Telomere Maintenance (Homo sapiens)

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1, 14, 24, 42, 47...4, 6355, 602, 9, 15, 59, 6725, 6943, 723, 16, 31, 772853632, 59, 6134, 40, 51532775, 6, 18, 29, 35...21, 22, 638, 1755, 60126822532, 1123, 4413, 6525, 39, 697, 10, 19, 26, 32...53577426065nucleoplasmTelomerase RNP Boundand base-paired tothe TelomericChromosome EndRFC2 DAXX HIST1H2BA TERF2IP POLD4 TINF2 HIST1H4 POLR2F RNA primer RFC3 DNA2H2BFS H2AFZ ACD HIST1H2AJ POLD2 POT1 HIST1H2BL HIST1H2BD RFC2G-strand Chromosome end with two additional single strand repeats and a subterminal loop - Telomeric RPA2 G-strand chromosome end - Telomeric POLD3 TEN1 TINF2 HIST1H2BC TERF2IP RUVBL2ATRX RFC1 TERT DNA2 POLD3 WRAP53 TINF2 TERF2 HIST1H2BN POT1 TERF1 HIST1H2BJ TERF1 TERF2IP DSCC1 DSCC1 TINF2 HIST1H2BJ TERF2IP H2AFZ NOP10 POT1 TERF2 HIST1H2AD HIST1H2BK G-strand Chromosome end with two additional single strand repeats and a subterminal loop - Telomeric HIST1H2BH TERF2 C-strand Okazaki fragment POLD1 RTEL1 FEN1POT1 H3F3AHIST1H2BN ACD TINF2 DKC1 TelomeraseRNP:G-strandtelomericchromosome endPOLD1 RFC2 G-strand Chromosome end with two additional single strand repeats - Telomeric HIST1H2BH ACD Telomeric G-strandchromosomeend:Shelterin(p-S365-TERF2)Shelterin complexHIST1H2BO CHTF18 DNA primer HIST1H2BD G-strand Chromosome end with two additional single strand repeats - Telomeric HIST1H2AB DNA primer TERF2 H2AFX TINF2 G-strand Chromosome end with two additional single strand repeats - