Alternative lengthening of telomeres in the human adrenocortical carcinoma cell line H295R

MASACHIKA FUJIWARA1, HIROSHI KAMMA2,4, WENWEN WU2, YUKIKO YANO2,3, SHINSUKE HOMMA2,3 and HIROAKI SATOH3

1 Department of Pathology, Kensei General Hospital, Iwase, Nishi-Ibaraki, Ibaraki 309-1295;

2Institute of Basic Medical Sciences and 3Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan

Received May 18, 2004; Accepted October 12, 2004

Abstract. Telomere maintenance can occur in the absence of telomerase by a mechanism referred to as alternative lengthening of telomeres (ALT). ALT is considered to be rare in tumors of epithelial origin. The biological significance and molecular mechanism of ALT have not been well studied in human cancers. It has been reported that clinical samples of adrenocortical carcinoma show a low incidence of telomerase positivity. We characterized an adrenocortical carcinoma cell line, H295R, focusing on the telomere maintenance mechanism, and compared it with telomerase- positive 293 cells and HeLa cells. Telomerase activity could not be detected in H295R cells by the TRAP assay. Among the essential components of the telomerase holoenzyme, only hTERT expression was undetectable by RT-PCR, indicating that the lack of telomerase activity is due to suppression of hTERT. H295R cells had long and heterogeneous telomere DNA, and FISH revealed large nuclear bodies in a few inter- phase nuclei, which presumably represented ALT-associated PML bodies. These results suggest that H295R cells have the ALT phenotype. Several proteins that are possibly associated with the telomere maintenance mechanism were examined. TRF1 and TRF2 were expressed in H295R cells as well as in 293 cells and HeLa cells. The ratio of hnRNP B1 to A2 was higher in H295R cells than in 293 cells and Hela cells. In conclusion, the H295R adrenocortical carcinoma cell line is negative for telomerase and maintains its telomeres by the ALT mechanism. We anticipate that H295R cells will be a good model for understanding the significance and mechanism of ALT in human cancers.

Correspondence to: Dr Hiroshi Kamma, Present address: 4Department of Pathology, Kyorin University, School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, Japan

E-mail: hkamma@kyorin-u.ac.jp

Key words: telomere, ALT, adrenocortical carcinoma, H295R

Introduction

Prevention of telomeric shortening is essential for cancer cells or in vitro immortalized cells, because telomere repeats are lost during DNA replication every time cells divide (1). Most human cancer cells maintain their telomere length by the actions of the ribonucleoprotein enzyme telomerase, which synthesizes telomere repeats using the internal template RNA (hTR) (2). Telomerase inhibitors, therefore, have been believed to hold considerable promise for anticancer treatment. However, the situation becomes somewhat complicated, because several studies have demonstrated that telomere maintenance can occur in the absence of telomerase activity by a mechanism referred to as alternative lengthening of telomeres (ALT) (reviewed in refs. 3,4). Cancer cells with ALT may be resistant to anticancer treatment with telomerase inhibitors. However, the biological significance and mechanism of ALT in human cancers are not fully understood, because most reported ALT cell lines are in vitro immortalized cells derived from mesenchymal cells. Few well characterized ALT cell lines have been established from human cancers.

The ALT phenomenon in vivo is likely to be specific to some tissue or cell types, although extensive surveys for ALT in human tumors have not been carried out. Among tumors of epithelial origin, adrenocortical carcinomas have been described as tumors with a low incidence of telomerase positivity (5). However, no adrenocortical carcinoma ALT cell lines have been reported. H295R is a human cell line that was initially established from an invasive adrenocortical carcinoma (6,7) and has been used as a model for human adrenocortical studies on steroidogenesis (8).

