Activation of telomerase may allow unlimited cell proliferation and immorta
lization, One of the telomerase protein subunits has a reverse transcriptas
e (hTERT) activity that is essential for telomerase Function and regulation
. In human gliomas, telomerase is frequently associated with malignant tumo
r progression. In our study, we investigated the expression of hTERT at the
cellular level in 34 primary de novo glioblastoma multiforme (GBM) by in s
itu hybridization (ISH). The expression oh hTERT; in tumor tissue was also
assessed by Ri-PCR, In addition, telomerase activity measured by telomeric
repeat amplification protocol (TRAP) and telomere length polymorphism assay
ed by telomere restriction fragment (TRF) Southern blot were investigated.
We found that all GEM, including those with negative TRAP reaction, contain
ed abundant amounts of cytoplasmic hTERT mRNA, interestingly, the ISH analy
sis revealed that the hTERT mRNA was homogeneously expressed by the whole t
umor cell population in about 60% of the GBM. In the remaining cases. hTERT
was absent in subsets of tumor cells. TRF analysis, which shows that both
TRAP-positive and TRAP-negative de novo GBM have elongated telomeres, furth
er supports that telomerase activity is present in all de novo GEM. Correla
tions with tumor size and extent of necrosis suggest that hTERT reactivatio
n is an early event in GEM development and that telomerase activity may be
lost in subpopulations of neoplastic cells during tumor progression. Finall
y, ISH analysis of hTERT mRNA seems to provide a prognostic parameter for p
rimary de novo GEM. int, J. Cancer 88:895-901, 2000. (C) 2000 Wiley-Liss, I
nc.