Activation of telomerase seems to be a prerequisite for immortalizatio
n and is found in permanent cell lines and most malignant tumors, Norm
al somatic cells are generally telomerase negative, except for bone ma
rrow stem cells, Weak activity is also present in peripheral blood cel
ls. In the present study strong telomerase activity was demonstrated i
n vivo in normal mature cells of the immune system, as well as in mali
gnant lymphomas. Benign lymph nodes had lower telomerase activity than
benign tonsils, which exhibited intermediate to high activity compara
ble with findings in malignant lymphomas, In benign tonsils the activi
ty seemed to be restricted to germinal center B cells. In benign lymph
oid tissues telomerase activity correlated with B-cell numbers and cel
l proliferation, but this was not observed in the lymphoma group. High
-grade lymphomas exhibited higher levels of telomerase compared with l
ow-grade cases. The data showed that in vivo activation of telomerase
is a characteristic feature of germinal center B cells. Different sign
als for activation of telomerase are likely to exist, one of them bein
g immune stimulation. The data suggest that telomerase activity in mal
ignant lymphomas can be explained by an ''induction and retention'' mo
del, ie, transformation occurs in a normal, mature B cell with reactiv
ated telomerase, which is retained in the neoplastic clone. (C) 1996 b
y The American Society of Hematology.