Dysfunctional telomeres trigger cellular senescence mediated by cyclic GMP-AMP synthase
Salim Abdisalaam, Souparno Bhattacharya, Shibani Mukherjee, Debapriya Sinha, Srinivasan Kalayarasan, Mingrui Zhu, Esra A. Akbay, Hesham A. Sadek, Jerry W. Shay, Aroumougame Asaithamby
Abstract
Defective DNA damage response (DDR) signaling is a common mechanism that initiates and maintains the cellular senescence phenotype. Dysfunctional telomeres activate DDR signaling, genomic instability, and cellular senescence, but the links among these events remains unclear. Here, using an array of biochemical and imaging techniques, including a highly regulatable CRISPR/Cas9 strategy to induce DNA double strand breaks specifically in the telomeres, ChIP, telomere immunofluorescence, fluorescence in situ hybridization (FISH), micronuclei imaging, and the telomere shortest length assay (TeSLA), we show that chromosome mis-segregation due to imperfect DDR signaling in response to dysfunctional telomeres creates a preponderance of chromatin fragments in the cytosol, which leads to a premature senescence phenotype. We found that this phenomenon is caused not by telomere shortening, but by cyclic GMP–AMP synthase (cGAS) recognizing cytosolic chromatin fragments and then activating the stimulator of interferon genes (STING) cytosolic DNA-sensing pathway and downstream interferon signaling. Significantly, genetic and pharmacological manipulation of cGAS not only attenuated immune signaling, but also prevented premature cellular senescence in response to dysfunctional telomeres. The findings of our study uncover a cellular intrinsic mechanism involving the cGAS-mediated cytosolic self-DNA–sensing pathway that initiates premature senescence independently of telomere shortening. Defective DNA damage response (DDR) signaling is a common mechanism that initiates and maintains the cellular senescence phenotype. Dysfunctional telomeres activate DDR signaling, genomic instability, and cellular senescence, but the links among these events remains unclear. Here, using an array of biochemical and imaging techniques, including a highly regulatable CRISPR/Cas9 strategy to induce DNA double strand breaks specifically in the telomeres, ChIP, telomere immunofluorescence, fluorescence in situ hybridization (FISH), micronuclei imaging, and the telomere shortest length assay (TeSLA), we show that chromosome mis-segregation due to imperfect DDR signaling in response to dysfunctional telomeres creates a preponderance of chromatin fragments in the cytosol, which leads to a premature senescence phenotype. We found that this phenomenon is caused not by telomere shortening, but by cyclic GMP–AMP synthase (cGAS) recognizing cytosolic chromatin fragments and then activating the stimulator of interferon genes (STING) cytosolic DNA-sensing pathway and downstream interferon signaling. Significantly, genetic and pharmacological manipulation of cGAS not only attenuated immune signaling, but also prevented premature cellular senescence in response to dysfunctional telomeres. The findings of our study uncover a cellular intrinsic mechanism involving the cGAS-mediated cytosolic self-DNA–sensing pathway that initiates premature senescence independently of telomere shortening. Senescence is an intrinsic cellular response that induces irreversible cell-cycle arrest. Although there are many triggers for cellular senescence, defective DNA damage response (DDR) signaling is thought to be one of the common mechanisms that induces and maintains the senescence phenotype (1Fumagalli M. d'Adda di Fagagna F. SASPense and DDRama in cancer and ageing.Nat. Cell Biol. 2009; 11 (19648977): 921-92310.1038/ncb0809-921Crossref PubMed Scopus (88) Google Scholar). DDR signaling is often activated by telomere dysfunction due to loss of or defects in telomere-binding proteins, endonuclease (Isce1)-based introduction of double strand breaks (DSBs) in the subtelomeric regions (2Miller D. Reynolds G.E. Mejia R. Stark J.M. Murnane J.P. Subtelomeric regions in mammalian cells are deficient in DNA double-strand break repair.DNA Repair. 