Clinical Chemistry
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Clinical Chemistry 44: 2133-2138, 1998;
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(Clinical Chemistry. 1998;44:2133-2138.)
© 1998 American Association for Clinical Chemistry, Inc.


Enzymes and Protein Markers

Rapid, quantitative nonisotopic assay for telomerase activity in human tumors

Stefania Gelmini1, Anna Caldini2, Lucia Becherini3, Sergio Capaccioli4, Mario Pazzagli1, and Claudio Orlando1,a

1 Clinical Biochemistry Unit, Department of Clinical Physiopathology, University of Florence, 50139 Florence, Italy.

2 Clinical Laboratory Department, Azienda Ospedaliera Careggi, 50139 Florence, Italy.

3 Endocrinology Unit, Department of Clinical Physiopathology, University of Florence, 50139 Florence, Italy.

4 Institute of General Pathology, University of Florence, 50139 Florence, Italy.
a Address correspondence to this author at: Clinical Biochemistry Unit, Department of Clinical Physiopathology, viale Pieraccini 6, 50139 Florence, Italy. Fax 39-55-4377290; e-mail c.orlando{at}dfc.unifi.it.

Telomerase is a ribonucleoprotein enzyme that adds TTAGGG repeats onto human telomeres, preventing their shortening. The activation of this enzyme is an important step in cell immortalization and carcinogenesis and seems to represent a new and promising marker in cancer diagnosis and management. Telomerase activity is usually detected in cellular protein extract by the telomeric repeat amplification protocol (TRAP) assay, which can provide only a qualitative (presence/absence) evaluation. Here we present a modification of this method that can provide quantitative information without requiring time-consuming post-PCR procedures such as gel electrophoresis with radioactive materials and autoradiography. The detection and measurement of telomerase activity is performed by evaluating the amount of double-stranded DNA generated in the telomerase reaction and PCR amplification, with the use of the sensitive DNA fluorescent dye PicoGreen®. In a subset of tumors, the presence of telomerase activity was confirmed by the conventional TRAP assay. By this method we evaluated telomerase activity in unselected groups of breast (n = 15), ovarian (n = 12), endometrial (n = 12), gastric (n = 20), and renal (n = 12) carcinomas, in meningiomas (n = 8), and in pheochromocitomas (n = 10). The results indicate substantial differences of telomerase activity among cancer groups; however, a large variability among patients of the same group is observed. Kidney, ovarian, and breast carcinomas showed the highest mean values (31.8 ± 28.9, 29.2 ± 26.7, and 35.3 ± 15.9 ng DNA/µg protein, respectively, mean ± SD), whereas gastric and endometrial cancers had a lower activity (17.2 ± 8.8 and 13.5 ± 7.9 ng DNA/µg protein, respectively). Very low or no detectable telomerase activity was found in meningiomas (with the exception of one malignant atypical variant) and pheochromocitomas (9.7 ± 12.9 and 2.8 ± 2.1 ng DNA/µg protein, respectively). In conclusion, our method seems to be an accurate and reasonable procedure for measuring telomerase activity in human cancers.




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Telomerase Assay for Differentiating between Malignancy-related and Nonmalignant Ascites
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