PROJECT SUMMMARY Telomeres protect the ends of chromosomes, but shorten naturally with age, leading to their dysfunction. Substantial evidence indicates that telomere dysfunction contributes to major age- related diseases including cancer. Using a mouse model deficient in the telomere length maintenance enzyme telomerase (mTerc-/- mutants), we have discovered a novel positive feedback loop in the intestinal stem cell niche involving telomere capping and the activity of the extracellular Wnt signaling pathway: capping supports Wnt pathway activity, and vice-versa. Thus, telomere shortening in the mouse model leads to inhibition of the Wnt pathway, which leads to further telomere uncapping, ultimately resulting in stem cell dysfunction. Pharmacologic stimulation of Wnt pathway signaling disrupts this vicious cycle, restoring telomere capping and intestinal stem cell function. Therefore pharmacologic or cell-based activation of the Wnt pathway might be of benefit in human disorders caused by telomere dysfunction, but differences in mouse and human telomere biology raise some questions about the translation of our findings from mice to humans. We therefore propose to generate a novel in vitro cell culture model to address the consequences of telomere dysfunction in a human tissue, including potential amelioration by Wnt pathway activation. The model is based on mutations causing dyskeratosis congenita (DC), a genetic disease characterized by decreased telomerase activity and, like mTerc-/- mice, development of intestinal and other pathologies. We propose to utilize cell reprogramming, genetic editing, and directed differentiation technologies to model the intestinal pathology found in DC patients, as well as testing for its rescue by Wnt pathway activators and telomerase activators. This model will help us to understand the pathogenesis and potential treatment of not only DC, but also - more broadly - common diseases in which telomere dysfunction plays a contributory role. Furthermore, the model will provide proof-of- principal findings for future exploration of telomere-related defects in other tissues that can be modeled in culture (e.g. hematopoietic tissues), for screens of additional small molecules that may rescue telomere defects, and for testing the capacity of mutant cells to be genetically repaired and enhance tissue function when transplanted into mouse models.

Public Health Relevance

One cause of human age-related diseases is the dysfunction of the ends of chromosomes, which are called telomeres. We have discovered a way to treat disease caused by telomere dysfunction in mice, but we don't yet know if this will work in people. To address this possibility, we will develop a novel model of telomere dysfunction in human tissues that can be easily studied in the laboratory, and we will test the possibility that the lessons we have learned from our mouse experiments will be applicable in humans. Furthermore, our novel model will enable many future experiments that will identify additional approaches to the treatment of human age-related diseases.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21AG054209-02
Application #
9322497
Study Section
Special Emphasis Panel (ZRG1-CB-R (02)M)
Program Officer
Guo, Max
Project Start
2016-08-01
Project End
2018-03-31
Budget Start
2017-04-01
Budget End
2018-03-31
Support Year
2
Fiscal Year
2017
Total Cost
$181,125
Indirect Cost
$68,625
Name
University of Pennsylvania
Department
Pathology
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Yang, Ting-Lin B; Chen, Qijun; Deng, Jennifer T et al. (2017) Mutual reinforcement between telomere capping and canonical Wnt signalling in the intestinal stem cell niche. Nat Commun 8:14766
Woo, Dong-Hun; Chen, Qijun; Yang, Ting-Lin B et al. (2016) Enhancing a Wnt-Telomere Feedback Loop Restores Intestinal Stem Cell Function in a Human Organotypic Model of Dyskeratosis Congenita. Cell Stem Cell 19:397-405