In the literature, ALT cells have been reported to lack telomerase activity and show a great heterogeneity in telomere length within individual cells (9). They often have ALT- associated promyelocytic leukemia (PML) bodies, which contain extra-chromosomal telomeric DNA, specific telomere- binding proteins, and proteins that participate in DNA replication and recombination (10). It has been reported that the recombination event is a leading candidate mechanism for ALT (4), and that the ALT-associated PML bodies are possibly involved in the mechanism by means of telomeric DNA and telomere-binding proteins (11). More recently,

cyclin D1 overexpression has also been reported to participate in activation of ALT in combination with p53 inactivation in a cancer model using human oral keratinocytes (12). Heterogeneous nuclear ribonucleoproteins (hnRNPs) A2/B1 have reported to be overexpressed in various cancers (13-17), and also have attracted considerable attention as proteins that bind to single-stranded telomeric DNA (18,19). We previously reported that B1 has stronger affinity for telo- meric DNA than A2 and may be an important factor for telomere maintenance (20).

To elucidate the significance and the regulatory factors of ALT in human cancers, we characterized the adreno- cortical carcinoma cell line H295R, focusing on its telomere maintenance mechanism. We examined its telomerase activity and telomere length phenotype to demonstrate that H295R is an ALT cell line. Further, we investigated the telomere binding proteins and possible regulatory factors for telomere maintenance in H295R cells.

Materials and methods

Cell lines and culture conditions. The human adrenocortical carcinoma cell line H295R was purchased from the American Type Culture Collection. As a control for telomerase-positive cells, 293 cells (human embryonic kidney cells transformed with adenovirus 5 DNA, purchased from the Japanese Collection of Research Bioresources) and HeLa cells (human uterine cervical carcinoma cells, JW 36) were used. H295R cells were grown at 37℃ under 5% CO2 in Dulbecco’s modified Eagle’s medium (DMEM)/Ham’s F-12 (1:1) supplemented with insulin (10 µg/ml), transferrin (5.5 µg/ml), selenium (5 ng/ml), linoleic acid (4.7 ng/ml), bovine serum albumin (0.5 mg/ml) added in the form of 1% ITS+1 media (Sigma, St. Louis, MO, USA), 2.5% fetal bovine serum (FBS), and antibiotics (7). 293 cells and Hela cells were grown at 37℃ under 5% CO2 in DMEM supplemented with 10% FBS. Sub-confluent cultures were harvested and used for each analysis.

Telomerase assay. Telomerase activity was measured with a PCR-based telomeric repeat amplification protocol (TRAP) method (21,22). Cells (1x106) were pelleted, lysed and incubated in 200 ul CHAPS lysis buffer on ice for 30 min, and centrifuged before collecting the supernatant. Aliquots of the diluted CHAPS extract (2 ul) containing protein equivalent to 2.5x103 or 1x104 cells were incubated for 30 min at 30℃ in the presence of 50 uM deoxynucleotide tri- phosphates (dNTPs), 10X TRAP buffer, and 20 pmol telo- merase substrate (TS) primer (5’-AATCCGTCGAGCAGAG TT-3’). The reaction was digested with 0.15 mg/ml proteinase K at 37℃ for 30 min, extracted with phenol/chloroform (1:1), ethanol precipitated, resuspended in distilled water, and amplified in 20 ul of reaction buffer containing 1.5 mM MgCl2, 0.1 µM of ACX primer [5’-GCGCGG(CTTACC)3CTA ACC-3’], and 0.025 U/ul Takara Taq (Takara, Ohtsu, Japan). PCR was performed for 26 cycles at 95℃ for 30 sec and 62℃ for 30 sec. The amplified products were electro- phoresed on a 12.5% non-denaturing polyacrylamide gel in 0.5X Tris-borate EDTA buffer, stained with SYBR Green I (Molecular Probes, Eugene, OR, USA), and scanned with

Fluorimager and ImageQuant software (Molecular Dynamics, Sunnyvale, CA, USA). Synthetic telomerase product R8 (5’-AATCCGTCGAGCAGAGTTAG[GGTTAG]7-3’) was used as a positive external control, and the 36-bp oligo- nucleotide TSNT (5’-AATCCGTCGAGCAGAGTTAAAAG GCCGAGAAGCGAT-3’), which is amplified by the TS and a specific NT primer (5’-ATCGCTTCTCGGCCTTTT-3’), was used as a positive internal control. Negative controls included heat-treated (85℃, 10 min) extracts and lysis buffer without extracts.

