Purpose Telomerase is a ribonucleoprotein that extends telomeres at the end
s of chromosome. Increased telomerase activity is associated with cellular
immortality. The currently available assay for telomerase, ie., telomeric r
epeat amplification protocol (TRAP), consists of 2 steps: (a) telomerase-me
diated extension of an oligonucleotide primer by the enzyme-containing extr
acts of cells and tissues, and (b) amplification of the telomerase-extended
primer products by polymerase chain reaction (PCR) and detection of the PC
R products. It is generally accepted that the current TRAP assay lacks quan
titative precision. The present study was to develop a quantitative telomer
ase assay with greater precision and sensitivity.
Methods: This new method used the primer extension method as in TRAP; plus
the following modifications: (a) used a lysis buffer that yielded complete
lysis of nuclei; (b) removal of PCR inhibitors by phenol/chloroform extract
ion after primer extension; and (c) used primers for the internal standard
that were designed to reduce their competition with the telomerase products
for PCR.
Results. The modified method showed a good correlation (r(2) = 0.99, P < 0.
001) between telomerase amount (expressed as total protein in cell lysate)
and its activity (expressed as telomerase products). Compared to the conven
tional TRAP, the new method (a) was more sensitive (average of 5.5-fold in
cultured cancer cells and >5.9-fold in patient tumors), (b) had a lower int
er- and intra-day variability (>3-fold), and (c) showed a 2 to 4-fold broad
er range of Linearity in the standard curve. The higher assay sensitivity f
urther enabled the use of a nonradioactive method, i.e., ethidium bromide s
taining of DNA, to detect the TRAP products, as opposed to the use of radio
active nucleotide and the more labor-intensive autoradiography mandated by
the conventional TRAP.
Conclusion. We report here a quantitative assay for telomerase activity in
cultured human cancer cells and patient tumors.