones trans-
                                                    1
                                                    2
                                                    3
      PD
                                                  T5
                                                  T6
                                                  T7
M M                                        M M                  M M
      T3
      T8
      T1
      T4
      T2
      T2
      T3
      T4
      T5
      T6
      T6
      T8
                                                  C
                                                  C
                                                                      —19
                                                                                                           fected with the pZeoSV-hTRT vector, in-
                                                                                                           creased by 0.4 kbp (6 0.3 kbp, n 5 6).
                                                                      —12
                                                                      —10                                  Because two hTRT1 clones expressing only
                                                                      —8                                   5 to 7% relative telomerase activity (RPE
                                                                      —6
                                                                                                           clone T30 and BJ clone B13) did not main-
                                                                                                           tain telomere length, they were considered
                                                                      —4
                                                                                                           to be functionally hTRT2 (Fig. 2B). These
                                                                                                           results demonstrate that hTRT-reconstitut-
                                                                                                           ed telomerase extends the endogenous telo-
                                                                                                           meres in a normal cell.
                                                                                                                                                            Downloaded from www.sciencemag.org on June 1, 2012
                                                                      —2                                       Life-span, karyotype, and phenotype.
                                                                                                           To investigate the effect of telomerase ex-
                                                                                                           pression on the life-span of normal cells, we
                                                                      —1
                                                                                                           compared the growth of hTRT1 and
                                                                                                           hTRT2 clones. hTRT2 RPE clones showed
                                                                                                           the expected slowing of growth that is as-
Fig. 2. Telomere length in stable RPE and BJ clones. (A)
Terminal restriction fragment (TRF ) length of DNA from rep-
                                                                                                           sociated with aging in vitro, and 30 out of
resentative RPE and BJ clones (21). “C” clones are telo-                                                   33 senesced (22) by an age typical for mass
merase-negative and “T” clones are telomerase-positive.                                                    RPE cultures (Fig. 3). In contrast, hTRT1
“PD37” and “PD58” represent cells at the time of transfection                                              RPE clones transfected with MPSV-hTRT
for RPE and BJ cells, respectively, and “PD55” represents                                                  exceeded the mean life-span of the hTRT2
the RPE mass culture at the time of senescence. “M” indi-                                                  clones by ;20 doublings (P , 10224; Stu-
cates molecular size markers in kbp. (B) Mean TRF length at                                                dent’s T test). These clones have exceeded
the indicated population doublings of the hTRT1 (triangles)                                                the maximal RPE life-span (PD 55 to 57),
and hTRT2 (circles) RPE clones. “T30” refers to clone T30.                                                 and continue to divide at the rate of young
The gray horizontal bar represents the mean TRF of the cell
                                                                                                           RPEs (Fig. 3). Similarly, most of the
population at the time of transfection. The dashed horizontal
lines indicate the average TRF values for the hTRT1 and                                                    hTRT2 BJ fibroblast clones senesced or are
hTRT2 clones. (C) Mean TRF length at the indicated popu-                                                   near senescent (64 of 70 clones), whereas
lation doublings of the BJ clones transfected with pZeoSV-hTRT; designations are as in (B). “B13” refers   all six of the hTRT1 clones transfected
to clone B13. Closed symbols represent cells that senesced; half-filled symbols correspond to cells near   with the pZeoSV-hTRT vector exceeded
senescence (dividing less than once per week).                                                             the maximal BJ life-span (85 to 90 PD)
                                                                                                           (Fig. 3). The average PD of these six rapidly
                                                                                                           dividing hTRT1 clones is already 36 dou-
                                                                                                           blings beyond the average life-span of the
                                                                                                           70 hTRT2 clones (P , 1026). Similar re-
                                                                                                           sults were obtained with human vascular
                                                                                                           endothelial cells (23). Thus, expression of
                                                                                                           functional hTRT in normal cells extends
                                                                                                           their life-span.