RNA extraction and reverse transcription-PCR. Total cellular RNA was extracted from collected cells using the Isogen reagent (Nippon Gene, Tokyo, Japan). The RNA (0.9 µg) of each cell was used for cDNA production using an RNA PCR kit (Takara) with random nonamers in a total volume of 20 ul. Aliquots (1 ul) of the reverse transcription products were amplified in 20 ul of reaction buffer containing 1.5 mM MgCl2, 0.3 µM of each primer, and 0.025 U/ul Takara Taq (Takara). The specific primers for the 3 components of the telomerase holoenzyme (hTERT, hTR, and hTEP1), telomere binding proteins (TRF1 and TRF2), and cyclin D1 are shown in Table I, together with their optimal PCR conditions (2,23-26). A competitive multiplex RT-PCR was employed to detect either transcript [a] or [b] of cyclin D1 and to determine their relative levels (26). A shared upstream primer (AL) was used in conjunction with two downstream primers, one specific to transcript [a] (AR), and the other to transcript [b] (BR). The quality of the extracted RNA was controlled using ß-actin mRNA-specific primers (27). The amplified products were electrophoresed on 5% non-denaturing polyacrylamide gels in 0.5X Tris-borate EDTA buffer, stained with SYBR Green I, and scanned with Fluorimager and ImageQuant software.

Telomere length analysis. Telomere length was estimated by measurement of the terminal restriction fragment (TRF) length using a modification of Southern blot analysis. Genomic DNA from each cell sample (10 µg) was digested with 20 units of Rsal and 20 units of HinfI for 18 h at 37℃ to produce the TRFs. The TRFs were resolved on a 0.6% agarose gel and transferred to a nylon membrane (GeneScreen Plus: Perkin- Elmer Life Sciences, Boston, MA, USA). The membrane was hybridized with a 5’ end-labeled telomeric probe [y-32P- (TTAGGG)}] for 16 h at 65℃ in hybridization buffer [1 M sodium chloride, 1% sodium dodecylsulfate (SDS), 10% dextran] and rinsed in 2X SSC (1X SSC: 150 mM NaCl, 15 mM sodium citrate) with 1% SDS for 30 min at 65℃ twice. The bound probe was autoradiographed on X-ray film. The TRF signals, which appear as a smear, were divided into 16 equidistant intervals from 1 to 28 kilobase to calculate the mean TRF using the equation TRF (mean) = (ODí Lí)/(ODí), where ODí is the signal intensity over interval í and Lí is the kilobase size at the middle of interval í.

Pulsed-field gel electrophoresis. Collected cells (1x106) were embedded into 1% agarose plugs and then digested with 50 units of Rsal and 50 units of Hinf I for 18 h at 37℃ to produce the TRFs. The TRFs were resolved on a 1% agarose gel with a CHEF Mapper XA pulsed-field gel electrophoresis system (Bio-Rad, Hercules, CA, USA) in recirculating

Table I. Oligonucleotides and cycling conditions used for RT-PCR.
OligonucleotidesTemperature (C); time (sec)No. of cyclesRefs.
hTERT cDNA amplification (145 bp)95; 2530(23)
TERT-1784S; 5'-CGGAAGAGTGTCTGGAGCAA-3'68; 50
TERT-1928A; 5'-GGATGAAGCGGAGTCTGGA-3'72; 50
hTR cDNA amplification (125 bp)94; 4032(2)
F3b; 5'-TCTAACCCTAACTGAGAAGGGCGTAG-3'60; 60
R3c; 5'-GTTTGCTCTAGAATGAACGGTGGAAG-3'72; 40
hTEP1 cDNA amplification (264 bp)94; 4032(24)
TEP1-S; 5'-TCAAGCCAAACCTGAATCTGAG-3'60; 60
TEP1-AS; 5'-CCCCGAGTGAATCTTTCTACGC-3'72; 40
TRF1 cDNA amplification (160 bp)95; 2524(25)
TRF1-S; 5'-GCAACAGCGCAGAGGCTATTATT-3'60; 50
TRF1-AS; 5'-AGGGCTGATTCCAAGGGTGTAA-3'72; 50
TRF2 cDNA amplification (93 bp)95; 2528(25)
TRF2-S; 5'-AAACGAAAGTTCAGCCCCG-3'60; 50
TRF2-AS; 5'-TCCTCCAAGACCAATCTGCTTA-3'72; 50
Cyclin D1 cDNA amplification ([a] 448 bp/[b] 275 bp)
AL; 5'-GAACAAACAGATCATCCGCA-3'95; 3030(26)
AR; 5'-AGGGACTGTCATGTGGAGCA-3'60; 30
BR; 5'-ATTTCCGTGGCACTAGGTGT-3'
ß-actin cDNA amplification (213 bp)95; 2516(27)
CHO17; 5'-CCCTGAGGCACTCTTCCAG-3'60; 50
CHO18; 5'-ACTTGCGCTCAGGAGGAGC-3'72; 50

