Translational Oncology (Sep 2019)

Telomere Maintenance-Associated PML Is a Potential Specific Therapeutic Target of Human Colorectal Cancer

  • Peng Gong,
  • Hua Wang,
  • Jingsong Zhang,
  • Yudong Fu,
  • Zhengmao Zhu,
  • Jinmiao Wang,
  • Yu Yin,
  • Haiying Wang,
  • Zhongcheng Zhou,
  • Jiao Yang,
  • Linlin Liu,
  • Mo Gou,
  • Ming Zeng,
  • Jinghua Yuan,
  • Feng Wang,
  • Xinghua Pan,
  • Rong Xiang,
  • Sherman M. Weissman,
  • Feng Qi,
  • Lin Liu

Journal volume & issue
Vol. 12, no. 9
pp. 1164 – 1176

Abstract

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Telomere length maintenance is essential for cell proliferation, which is particularly prominent in cancer. We validate that the primary colorectal tumors exhibit heterogeneous telomere lengths but mostly (90%) short telomeres relative to normal tissues. Intriguingly, relatively short telomeres are associated with tumor malignancy as indicated by poorly differentiated state, and these tumors contain more cancer stem-like cells (CSLCs) identified by several commonly used markers CD44, EPHB2 or LGR5. Moreover, promyelocytic leukemia (PML) and ALT-associated PML nuclear bodies (APBs) are frequently found in tumors with short telomeres and high proliferation. In contrast, distant normal tissues rarely or only minimally express PML. Inhibition of PML and APBs by an ATR inhibitor decreases proliferation of CSLCs and organoids, suggesting a potential therapeutic target to progressive colorectal tumors. Together, telomere maintenance underling tumor progression is connected with CSLCs.