Telomere maintenance by recombination in human cells

Abstract
Telomeres of eukaryotic chromosomes contain many tandem repeats of a G-rich sequence (for example, TTAGGG in vertebrates1). In most normal human cells, telomeres shorten with each cell division, and it is proposed that this limits the number of times these cells can replicate2. Telomeres may be maintained in germline cells, and in many immortalized cells and cancers, by the telomerase holoenzyme3 (first discovered in the ciliate Tetrahymena4), which uses an RNA subunit as template for synthesis of telomeric DNA by the reverse transcriptase catalytic subunit5. Some immortalized human cell lines and some tumours maintain their telomeres in the absence of any detectable telomerase activity by a mechanism referred to as alternative lengthening of telomeres6,7 (ALT). Here we show that DNA sequences are copied from telomere to telomere in an immortalized human ALT cell line, indicating that ALT occurs by means of homologous recombination and copy switching.