2011; 10 (21466975): 536-54410.1016/j.dnarep.2011.03.001Crossref PubMed Scopus (33) Google Scholar), telomeric DSBs induced by TRF1 fusing with the Fokl enzyme (3Cho N.W. Dilley R.L. Lampson M.A. Greenberg R.A. Interchromosomal homology searches drive directional ALT telomere movement and synapsis.Cell. 2014; 159 (25259924): 108-12110.1016/j.cell.2014.08.030Abstract Full Text Full Text PDF PubMed Scopus (220) Google Scholar), telomeric damage induced by laser microirradiation (4Silva B.A. Stambaugh J.R. Yokomori K. Shah J.V. Berns M.W. DNA damage to a single chromosome end delays anaphase onset.J. Biol. Chem. 2014; 289 (24982423): 22771-2278410.1074/jbc.M113.535955Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar), targeted DNA damage at individual telomeres caused by KillerRed chromophore fused to TRF1 (5Sun L. Tan R. Xu J. LaFace J. Gao Y. Xiao Y. Attar M. Neumann C. Li G.M. Su B. Liu Y. Nakajima S. Levine A.S. Lan L. Targeted DNA damage at individual telomeres disrupts their integrity and triggers cell death.Nucleic Acids Res. 2015; 43: 6334-634710.1093/nar/gkv598Crossref PubMed Scopus (53) Google Scholar), and irreparable telomeric DSBs induced by ionizing radiation (6Fumagalli M. Rossiello F. Clerici M. Barozzi S. Cittaro D. Kaplunov J.M. Bucci G. Dobreva M. Matti V. Beausejour C.M. Herbig U. Longhese M.P. d'Adda di Fagagna F. Telomeric DNA damage is irreparable and causes persistent DNA-damage-response activation.Nat. Cell Biol. 2012; 14 (22426077): 355-36510.1038/ncb2466Crossref PubMed Scopus (526) Google Scholar, 7Hewitt G. Jurk D. Marques F.D. Correia-Melo C. Hardy T. Gackowska A. Anderson R. Taschuk M. Mann J. Passos J.F. Telomeres are favoured targets of a persistent DNA damage response in ageing and stress-induced senescence.Nature Commun. 2012; 3 (22426229): 70810.1038/ncomms1708Crossref PubMed Scopus (532) Google Scholar). This DDR activation can result in chromosome fusions and subsequent progression through the cell cycle, causing breakage-bridge fusion cycles, which eventually lead to genome instability and cellular senescence (8de Lange T. How telomeres solve the end-protection problem.Science. 2009; 326 (19965504): 948-95210.1126/science.1170633Crossref PubMed Scopus (613) Google Scholar, 9Denchi E.L. Give me a break: how telomeres suppress the DNA damage response.DNA Repair. 2009; 8 (19482563): 1118-112610.1016/j.dnarep.2009.04.013Crossref PubMed Scopus (42) Google Scholar, 10Maciejowski J. Li Y. Bosco N. Campbell P.J. de Lange T. Chromothripsis and kataegis induced by telomere crisis.Cell. 2015; 163 (26687355): 1641-165410.1016/j.cell.2015.11.054Abstract Full Text Full Text PDF PubMed Scopus (382) Google Scholar). Cellular senescence due to replicative exhaustion, i.e. telomere shortening, has been studied extensively (11Harley C.B. Futcher A.B. Greider C.W. Telomeres shorten during ageing of human fibroblasts.Nature. 1990; 345 (2342578): 458-46010.1038/345458a0Crossref PubMed Scopus (4608) Google Scholar). However, the signaling cascade responsible for initiating cellular senescence independently of telomere shortening, but in response to telomere dysfunction, remains incompletely characterized. Recent findings have provided mechanistic insights into how genomic instability due to defective DDR signaling triggers immune signaling. Cyclic GMP-AMP synthase (cGAS), a cytosolic DNA sensor, detects cytosolic DNA as a danger-associated and initiates immune L. J. F. Cyclic GMP-AMP synthase is a cytosolic DNA that the interferon PubMed Scopus Google Scholar). that the due to DDR signaling, of chromatin fragments in the of micronuclei and the subsequent of the cGAS activation K. K. C. S. M. K. N. A. B. of triggers of micronuclei by PubMed Scopus Google Scholar, K. J. J. Lan Y. Y. Xu C. Xu M. T. chromatin triggers in senescence and PubMed Scopus Google Scholar, S. B. K. A. J. L. A. immune of cytosolic chromatin fragments through cGAS Cell Biol. PubMed Scopus Google Scholar, J. Greenberg R.A. progression DNA damage PubMed Scopus Google Scholar, A. N. A. M. N. T. of micronuclei links genome instability to PubMed Scopus Google Scholar, J. cGAS is for cellular PubMed Scopus Google Scholar). a result of cGAS activation in response to cytosolic chromatin cells can to or irreversible cell i.e. cellular senescence P.J. A.S. J.M. of human cGAS a of in 3 Full Text Full Text PDF PubMed Scopus Google Scholar, P.J. cGAS DNA Full Text Full Text PDF PubMed Scopus Google Scholar, F. T. de Mann A. M. G. V. mechanism of cytosolic DNA by PubMed Scopus Google Scholar, C. G. J. A.B. Li Cyclic GMP-AMP synthase is activated by Full Text Full Text PDF PubMed Scopus Google Scholar, J. F. Xu L. The cytosolic DNA cGAS an with DNA and in the activation 2014; Full Text Full Text PDF PubMed Scopus Google Scholar). However, is not DDR signaling activated in response to telomere damage can also activate the cytosolic DNA-sensing pathway and cellular this we have not only a to induce DSBs specifically in telomeric but we also that cGAS-mediated immune signaling is