Telomerase, a specialized RNA-directed DNA polymerase that extends telomere
s of eukaryotic chromosomes, is repressed in normal human somatic cells but
is activated during development and upon neoplasia, Whereas activation is
involved in immortalization of neoplastic cells, repression of telomerase p
ermits consecutive shortening of telomeres in a chromosome replication-depe
ndent fashion. This cell. cycle-dependent, unidirectional catabolism of tel
omeres constitutes a mechanism for cells to record the extent of DNA loss a
nd cell division number; when telomeres become critically short, the cells
terminate chromosome replication and enter cellular senescence. Although ne
ither the telomere signaling mechanisms nor the mechanisms whereby telomera
se is repressed in normal cells and activated in neoplastic cells have been
established, inhibition of telomerase has been shown to compromise the gro
wth of cancer cells in culture; conversely, forced expression of the enzyme
in senescent human cells extends their life span to one typical of young c
ells. Thus, to switch telomerase on and off has potentially important impli
cations in anti-aging and anticancer therapy. There is abundant evidence th
at the regulation of telomerase is multifactorial in mammalian cells, invol
ving telomerase gene expression, post-translational protein-protein interac
tions, and protein phosphorylation. Several proto-oncogenes and tumor suppr
essor genes have been implicated in the regulation of telomerase activity,
both directly and indirectly; these include c-Myc, Bcl-2, p21(WAF1), Rb, p5
3, PKC, Akt/PKB, and protein phosphatase 2A. These findings are evidence fo
r the complexity of telomerase control mechanisms and constitute a point of
departure for piecing together an integrated picture of telomerase structu
re, function, and regulation in aging and tumor development.