                                                                                                               Senescence-associated b-galactosidase
                                                                                                           (SA–b-Gal) is an established biomarker as-
                                                                                                           sociated with cellular aging (6). We stained
                                                                                                           hTRT2 RPE clones at or near senescence
                                                                                                           and compared the level of SA–b-Gal stain-
                                                                                                           ing to that in hTRT1 clones that had un-
                                                                                                           dergone a similar or greater number of cell
                                                                                                           divisions (Fig. 4, A and B). A majority of
                                                                                                           the cells in the hTRT2 clones showed
Fig. 3. Effect of telomerase expression on cell life-span. The proliferative status of each RPE (upper
                                                                                                           strong staining; by contrast, few of the cells
panel) and BJ (lower panel; pZeoSV-hTRT experiment) clone is shown. The hTRT1 clones (triangles) and
the hTRT2 clones (circles) are plotted (35). Closed symbols represent senescent clones (dividing less      in hTRT1 clones at equivalent or greater
than once per 2 weeks); half-filled symbols correspond to cells near senescence (dividing less than once   PD showed staining. The cells of the
per week); open symbols represent clones dividing more than once per week. The shaded vertical area        hTRT2 clones that had stopped dividing
indicates the typical PD range where the mass population of cells senesce. Dashed vertical lines           exhibited SA–b-Gal staining levels equiv-
represent the mean PD of: (a) the hTRT2 and (b) the hTRT1 clones.                                          alent to that observed in senescent mass
350                                      SCIENCE      z VOL. 279 z 16 JANUARY 1998 z www.sciencemag.org
                                                                                                                  RESEARCH ARTICLES
cultures. Their large size and increased ratio           Telomere homeostasis is likely to result    factors that may affect the functional level
of cytoplasm:nucleus also indicates that the         from a balance of lengthening and shorten-      of telomerase. This hypothesis is supported
clones had senesced (Fig. 4A). The remain-           ing activities. Although certain proteins in    by our finding that hTRT1 clones derived
der of the slowly dividing hTRT2 clones              yeast are thought to facilitate the interac-    from different cell types and transfected
exhibited SA–b-Gal staining typical of               tion of telomerase with the telomere (25),      with different vectors showed marked dif-
cells close to senescence. The same result           our results indicate that if analogous mam-     ferences in telomere lengths.
was found for fibroblasts: Six of six hTRT1          malian factors are required, they are already       Certain stem cells or germline popula-
clones showed low levels of staining typical         present in hTRT2 human cells. The telom-        tions are telomerase positive (13, 27, 28)
of young fibroblast cultures, whereas all of         erase catalytic subunit produces the length-    and have long or indefinite life-spans, illus-
the hTRT2 clones showed elevated SA–b-               ening activity, but other factors including     trating that telomerase expression per se is
Gal staining (Fig. 4C). Detailed G-banding           telomere binding proteins such as hTRF-1        not oncogenic. Cellular transformation with
of two hTRT1 RPE clones and two hTRT1                and -2 (26) might be involved in establish-     viral oncoproteins can also extend cell life-
BJ clones revealed that the cells had the            ing a telomere length equilibrium. Very low     span, but through mechanisms that reduce
normal complement of 46 chromosomes                  levels of telomerase activity, such as that     checkpoint control, increase genomic insta-
and no abnormalities (24). hTRT1 cells               exhibited by RPE clone T30 and BJ clone         bility, and fail to prevent telomere loss (29,
with an extended life-span therefore appear          B13, are apparently insufficient to prevent     30). We have not observed any gross pheno-
to have a normal karyotype and phenotype             telomere shortening. This is consistent with    typic or morphological characteristics of
similar to young cells.                              the observation that stem cells have low but    transformed cells (such as loss of contact
    Implications. Our results indicate that          detectable telomerase activity, yet continue    inhibition or growth in low serum) that
telomere loss in the absence of telomerase is        to exhibit shortening of their telomeres        might account for the extended proliferative
the intrinsic timing mechanism that con-             throughout life (27). Thus, we believe that     capacity of the hTRT1 cells. The normal
                                                                                                                                                      Downloaded from www.sciencemag.org on June 1, 2012
trols the number of cell divisions prior to          a threshold level of telomerase activity is     karyotype and the absolute correlation be-
senescence. The long-term effects of exog-           required for life-span extension. Promoter      tween extended life-span and telomerase ac-
enous telomerase expression on telomere              strength, structure of untranslated regions,    tivity suggest that stochastic mutagenesis
maintenance and the life-span of these cells         site of integration, levels of hTR and          does not account for the life-span extension.
remain to be determined in studies of longer         hTRT, and telomere- or telomerase-associ-           Cellular senescence is believed to con-
duration.                                            ated proteins in specific cell types are all    tribute to multiple conditions in the elderly
Fig. 4. SA–b-galactosidase staining of stable clones. (A) Bright-field photomicrograph
of representative RPE hTRT1 and hTRT2 clones stained for SA–b-Gal (6). Clones T8
(PD60) and T 71 (PD60) are hTRT1; clones C22 (PD54) and C23 (PD56) are hTRT2.