activated in response to cytosolic chromatin fragments by dysfunctional telomeres. we show that cells that fused in response to dysfunctional telomeres to which leads to the of chromatin fragments in the the cGAS to chromatin fragments DSBs and immune signaling, which often leads to premature cGAS cytosolic chromatin fragments in response to dysfunctional telomeres, and that triggers premature senescence independently of telomere shortening. induce DSBs specifically in telomeric we a telomere CRISPR/Cas9 genome M. K. M. DNA endonuclease in 2012; PubMed Scopus Google Scholar). This of a and a The a telomere with B. B.A. J. Li J. B. imaging of genomic in human cells by an Full Text Full Text PDF PubMed Scopus Google Scholar). This has been to study telomere in human cells B. B.A. J. Li J. B. imaging of genomic in human cells by an Full Text Full Text PDF PubMed Scopus Google Scholar). is an endonuclease with one for strand of the M. K. M. DNA endonuclease in 2012; PubMed Scopus Google Scholar). The the to telomeric induce DSBs the telomeric we fused to or to the of a the is and in the and to in cells using Full Text Full Text PDF PubMed Scopus Google Scholar). is by a to cells with and in the of and We a of a of with and a telomere at and we a and Although the that we have for telomeric DNA in this study has been we the of telomeric by this we the of by using and this we induced DSBs in the by cells with and for with and the chromatin using F. S. Y. S. J. A. for in DNA 2014; Full Text Full Text PDF PubMed Scopus Google Scholar). we genomic DNA and then using that of the the telomeric i.e. at the end of the chromosome these that a of DSBs induced by are the telomeric that telomeric DSBs are to DSBs (6Fumagalli M. Rossiello F. Clerici M. Barozzi S. Cittaro D. Kaplunov J.M. Bucci G. Dobreva M. Matti V. Beausejour C.M. Herbig U. Longhese M.P. d'Adda di Fagagna F. Telomeric DNA damage is irreparable and causes persistent DNA-damage-response activation.Nat. Cell Biol. 2012; 14 (22426077): 355-36510.1038/ncb2466Crossref PubMed Scopus (526) Google Scholar). to DSBs induced by our we cells with for and then the cells with and at to a study with telomere damage induced by TRF1 (5Sun L. Tan R. Xu J. LaFace J. Gao Y. Xiao Y. Attar M. Neumann C. Li G.M. Su B. Liu Y. Nakajima S. Levine A.S. Lan L. Targeted DNA damage at individual telomeres disrupts their integrity and triggers cell death.Nucleic Acids Res. 2015; 43: 6334-634710.1093/nar/gkv598Crossref PubMed Scopus (53) Google Scholar), we found the DSBs in the telomeric at the We that of these telomeric DNA DSBs the of these we also that with DSBs as a result of and A. of DNA double-strand breaks and of DNA Biol. 2014; PubMed Scopus Google Scholar). our a of telomeric DSBs but that the cells to DSBs This has an of which cells can D. J. A. L. A. S. T. M. Cell Biol. PubMed Scopus Google Scholar, G.E. G. in of breaks in Res. PubMed Scopus Google Scholar, A. B. DNA induce chromosome in human 2011; PubMed Scopus Google Scholar). We found that the of telomeric DSBs the for we the and of the We found that of and in activated in response to to DSBs by ionizing radiation of the the 3 that cells with only in and through activation in response to telomeric DSBs is and to cells that in that the of dysfunctional telomeres causes fusion of B. A. de Lange T. human telomeres Full Text Full Text PDF PubMed Scopus Google Scholar). is that the progression of cells to causes mis-segregation of fused in which in the of chromosome of of chromosome specifically in cells with telomeric DSBs in cells the of fused we the of micronuclei the of telomeric We found that the of cells in cells with telomeric DSBs in cells we of micronuclei at in at the the DDR is in response to telomeric cells to to with damage or fused which in the of micronuclei as a for genomic instability and a for DDR micronuclei can cGAS and activate the cytosolic DNA-sensing pathway K. J. J. Lan Y. Y. Xu C. Xu M. T. chromatin triggers in senescence and PubMed Scopus Google Scholar, S. B. K. A. J. L. A. immune of cytosolic chromatin fragments through cGAS Cell Biol. PubMed Scopus Google Scholar, J. Greenberg R.A. progression DNA damage PubMed Scopus Google Scholar, A. N. A. M. N. T. of micronuclei links genome instability to PubMed Scopus Google Scholar, J. cGAS is for cellular PubMed Scopus Google Scholar). we cGAS to micronuclei in response to with we not only an in cGAS in the micronuclei in response to but also that cGAS with we by cGAS to micronuclei in cells micronuclei that cytosolic chromatin fragments with