0.5X Tris-borate EDTA buffer at 14℃. Electrophoresis conditions were 21 h at 6 V/cm with a 5-sec switch time at an included angle of 120°. The TRFs were transferred to a nylon membrane and hybridized with telomeric probe, as described above.

Fluorescence in situ hybridization (FISH). Cells were arrested in metaphase by colcemid (0.1 µg/ml), treated with 0.075 M KCI for 15 min at 37℃, and fixed and stored in methanol-acetic acid fixative (3:1). Cell suspensions were dropped onto slides and dried overnight at room temperature. After fixation in 4% formaldehyde in phosphate-buffered saline (PBS: 137 mM NaCl, 3 mM KCl, 16 mM Na2HPO4, 2 mM KHPO4, pH 7.3) for 5 min, the slides were washed in PBS and treated with pepsin at 1 mg/ml for 15 min at 37℃ at pH 2.0. After a brief rinse in PBS, the slides were fixed again with formaldehyde and repeatedly washed. To denature the DNA, the slides were heated for 3 min at 80℃ in 70% formamide/2X SSC, then rapidly cooled to -20℃ in 70% ethanol, dehydrated with ethanol, and air-dried. A hybridization mixture containing 70% formamide, 0.3 µg/ml FITC-(CCC TAA)3 peptide nucleic acid (PNA) probe (Sawady Inc., Tokyo,

Japan), and 1% (w/v) blocking reagent (Boehringer-Ingelheim, GmbH, Germany) in 10 mM Tris pH 7.2 was added to the slide. After hybridization for 2 h at 37°℃, the slides were washed at room temperature with 70% formamide/10 mM Tris pH 7.2 (2x15 min) and with Tris-buffered saline (TBS: 150 mM NaCl, 50 mM Tris, pH 7.5) containing 0.05% Tween-20 (3x5 min). After being counterstained with propidium iodide (0.1 µg/ml), the slides were embedded with antifade solution (Dabco, Sigma, St. Louis, MO, USA). Images were captured on an Olympus BH-2 microscope with a CoolSNAP cooled CCD camera using RSImage software (Roper Scientific, Tucson, AZ, USA).

Immunoblotting. Immunoblotting analysis with the anti-hnRNP A2 antibody 4G8 and the anti-hnRNP B1 antibody 2B2 was carried out to semi-quantify the amounts of A2 and B1 proteins among the cell lines (28). SDS samples of total cellular lysates containing 50 µg of protein were separated by electrophoresis on 12.5% SDS-polyacrylamide gels (SDS-PAGE). For immunoblotting, proteins were transferred to nitrocellulose membranes (Schleicher & Schuell, Dassel, Germany) and probed with the anti-A2 and anti-B1 antibodies,

Figure 1. Telomerase activity in cell lines. An amount of CHAPS cell extract equivalent to 2.5x103 or 1x104 cells from each cell line was used in a PCR-based TRAP assay. Heat-treated (HT) samples and lysis buffer containing no cell extract served as negative controls. TSNT is an internal PCR control to demonstrate the absence of PCR inhibitors in the cell extracts. R8 oligonucleotide (1 amol) is an external intensity standard for PCR amplification. 293 cells and HeLa cells demonstrate varying intensities of 6-bp ladders of PCR products dependent on the equivalent number of cells in the extracts, while H295R cells show no ladders of PCR products.