Scale bar, 100 mm. (B) SA–b-Gal staining at the indicated population doublings of
RPE clones. Each point represents one clone. hTRT1 clones (triangles) and hTRT2
clones (circles) are plotted. Closed symbols represent senescent clones (dividing less
than once per 2 weeks), half-filled symbols correspond to cells near senescence
(dividing less than once per week); open symbols represent clones dividing at least
once per week. (C) SA–b-Gal staining at the indicated population doublings of BJ
clones; designations are as in (B).
                                         www.sciencemag.org       z SCIENCE z VOL. 279 z 16 JANUARY 1998                                       351
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                                                               hTRT with a consensus Kozak sequence down-
                                                                                                                                (1993); J. W. Shay, W. E. Wright, D. Brasiskyte, B. A.
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cellular life-span, while maintaining the                      (MPSV ) promoter (pGRN145) (18). After 48 hours,
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                                                               transfected cells were placed into medium contain-
diploid status, growth characteristics, and                    ing Hygromycin-B (50 mg/ml) for 2 to 3 weeks, at
                                                                                                                                Exp. Cell Res. 209, 45 (1993).
                                                                                                                          30.   J. W. Shay, O. M. Pereira-Smith, W. E. Wright, Exp.
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                                                                                                                                Cell Res. 196, 33 (1991).
normal cells, has important implications for                   mg/ml. Individual stable clones were selected and
                                                               analyzed for telomerase activity by the telomeric re-      31.   K. Takeda, A. Gosiewska, B. Peterkofsky, J. Cell.
biological research, the pharmaceutical in-                    peat amplification protocol (TRAP) (13, 18). In a sep-           Physiol. 153, 450 (1992); M. D. West, Arch. Derma-
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                                                               with pZeoSV-hTRT, a derivative of pZeoSV (Invitro-         32.   M. Boulton, F. Docchio, P. Dayhaw-Barker, R. Ram-
    Note added in proof: As of the time of                                                                                      poni, R. Cubeddu, Vision Res. 30, 1291 (1990); J.
                                                               gen, Carlsbad, CA) encoding hTRT downstream of
galley proofs, virtually all of the hTRT2                      the simian virus 40 (SV40) promoter. After electropo-            Tombran-Tink, S. M. Shivaram, G. J. Chader, L. V.
clones were senescent or near senescent,                       ration, the BJ cells were cultured in zeocin (200 mg/            Johnson, D. Bok, J. Neurosci. 15, 4992 (1995).
whereas all of the hTRT1 clones continued                      ml). hTRT1 and hTRT2 clones from each transfec-            33.   T. Kumazaki, Hiroshima J. Med. Sci. 42, 97 (1993).
                                                               tion were obtained and expanded.                           34.   S. Lichtsteiner, I. Savre-Train, M. Ouellette, unpub-
to divide rapidly.                                         20. Reverse transcriptase–polymerase chain reaction                  lished results.
                                                               (RT-PCR) was performed on cells transfected with           35.   To accumulate doublings as rapidly as possible, we
        REFERENCES AND NOTES                                   pGRN145. Endogenous hTRT mRNA was detected                       shifted all six hTRT1 BJ clones and the six fastest
        ___________________________                            with the primer set RA58 (59-GGCTGAAGTGTCA-                      growing hTRT2 BJ clones from 10% to 20% serum
1. L. Hayflick and P. S. Moorhead, Exp. Cell Res. 25,          CAG-39) and hTRT39UTR (59-GGCTGCTGGTGTCT-                        and maintained them in continuous log growth as of
   585 (1961); W. E. Wright, O. M. Periera-Smith, J. W.        GCTCTCGGCC-39). Exogenous hTRT mRNA was                          PD 66 to 78 (hTRT2) or PD 74 to 80 (hTRT1). Neither
   Shay, Mol. Cell. Biol. 9, 3088 (1989); S. Goldstein,        detected with the primer set RA58 and RA55 (59-                  increased serum nor exponential growth conditions
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