Exogenous expression of hTERT, the catalytic component of telomerase, is su
fficient for the immortalization of human fibroblasts but insufficient for
the immortalization of human foreskin keratinocytes (HFKs) and human mammar
y epithelial cells (HMECs), These latter cell types can overcome senescence
by coexpression of hTERT and human papillomavirus (HPV) E7 or by expressio
n of hTERT and loss of p16(INK4a) expression, indicating that the retinobla
stoma (Rb) pathway, along with a telomere maintenance pathway, plays a role
in determining the life span of epithelial cells. In this study, we furthe
r characterize hTERT-immortalized HFKs and human adenoid epithelial cells (
HAKs) for genotypic and phenotypic alterations that are associated with imm
ortalization, Of five hTERT-immortalized HFK and HAK cell lines examined, f
our exhibited repression of p16(INK4a) expression by promoter methylation o
r specific large-scale deletion of chromosome 9p, the location of p16(INK4a
). Interestingly, one cell line exhibited complete down-regulation of expre
ssion of p14(ARF), with Only slight down-regulation of expression of p16(IN
K4a) Yet, all of the immortal cells lines exhibited hyperphosphorylated Rb.
Cytogenetic analysis revealed clonal chromosome aberrations in three of th
e five cell lines. All of the cell lines retained a growth block response w
ith the expression of mutant ras, When grown on organotypic raft cultures,
however, the hTERT-immortalized cells exhibited a maturation delay on termi
nal differentiation. Our results indicate that immortalization of epithelia
l cells may require both activation of telomerase and other genetic and/or
epigenetic alterations that abrogate normal differentiation.