10 bp ladder

293

HeLa

H295R

2.5×103

1×104

* 1×104

2.5×103

1×104

* 1×104

2.5x103

1×104

Lysis buffer

1×104

R8

HT

+

4-TSNT

which were diluted and cocktailed as to produce maximum and specific reactions against both A2 and B1 proteins (x1000 dilution for 4G8 and x5000 dilution for 2B2). Bound antibodies were detected with peroxidase-conjugated anti- mouse IgG and Western Lightning Plus chemiluminescence reagent (Perkin-Elmer Life Sciences, Boston, MA, USA).

Results

Absence of telomerase activity in H295R cells. The telomerase activity of H295R cells was evaluated by testing two protein concentrations equivalent to 2.5x103 and 1.0x104 cells by the TRAP assay, and compared with those of 293 cells and HeLa cells. Although the samples of 293 cells and HeLa cells produced 6-base incremental ladders of TRAP products, those of H295R cells did not display this characteristic ladder (Fig. 1). The extent of the TRAP signals of 293 cells and Hela cells were dependent on the protein concentration, indicating that the TRAP assay was performed quantitatively. In H295R cells, potential inhibitors of telomerase were excluded by the dilution of the CHAPS extract, and the presence of the PCR inhibitors could be excluded by amplification of the TSNT internal control.

Suppression of hTERT in H295R cells. The expression of 3 components of the telomerase holoenzyme was estimated by RT-PCR using specific primers to hTERT, hTR, and hTEP1 (Fig. 2a-c). hTERT mRNA was not detected in H295R cells, although it was detected in 293 cells and Hela cells. In contrast, hTR and hTEP1 mRNA were detected in all cell lines. These results suggested that H295R cells lack telomerase activity due to the absence of hTERT expression.

Figure 2. Expression of hTERT (a), hTR (b), hTEP1 (c), TRF1 (d), TRF2 (e) and cyclin D1 (f) mRNAs in cell lines. RNA samples were isolated and examined by RT-PCR. B-actin mRNA was amplified as the internal standard (g). NC, negative control adding distilled water instead of RNA sample. No products were detected in the negative control reaction for each sample in which reverse transcriptase was omitted (data not shown).

293

HeLa

H295R

NC

a

+ hTERT (145 bp)

b

+ hTR (125 bp)

0

+ hTEP1 (264 bp)

0

+ TRF1 (160 bp)

e

+ TRF2 (93 bp)

+ cyclin D1 [a] (448 bp)

f

+ cyclin D1 [b] (275 bp)

g


+ ß-actin (213 bp)

Figure 3. Telomere length analysis of cell lines. (a), Genomic DNA from 293 cells, Hela cells, and H295R cells was digested with Hinfl and Rsal and subjected to TRF electrophoresis on a 0.6% agarose gel. (b), Genomic DNA from H295R cells was digested with HinfI and RsaI and subjected to TRF pulsed-field electrophoresis on a 1% agarose gel. The positions of the size markers (in Kb) are given on the left.

a

b

293

HeLa

H295R

H295R

(kb)

(kb)

194.0

145.5

23.1 -

97.0

9.4 -

48.5 8.5-

6.6-

23.1

9.4 -

4.4 -

6.6-

2.3 -

4.4-

2.0-

Long and heterogeneous telomeres in H295R cells. The TRFs of 3 cell lines are shown in Fig. 3. 293 cells and HeLa cells had a mean TRF length of 3.7 kb and 7.2 kb, respectively (Fig. 3a). On the other hand, the TRF length of H295R cells

Figure 4. Telomere FISH using an FITC-labeled (CCCTAA)3 PNA probe on H295R cells. (a), Interphase H295R cells demonstrated variability in telomeric signals. (b), An interphase cell displayed large and bright nuclear signals, which presumably represented ALT-associated PML bodies.

a

b

Figure 5. Immunoblot analysis of cell lines with anti-hnRNP A2 and anti- hnRNP B1 antibodies. Total cellular proteins (50 µg) were separated by 12.5% SDS-PAGE and transferred onto membranes. Immunoblotting using cocktailed anti-hnRNP A2 (4G8) and anti-hnRNP B1 (2B2) antibodies was performed. The positions of the A2 and B1 proteins are shown to the right of the figure.

