RT Journal Article SR Electronic T1 TERRA transcription destabilizes telomere integrity to initiate break-induced replication in human ALT cells JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.02.18.431840 DO 10.1101/2021.02.18.431840 A1 Bruno Silva A1 Rajika Arora A1 Claus M. Azzalin YR 2021 UL http://biorxiv.org/content/early/2021/02/18/2021.02.18.431840.abstract AB Alternative Lengthening of Telomeres (ALT) is a Break-Induced Replication (BIR)-based mechanism elongating telomeres in a subset of human cancer cells. While the notion that spontaneous DNA damage at telomeres is required for ALT to occur, the molecular triggers of this physiological telomere instability are largely unknown. We previously proposed that the telomeric long noncoding RNA TERRA may represent one such trigger; however, given the lack of tools to suppress TERRA transcription in cells, our hypothesis remained speculative. We have now developed Transcription Activator-Like Effectors able to rapidly inhibit TERRA transcription from multiple chromosome ends in an ALT cell line. TERRA transcription inhibition decreases marks of DNA replication stress and DNA damage at telomeres and impairs ALT activity and telomere length maintenance. We conclude that TERRA transcription actively destabilizes telomere integrity in ALT cells, thereby initiating BIR and supporting telomere elongation. Our data point to TERRA transcription manipulation as a potentially useful target for therapy.Competing Interest StatementThe authors have declared no competing interest.