
ASSOCIATION OF RELATIVE TELOMERE LENGTH
AND RISK OF HIGH HUMAN PAPILLOMAVIRUS LOAD
IN CERVICAL EPITHELIAL CELLS Albosale A H, Mashkina E V *Corresponding Author: Dr. Abbas Hadi Albosale, Genetics Department, Southern Federal University,
344090, Stachki, 194/1, Rostov-on-Don Province, Russia. E-mail: abbashammadi4@gmail.com page: 65
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INTRODUCTION
Telomeres are comprised of complexes of nucleoprotein
that enclose chromosome ends and not only offer
protection against fusion and other injuries but also contribute
to the preservation of genomic stability [1]. Each
subsequent division of the cell reduces the length of the
5’-TTAGGG-3’ sequence of DNA telomere repetitions, the
outcome being either apoptosis or senescence [2]. When
atypical conditions cause the telomeres to reduce in length,
the possibility of telomere end fusions arises, which could
result in an increased level of chromosome instability. This
is a primary triggering event in many cancers, including
colon, prostate, and cervical cancers [3–5]. Research in
this field has postulated that a potential correlation exists
between different cancer stages and telomere length.
Specifically, telomeres that are shorter in length are linked
to the onset of cancer. However, they gradually lengthen
as cancer progresses as a consequence of telomerase activation
or alternative telomere lengthening (ALT) [6,7].
Telomerase acts to safeguard the telomere against shortening.
The telomere is comprised of two subunits, namely:
TERC (telomerase RNA component) and hTERT (human
telomerase reverse transcriptase). TERC functions as a
blueprint for telomere sequence amplification, whereas
hTERT serves as a reverse transcriptase subunit [8]. In
85-90% of human cancers, telomerase activation causes
telomeres to expand in length [9]. Thus, it is reasonable
to assume that the stabilization of telomere length occurs
at a later point in the tumorigenesis process. Specifically,
it takes place following a period of active proliferation
cycles and reduced telomere length [10]. Sexual contact
is the most common vehicle for the transmission of the
human papillomavirus (HPV). HPV infection has affected
a considerable number worldwide, although both men and
women are infected with HPV, adolescent girls and women
under the age of 25 are the most infected [11,12]. HPV is
a diminutive virus. It penetrates cells with its capsid proteins,
with the infection commencing at the basal cell layer,
after which it disseminates to elevated tiers of the cervical
epithelium [13]. Dysplasia resulting from the relentless
HR-HPV infection can ultimately develop into cancer [14]. The principal causative agents for different cancer types are
HR-HPV genotypes (16, 18, 31, 33, 35, 39, 45, 51, 52, 56,
58, and 59) [15]. HR-HPV has been implicated in cancers
of the cervix, vulva, vaginal, penis, anus, and oropharyngeal
cancers [16]. However, cervical cancer is the fourth
most common malignant tumor in women globally, and
it is associated with a significant mortality rate in women
[17,18]. The cellular telomerase complex can be triggered
by the hTERT transcription, which is stimulated by the
HPV E6 protein [19]. Moreover, the cell immortalization
that occurs during long-term high-risk human papillomavirus
infection is dependent upon telomerase activation,
which leads to cervical malignant neoplasm development
[20]. The development of cancer passes through multiple
stages, and one of the most common features is modifications
to telomere length [21]. There is practically no data
in the literature on the relationship between telomeric DNA
length and the risk of the development of elevated viral
load in cells infected with HPV. Therefore, the primary
objective of the current study is to ascertain the existence
of any disparities between comparative telomeric DNA
lengths in the cervical epithelial cells of women with high
HPV load and telomeric DNA lengths in the control group.
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