Telomerase, a ribo-nucleoprotein that counteracts telomere shortening, has recently been shown by our investigative team to have a non-canonical role in attenuating formation of mitochondrial reactive oxygen species (mtROS) in coronary arterioles from subjects with coronary artery disease (CAD). We demonstrated that activation of TERT can reverse the mechanism of flow-induced endothelium-dependent dilation from H2O2 to NO, restoring the phenotype to one observed in subjects without CAD. In this proposal, we aim to investigate the mitochondria specific effects of telomerase activity and whether the dominant negative splice variant ?-del TERT is critical in this phenotypic change in dilator mechanism. Our central hypothesis is that mitochondrial DNA damage is one of the underlying causes that leads to increase in ROS production. mtROS is known to promote development of arteriolosclerosis and endothelial dysfunction, predisposing individuals to vascular complications. NO has a well-known inhibitory effect on mtROS generation and has also been demonstrated to increase telomerase. Whether nuclear or mitochondrial telomerase activity contributes to cardiovascular protection is not defined. We developed novel inhibitors of nuclear (nucTERT) or mitochondrial (mitoTERT) telomerase activity to differentiate the roles of nuclear and mitochondrial telomerase in mediating vascular protective phenotypes. We will identify the role of mitochondrial telomerase in this change of mechanism from health (NO mediation) to disease (H2O2 mediation) in mouse and human resistance vessels. We hypothesize that mitochondrial telomerase plays a protective role by preventing mtDNA damage in normal conditions, while expression of ?-del TERT in disease suppresses this protective effect and elevates vascular cellular oxidative stress, and induces the conversion from NO to H2O2 as the mediator of FMD. This will be tested by addressing two specific aims.
Aim 1 : We will determine whether mitochondrial localization of TERT is necessary and sufficient to maintain NO rather than mtH2O2 as the mediator of flow-induced dilation in the human microcirculation.
Aim2 : we will investigate whether the mechanism by which CAD elicits a switch from NO to H2O2 as the mediator of FMD and impairs mitochondrial function involves accumulation of ?-del TERT. We will use existing pharmacological and genetic tools that will lead to strategies for restoration of microvascular function in disease. This novel hypothesis has important translational potential, identifying new therapeutic targets for moderating the pathological changes associated with microvascular disease.

Public Health Relevance

Alterations in microcirculation are an established early indicator for coronary artery disease (CAD), the leading cause of death in the western world; age and the onset of CAD are associated with changes in the mechanism of dilation in human coronary micro vessels, yet the controlling factor regulating these changes are not well defined. We hypothesize that these change in mechanism of dilation are directly regulated by telomerase activity which is regulated by expression of the dominant negative splice variant ? del TERT and contributes to the prevention of mtDNA damage. The overall goal of this application is to determine the role of telomerase in maintaining vasodilation during physiological and pathological conditions and to separate mitochondrial from nuclear effects of telomerase.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Research Project (R01)
Project #
Application #
Study Section
Program Officer
Charette, Marc F
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Medical College of Wisconsin
Internal Medicine/Medicine
Schools of Medicine
United States
Zip Code
Ma, Cui; Beyer, Andreas M; Durand, Matthew et al. (2018) Hyperoxia Causes Mitochondrial Fragmentation in Pulmonary Endothelial Cells by Increasing Expression of Pro-Fission Proteins. Arterioscler Thromb Vasc Biol 38:622-635
Durand, Matthew J; Ait-Aissa, Karima; Levchenko, Vladislav et al. (2018) Visualization and Quantification of Mitochondrial Structure in the Endothelium of Intact Arteries. Cardiovasc Res :
Audi, Said H; Friedly, Nina; Dash, Ranjan K et al. (2018) Detection of hydrogen peroxide production in the isolated rat lung using Amplex red. Free Radic Res 52:1052-1062
Chabowski, Dawid S; Kadlec, Andrew O; Ait-Aissa, Karima et al. (2018) Lysophosphatidic acid acts on LPA1 receptor to increase H2 O2 during flow-induced dilation in human adipose arterioles. Br J Pharmacol 175:4266-4280
Beyer, Andreas M; Norwood Toro, Laura E (2018) Telomerase: Location, Location, Location? Arterioscler Thromb Vasc Biol 38:1247-1249
Ait-Aissa, Karima; Kadlec, Andrew O; Hockenberry, Joseph et al. (2018) Telomerase reverse transcriptase protects against angiotensin II-induced microvascular endothelial dysfunction. Am J Physiol Heart Circ Physiol 314:H1053-H1060
Quryshi, Nabeel; Norwood Toro, Laura E; Ait-Aissa, Karima et al. (2018) Chemotherapeutic-Induced Cardiovascular Dysfunction: Physiological Effects, Early Detection-The Role of Telomerase to Counteract Mitochondrial Defects and Oxidative Stress. Int J Mol Sci 19:
Kadlec, Andrew O; Chabowski, Dawid S; Ait-Aissa, Karima et al. (2017) PGC-1? (Peroxisome Proliferator-Activated Receptor ? Coactivator 1-?) Overexpression in Coronary Artery Disease Recruits NO and Hydrogen Peroxide During Flow-Mediated Dilation and Protects Against Increased Intraluminal Pressure. Hypertension 70:166-173