Reactivation of telomerase, an enzyme which elongates human telomeres, is a
ssociated with cell immortilization, In approximately 90% of malignant tumo
urs telomerase activity can be demonstrated, whereas in benign tumours it i
s mostly absent. Chondrosarcomas are relatively rare malignant cartilaginou
s neoplasms, A small number of chondrosarcomas located centrally in bone ar
ise secondarily to an enchondroma, while the majority of chondrosarcomas de
l eloping from the surface arise within the cartilage cap of an osteochondr
oma, The histological distinction between a benign lesion and low-grade cho
ndrosarcoma is generally considered difficult. To investigate whether the p
rogression towards chondrosarcoma is characterized by reactivation of telom
erase activity, this study determined telomerase activity in ten enchondrom
as, five osteochondromas, and 37 chondrosarcomas using the TRAP assay, In a
ll tumour samples except one, telomerase activity: was absent. By adding tu
mour lysates to the positive control, an increasing inhibition of telomeras
e activity was found with an increasing chondroid matrix, suggesting that i
t may contain inhibitory factors. Inhibition due to endogenous RNAse or Taq
-polymerasc inhibitors was excluded, The lack of detectable telomerase acti
vity in the high-grade component of a dedifferentiated chondrosarcoma witho
ut matrix favours the possibility that telomerase is truly. absent, Either
its true absence or inhibitory effects disabling telomerase detection exclu
de the telomerase TRAP assay as a diagnostic tool in the differential diagn
osis of benign and low-grade malignant cartilaginous tumours, Copyright (C)
2000 John Wiley & Sons, Ltd.