we found that of the cells in the we cGAS to and activate downstream immune signaling in response to telomeric We found that of and for the cytosolic immune signaling the of the of a of immune genes also the of which with the of in the We the activation of immune signaling we found is to by our an cell for the of telomeres which and we the of micronuclei and the activation of immune signaling in these with the DSBs in the telomeric DNA of cells not only the of micronuclei but also activated in immune signaling and the of genes and of this into we that cGAS to with the activation of immune signaling in response to telomeric DSBs and is of the of telomere length we signaling activation in response to telomeric DSBs causes cellular senescence independently of telomere shortening. we the of cells for a for the senescence phenotype. We found that the of cells 10 the of with in cells we the of cells by with for We that the of cells in cells in cells we and of the senescence by S. J. A. J. G. of to replicative senescence of human Cell Res. PubMed Scopus Google Scholar, Li J. K. J. J. Liu R. Xu A. T. J. Li Y. L. D. a cell as a of human 2015; PubMed Scopus Google Scholar). We found of and of the of that telomere is a of cellular senescence, we telomere length in cells with telomeric DNA by the (TeSLA), as N. J. G. for the of the shortest telomeres in cells and Commun. PubMed Scopus Google Scholar). We found that the telomere not and and we that the of telomeres and but the We to that the telomeric for and the of of fused in telomeric DNA DSBs can have the of telomere in these that DSBs in the telomeric DNA and in signaling, which in cellular we to the cGAS to the immune signaling and the cellular senescence that we with telomeric DSBs induced by in of telomere this we a of in cells to findings B. A. de Lange T. human telomeres Full Text Full Text PDF PubMed Scopus Google Scholar), telomere as with we of and micronuclei in cells in as with micronuclei induced by we that of the micronuclei for cGAS we found that cGAS to of cells with the activation of and the of cells with of immune genes and of the a of cells cells the of cells with the of cGAS to micronuclei triggers immune signaling and cellular senescence telomere dysfunction induced by the we induced dysfunctional telomeres by using the S. of telomere dysfunction by the 2015; PubMed Scopus Google Scholar, R. K. M. L. K. C. M.P. M. R. strategy for cell cancer targeted and PubMed Scopus (33) Google Scholar, S. M. K. S. C. M. R. telomere damage to PubMed Scopus (33) Google Scholar). is by and into de telomeres. This the and of the as and K. N. R. J. of the the of and and Biol. PubMed Scopus Google Scholar, R. N. J. J. of DNA and J. Full Text Full Text PDF PubMed Scopus Google Scholar), which leads to their as but in cells S. of telomere dysfunction by the 2015; PubMed Scopus Google Scholar). we S. of telomere dysfunction by the 2015; PubMed Scopus Google Scholar, R. K. M. L. K. C. M.P. M. R. strategy for cell cancer targeted and PubMed Scopus (33) Google Scholar), cells with caused with cells and we of micronuclei in cells with in with as a of not only we cGAS to of micronuclei and but we also activation of and of micronuclei cells with and of immune genes and in cells in in a of cells cells senescence and cGAS a of which triggers immune signaling and cellular senescence telomere that this phenomenon is not to cells to one cell we induced telomeric DNA damage in human by in dysfunctional telomeres not only the of micronuclei but also activated immune signaling and premature senescence in these of the mechanism that causes telomere dysfunction or the of cells micronuclei dysfunctional telomeres in with cGAS immune signaling, which in cellular that this premature senescence phenotype caused by cytosolic chromatin fragments is senescence due to replicative exhaustion, we micronuclei and immune signaling in replicative senescence, a for replicative senescence caused by telomere D. cellular senescence in a PubMed Scopus Google Scholar). We that the of senescence we the cells for 3 However, the of micronuclei the of immune signaling pathway genes and cells and our that micronuclei by dysfunctional telomeres activate signaling and cellular senescence, which is replicative senescence caused by telomere shortening. The progression of cells with defective of telomeric DSBs to in the of which in immune premature as we J. Greenberg R.A. progression DNA damage PubMed Scopus Google Scholar), we that the progression of cells with or to the premature this we a of that