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April 4, 2026ESMO Open0 citationsOpen Access

56P LncRNAs FENDRR, LINC02560, and SOX21-AS1 regulate chemoresistance in advanced gastric cancer

IRIsmael RiquelmePPP. Pérez-MorenoBMBárbara Mora

Key Points

  • This research aims to explore the role of FTSJ3 in regulating TERRA and telomere integrity in telomerase-positive cancers.
  • Utilized epigenomic profiling and RNA sequencing
  • Conducted functional loss experiments using CRISPR knockout and RNA interference
  • Performed telomere-specific assays to quantify TERRA and telomerase activity
  • Evaluated effects in vitro and in xenograft cancer models
  • Loss of FTSJ3 led to increased TERRA transcription and altered telomeric chromatin architecture
  • Elevated TERRA levels impaired telomerase recruitment, causing telomere dysfunction
  • Increased DNA damage and reduced cell viability observed in telomerase-dependent cancer cells.
  • Restoring FTSJ3 expression normalized TERRA regulation and telomere function.

Abstract

Background: Telomeric repeat-containing RNA (TERRA) is a long non-coding RNA that regulates telomere integrity, telomerase activity, and genome stability.Aberrant TERRA expression is a known feature of telomerase-positive tumors but the upstream epigenetic mechanisms controlling TERRA is unclear.FTSJ3, a nucleolar 2 -O-methyltransferase implicated in RNA modification, has recently emerged as a potential regulator of telomere biology and potential drug target. Methods:We combined epigenomic profiling, RNA-seq, telomere-specific assays, and functional loss of FTSJ3 (CRISPR knockout, RNAi) in telomerase-positive cancer models.TERRA abundance, localization, chromatin state, and telomerase activity were quantified using Northern blot, qRT-PCR, ChIP-seq, and TRAP.FTSJ3 loss and its effects on telomere stability, proliferation, DNA damage signaling, and tumorigenic potential were evaluated in vitro and in xenograft models.Results: Loss of FTSJ3 resulted in a marked increase in TERRA transcription accompanied by altered telomeric chromatin architecture and reduced telomeric RNA methylation.Elevated TERRA impaired telomerase recruitment, leading to progressive telomere dysfunction, increased DNA damage, and reduced cell viability in telomerase-dependent cancer cells.Re-expression of FTSJ3 restored appropriate TERRA regulation and telomere function, whereas methyltransferase-deficient mutants did not. Conclusions:Our findings identify FTSJ3 as a key epigenetic regulator of TERRA and an essential factor for telomerase-driven tumorigenesis.Targeting the FTSJ3-TERRA axis may represent a novel therapeutic strategy for cancers dependent on telomerase activity.

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Cite This Study

Riquelme et al. (2026) studied this question.

synapsesocial.com/papers/69d0ae68659487ece0fa470bhttps://doi.org/10.1016/j.esmoop.2026.106162
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epigenetic control of telomeric RNA maintains heterochromatin in telomerase-driven cancers2026
  2. 2Telomeric RNA (TERRA) increases in response to spaceflight and high-altitude climbing2024 · 19 citations
  3. 3RNA G‐Quadruplex RIBOTAC‐Mediated Targeted Degradation of lncRNA TERRA2025 · 5 citations
  4. 4Modulating TERRA G-quadruplexes with ligands: impact on telomeric DNA:RNA hybrids and ALT mechanisms2025 · 3 citations
  5. 5Telomere transcripts act as tumor suppressor and are associated with favorable prognosis in colorectal cancer with low proliferating cell nuclear antigen expression2024 · 3 citations