Epitalon increases telomere length in human cell lines through telomerase upregulation or ALT activity.
Al-dulaimi S, Thomas R, Matta S, Roberts T., Biogerontology, 2025;26(5):178
published; corrected (Biogerontology 2025;27:1)
Breast cancer cell lines 21NT and BT474 were exposed to epitalon at four ascending concentrations for 4 days; normal fibroblasts (IBR.3) and mammary epithelial cells (HMEC) were exposed to the highest of those concentrations for 3 weeks. Untreated cells served as the baseline control. Telomere length was measured by qPCR, hTERT messenger RNA by RT-qPCR, telomerase activity by the telomere repeat amplification protocol, and alternative lengthening of telomeres by the c-circle assay with immunofluorescence for PML bodies.
- In both cancer lines, 4 days of exposure was associated with a concentration-dependent increase in telomere length from the second-lowest concentration up to the highest. At the lowest concentration, the authors report a decrease in telomere length in 21NT and a lower rate of elongation in BT474. In BT474 the maximum length was reached at the second-lowest concentration, with less elongation at the two higher concentrations. In the normal cells, no increase was seen after 4 days at the highest concentration (reported as data not shown), while 3 weeks at the same concentration gave a significant increase in both IBR.3 and HMEC against untreated controls.
- In the same cancer lines, 4 days at the two highest concentrations did not lead to a significant increase in telomerase enzyme activity compared with the untreated controls. The authors note that although telomere length and hTERT expression were elevated, telomerase activity did not follow the same pattern.
- Alternative lengthening of telomeres, measured by the c-circle assay after 4 days at the highest concentration, was ten-fold higher in 21NT and threefold higher in BT474 than in untreated cells, and immunofluorescence showed a significant elevation of PML bodies in both. In the normal cells, IBR.3 showed no increase in this activity and HMEC showed an increase the authors describe as insignificant.
The 2025 study found the messenger RNA for the telomerase catalytic subunit rose in every cell type it tested, but the enzyme's activity rose only in the normal cells; in the two cancer lines it did not separate from the untreated controls, and the telomere lengthening there tracked a different pathway instead. A measurement of gene expression is not a measurement of enzyme activity, and this study is where the two part company.