cells at the of the cell C. S. D. L. of human PubMed Scopus Google Scholar). to a J. Greenberg R.A. progression DNA damage PubMed Scopus Google Scholar), we found that the cells at not the of telomeric DSBs but telomeric micronuclei and signaling and in cells of telomeric cells at the also prevented the of premature senescence in cells with telomeric DNA damage that activation in response to telomeric DSBs is a to micronuclei which in immune signaling and premature the of micronuclei for telomeric DNA and and we cells with for then the cells to with telomeric DNA and and we that of the micronuclei for telomeric DNA in response to dysfunctional telomeres, only of the micronuclei telomeric DNA in the that only a of not of telomeric we that of the micronuclei for telomeric DNA and and of the telomeric DNA micronuclei cGAS cGAS is to a of telomeric cGAS activation in response to induced by dysfunctional telomeres is responsible for cellular senescence, we cGAS in cells by using and caused dysfunctional telomeres by with cGAS not the of micronuclei in response to telomere dysfunction However, cells activation of cells cells to the of immune signaling genes telomere dysfunction the immune signaling cGAS prevented cellular senescence in response to dysfunctional telomeres these we the of cGAS using a J. C. Gao A. L. Y. R. T. J. K. T. J. S. K. T. of cGAS interferon in Commun. PubMed Scopus Google Scholar). not micronuclei but as with and cells of immune signaling genes cells the of cells for also cells to and these findings that the cGAS-mediated cytosolic DNA pathway is to cellular senescence in response to dysfunctional telomeres. Cellular senescence cell and in and We can at of cellular replicative senescence, which telomere shortening, and stress-induced premature senescence, which not telomere shortening. Although many premature senescence, this study that the of cytosolic chromatin fragments caused by dysfunctional telomeres initiates the cGAS-mediated cytosolic DNA-sensing pathway and the premature senescence phenotype. This study the that a mechanism that telomere but not telomere shortening, to this phenotype. is that human and cells have cellular senescence and However, the study that cancer cells and cells can be induced to cellular senescence independently of telomere cGAS cytosolic chromatin fragments in response to dysfunctional telomeres. This is the to dysfunctional telomeres, with an cell-cycle leads to the of cytosolic chromatin fragments and the cGAS-mediated cytosolic DNA premature cell progression cellular senescence in cells that of dysfunctional telomeres has been that caused by ionizing radiation is which in micronuclei and cGAS-mediated cytosolic DNA signaling J. Greenberg R.A. progression DNA damage PubMed Scopus Google Scholar, A. B. DNA induce chromosome in human 2011; PubMed Scopus Google Scholar). dysfunctional telomeres with DDR signaling to micronuclei cGAS-mediated immune signaling and a telomere premature senescence phenotype. study that the activation of the of telomere pathway causes an telomere DNA to the that is by the cGAS DNA and the signaling cascade to which in telomere DNA is to ALT DNA Biol. PubMed Scopus Google Scholar). However, we found that of the micronuclei for telomeric DNA and of the telomeric DNA micronuclei cGAS a that dysfunctional telomeres cytosolic chromatin fragments and activate signaling, which in cell and genomic instability J. R. A. J.M. B. A. J. cell instability during replicative PubMed Scopus Google Scholar). However, we in the of cell in our defects in telomeres are with cellular including senescence, cancer and the signaling our study that dysfunctional telomeres with imperfect DDR signaling to micronuclei cGAS-mediated immune signaling and a telomere premature senescence phenotype. with findings K. J. J. Lan Y. Y. Xu C. Xu M. T. chromatin triggers in senescence and PubMed Scopus Google Scholar, S. B. K. A. J. L. A. immune of cytosolic chromatin fragments through cGAS Cell Biol. PubMed Scopus Google Scholar, J. cGAS is for cellular PubMed Scopus Google Scholar), our study that cGAS an in initiating the for telomere premature However, the of how cGAS the senescence phenotype remains T. The pathway DNA damage to senescence, and PubMed Scopus Google Scholar). This is cGAS of cytosolic DNA fragments and the subsequent activation of immune signaling the of this phenotype. cGAS or to premature senescence in the of cytosolic chromatin fragments due to dysfunctional telomeres. that the activation of the cGAS-mediated cytosolic DNA pathway to a