Target intelligence / Profile preview

Human telomerase holoenzyme (Telomerase) (Telomerase)

Target
Telomerase
Molecular classification
Enzyme, Reverse transcriptase, Ribonucleoprotein complex
01

Overview

The human telomerase holoenzyme is a specialized ribonucleoprotein complex essential for maintaining chromosomal stability by synthesizing telomeric DNA repeats (TTAGGG) at the ends of linear chromosomes (UniProt, 2024). The complex is primarily composed of two core elements: the catalytic protein subunit, human telomerase reverse transcriptase (hTERT), and the non-coding human telomerase RNA (hTR or hTERC), which provides the template for DNA synthesis (NCBI, 2023). In most human somatic cells, telomerase activity is developmentally silenced, leading to progressive telomere shortening and replicative senescence. However, telomerase is reactivated in nearly 90% of human malignancies, granting cancer cells the replicative immortality required for tumor growth and metastasis (PubMed, 2019). This makes the telomerase complex a critical target in oncology, exemplified by the development of imetelstat, a competitive inhibitor that binds the RNA template to block enzymatic activity (FDA, 2024). Beyond direct inhibition, therapeutic strategies also include vaccines targeting hTERT peptides to stimulate an anti-tumor immune response.

Other names
hTERT/hTR complexhTERT/hTERC complexTelomerase reverse transcriptase complexTelomerase ribonucleoprotein complexTERT/TERC complex
02

Mechanism of action

Direct competitive inhibition of the telomerase RNA template (hTR) to block telomere elongation; induction of T-cell mediated immune responses against hTERT-derived peptides; small-molecule inhibition of the catalytic reverse transcriptase activity.

03

Biological functions

Telomere maintenanceCellular immortalityDNA replicationChromosome protectionGenome stability
04

Disease associations

CancerMyelodysplastic syndromes (MDS)Dyskeratosis congenitaIdiopathic pulmonary fibrosisAplastic anemia
05

Safety considerations

Dose-limiting myelosuppression (thrombocytopenia, neutropenia)Potential for off-target effects on high-turnover stem cell populationsReversible liver enzyme elevations
06

Interacting drugs

Imetelstat (Rytelo)

4 more in the full profile.

07

Biomarkers

hTERT mRNA expressionTelomerase activity (TRAP assay)Baseline telomere lengthhTERC expression levels

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