Abstract:
Etoposide, a topoisomerase II poison is used in the treatment of a number of solid
tumours. Contradictory data exist on the role of the telomere/telomerase complex in
etoposide induced apoptosis. Therefore we examined the effects of etoposide
treatment in the neuroblastoma cell line SHSY5Y, with very short telomeres and the
acute lymphoblastic T cell line 1301, which displays extremely long telomeres. Both
short-term and continuous exposure to the drug was examined. Etoposide induced
widespread DNA damage followed by DNA damage foci formation and ultimately
growth arrest and apoptosis in a concentration-dependent manner. However, length of
telomeres and of single stranded telomeric G rich overhangs did not change
significantly under the treatments in any cell line. There was no significant induction
of single-strand breaks in the G- rich strand of telomeres. Telomerase activity was
transiently upregulated under low concentrations of etoposide, while high
concentrations resulted in decreased telomerase activity only after onset of apoptosis.
Telomerase overexpression protected against etoposide induced apoptosis in
fibroblasts. The data suggest that telomeres are not major signal transducers towards
growth arrest or apoptosis after etoposide treatment. However, upregulation of
telomerase might be part of an attempted adaptative response, which protects cells by
a mechanism that might be independent of telomere length maintenance.