293

HeLa

H295R

(KD)

116

97-

66

44

B1 (38kD)

A2 (36kD)

29-

14-

was too long to resolve with a conventional 0.6% agarose gel, so we carried out pulsed-field electrophoresis on a 1% agarose gel for H295R cells (Fig. 3b). The TRFs of H295R cells were long and heterogeneous, with a peak around 20 kb, and showed smearing of telomeric DNA up to the well.

Extraordinary signals in telomeres using FISH of H295R cells. FISH demonstrated telomeric spotty signals in interphase nuclei. The signal sizes identified in H295R cells were greatly variable and ranged from undetectable to very large (Fig. 4a). In contrast, telomeric signals were generally very

small and faint in 293 cells and HeLa cells (data not shown). In addition, a small population (<1%) of H295R cells displayed large and bright signals, which presumably represented ALT-associated PML bodies (Fig. 4b). These large and bright signals were not found in 293 cells or Hela cells. Extra-chromosomal telomere-specific signals were not observed in metaphase H295R cells, 293 cells, or Hela cells.

Expression of telomere-binding proteins and cyclin D1 in H295R cells. The mRNA expression of TRF1 and TRF2 was investigated by RT-PCR, which revealed that both TRF1 and TRF2 were expressed in H295R cells as well as 293 cells and Hela cells (Fig. 2d and e). Expression of cyclin D1 was also examined by a competitive multiplex RT-PCR (26). Neither transcript [a] nor [b], in which exon 5 is missing, was detected in H295R cells (Fig. 2f). In contrast, both transcript [a] and [b] were expressed in 293 cells and HeLa cells, although their ratios were not the same. Immunoblotting analysis using anti-A2 and anti-B1 antibodies disclosed varied expression levels of A2 and B1 proteins among the 3 cell lines (Fig. 5). H295R cells expressed a relatively large amount of B1 protein, and the ratio of B1 protein to A2 in H295R cells (1.37) was estimated at 2-fold that in 293 cells (0.70) and 6-fold that in Hela cells (0.22).

Discussion

In this study, we demonstrated that the adrenocortical carcinoma cell line H295R lacks detectable telomerase activity due to loss of hTERT expression. Long and hetero- geneous telomeres as well as large nuclear bodies on FISH analysis suggested that H295R cells maintain their telomeres by the ALT mechanism.

The measurement of telomerase activity by the PCR- based assay occasionally gives negative results in telomerase- positive cultured cells. One of the causes of this is the presence of inhibitors of telomerase or Taq polymerase in the cell extracts. In this study, all of the samples were assayed at lower protein levels, because inhibition of telomerase at high protein concentrations has been reported in the TRAP assay. We carried out proteinase digestion and phenol extraction steps after the extension of the TS primer to remove possible inhibitors of Taq polymerase. In addition, an internal standard (TSNT) was used to exclude the inhibitors of Taq polymerase. The second possible cause for a negative result is the presence of telomerase-negative subclones in telomerase-positive cell lines, which results from clonal fluctuations in the levels of telomerase activity (29). For example, telomerase-negative subclones were reported to exist even in 293 cells and HeLa cells (29). This lack of telomerase activity, however, was tentative, and those subclones regained telomerase activity by 18 population doublings. The telomerase activity of H295R cells remained negative at all population doublings, and hTERT expression was not detected on RT-PCR (data not shown). That is, H295R cells are telomerase-negative.

H295R cells were demonstrated to possess long and heterogeneous telomeres, with a peak TRF length around 20 kb. This TRF length and pattern were quite different from those of the telomerase-positive 293 cells (3.7 kb) and HeLa cells (7.2 kb), but similar to those of reported telomerase-

negative immortalized cell lines (9). Because their elongated and heterogeneous TRF lengths exceeded the maximum lengths in germ-line tissues (15 kb), H295R cells could be scored as having the ALT telomere phenotype (9,30). Furthermore, the telomere-specific FISH analysis of interphase H295R cells also demonstrated great variability in telomeric signals and large and bright nuclear bodies in a few cells, which are considered to be ALT-associated PML bodies.