senescence phenotype. that and to the cells to senescence signaling A. A. A. S. M. M. C. N. Y. J. d'Adda di Fagagna F. D. J. signaling the Full Text Full Text PDF PubMed Scopus Google Scholar, T. C. S. R. senescence by an Full Text Full Text PDF PubMed Scopus Google Scholar). as T. The pathway DNA damage to senescence, and PubMed Scopus Google Scholar, D. triggers PubMed Scopus Google Scholar), cGAS-mediated of as and in response to dysfunctional telomeres as an that is to a senescence phenotype. is that the cell mechanism of cGAS-mediated premature senescence in be in an with an immune this study that micronuclei are telomere dysfunction cells with fused to to cGAS to these This of cGAS to initiates immune signaling, which in a premature senescence phenotype not caused by telomere how DDR to cGAS activation by by dysfunctional telomeres in in of immune signaling activation in with loss of or dysfunction in telomere-binding and cells the have been F. S. Y. S. J. A. for in DNA 2014; Full Text Full Text PDF PubMed Scopus Google Scholar). cell in at and in or and with and by only cells for our and cell we and cells with a and then the cells and for and We and by and using cells with and for we for with a B. B.A. J. Li J. B. imaging of genomic in human cells by an Full Text Full Text PDF PubMed Scopus Google and and then a single cell in of a single and for a to regions of cell we cells with a then the cells We and with for then the of by and using cell we cells with and then cells and the of cGAS by to mammalian of human We to the of by then into the of The to the of using and into of a and a a and T. in human cells using the 2014; PubMed Scopus Google Scholar). cells with highly and by using to or the as in and M. DNA Biol. PubMed Scopus Google Scholar). We cell the through and the through to the We cGAS and induce DSBs in the telomeric DNA in or we cells with of and for then with and to in at induce we cells with of for then with and to in at we cells with for in and then in for an at cells for with and in then with and in at with in for the of the to the for of We cells to by using a and as A. Cellular to DNA double-strand breaks Acids Res. 2009; PubMed Scopus Google Scholar). by cell in at and at and at for then at for at to to by and with of of the in this study are in including and and and at in or and and at cells in a and for with for as with for at at and to immunofluorescence, as A. B. DNA induce chromosome in human 2011; PubMed Scopus Google Scholar). cells in in for with in in at for and then with in at for 3 or at cells with in with in and at for with and with in for at and then to as cells with a in for 10 in and and with hybridization 10 and for at the in a for then with 10 and and 3 at then with and using an using an laser with a of at using and and The of the laser at A. The laser to with the to we the by using the and as individual and and we the and of the We individual and of cells to with with using the and the to in cells in in a as A. B. DNA induce chromosome in human 2011; PubMed Scopus Google Scholar). to dysfunctional telomeres, we by in the of of for and with and in 10 of at for with of in and then at at for the cells with for and at with at for with and then using with an and the or of fused in in a to using the the or as F. J. to a of cells in and in 2009; PubMed Scopus Google Scholar). using the of a in a We in a the of cells in of cells in to of by using in a of to the We the to for genes by using the and to the by the The in as the the of and the We then by the the The as in for and the to with and induced dysfunctional telomeres at with for in with and then with at then with at for and then by with cells in of and with at for with cells with and using the of a cells in a of cells in a We cell at and at for at to cell We then by using the human as the and as D. M. Y. T. is a that PubMed Scopus (14) Google Scholar). telomere we cells with and for then the genomic DNA cells and cells and and We then of genomic DNA to the by N. J. G. for the of the shortest telomeres in cells and Commun. PubMed Scopus Google Scholar). the of in recognizing telomeric we using cells with or for in and in for with and the chromatin using we genome the DNA and in the of We and to the of also for of using and of for and are of at and are as the to the the in this study are the We for this with DNA damage response double strand breaks cyclic GMP-AMP synthase telomeric cytosolic chromatin telomere shortest length assay human fluorescence in situ hybridization interferon 3 stimulator of interferon