Extra-chromosomal telomeric repeat (ECTR) DNA was reported to be found in ALT-associated PML bodies of all ALT cell lines (10) and possibly utilized for telomere maintenance by homologous recombination. ECTR signals could not be detected in metaphase H295R cells. The ECTR DNA is found only in a subset of metaphase cells (10-20%) in each cell line (31). Because the percentage of interphase H295R cells containing ALT-associated PML bodies was lower than that in reported ALT cells (<1% versus <5%) (10), ECTR signals in metaphase H295R cells may be also very few and may appear absent.

The ALT cell lines derived from human tumors are mostly of mesenchymal origin (4,32). It is likely that ALT cells are common in specific types of mesenchymal tumors, including glioblastomas (33) and osteosarcomas (30). Possible reasons for the prevalence of ALT in mesenchymal tumors are slower cell turnover and tighter repression of telomerase in mesenchymal cells (4). On the contrary, epithelial cells express low levels of telomerase activity and may already be telomerase competent (5). Epithelial cells are therefore more likely to express or upregulate telomerase at immortalization, and ALT is rare in epithelial carcinomas. However, several types of carcinoma have a relatively low incidence of telo- merase positivity. For example, 53% of thyroid papillary carcinomas did not have detectable telomerase activity (reviewed in ref. 4). The incidence of telomerase positivity is also low in adrenocortical carcinomas, and 2 of the telomerase-negative cases were proved to have the long and heterogeneous ALT phenotype of telomeres (5) like the H295R cells demonstrated in this study. We propose that ALT is more frequent in endocrine tumors, although further studies are needed to clarify this possibility.

Most ALT cell lines have been derived from in vitro immortalized cells expressing SV40 large T antigen (4), which inactivates the pRB and p53 tumor suppressor path- ways (34). Cyclin D1 also inactivates pRB, and unlike SV40 large T antigen, its overexpression is one of the common genetic alterations in human cancers (35,36). Opitz et al generated an ALT cell line from oral keratinocytes by means of overexpression of cyclin D1 together with a dominant- negative form of p53 (12). In H295R cells, however, the alternatively spliced transcript [a] or [b] of cyclin D1 was not detected. ALT in H295R cells may be achieved by a mechanism other than cyclin D1 overexpression.

ALT is thought to be accomplished by a recombination mechanism, in which telomere DNA-binding proteins such as TRF1 and TRF2 may play an important role. The expression of TRF1 and TRF2 in H295R cells, however, was not significantly different from 293 cells or Hela cells. hnRNP A2 and B1 are also telomere binding proteins, and are presumably associated with single-stranded telomeric overhangs (18,19). The affinity to telomeric DNA of B1 is

stronger than A2 (20). H295R cells showed a higher ratio of hnRNP B1 to A2 than 293 cells and HeLa cells. Interestingly, overexpression of hnRNP B1 is reported in various types of human tumors, such as lung cancers. We propose that hnRNP B1 contributes to the telomere maintenance mechanism including ALT in human cancers.

In conclusion, the adrenocortical carcinoma cell line H295R is devoid of telomerase activity and maintains its telomeres by the ALT mechanism. Although ALT is detected in in vitro immortalized cells and in some mesenchymal tumors, reports of ALT cell lines derived from human carcinomas were very few until now, consisting of four lung cancer lines (5,37), and one stomach cancer line (38). We anticipate that H295R cells will be a good model that enables us to understand the mechanism of ALT activation in tumor cells.

Acknowledgements

We wish to thank Dr S. Kaneko for her interest and useful suggestions. We are also grateful to Ms. R. Totsuka for her excellent technical assistance. This work was supported by the Fund-in-Trust for Cancer Research from the Governor of Ibaraki Prefecture, Japan (to M.F.) and by a Japanese Grant- in-Aid for Scientific Research (to H.K.).

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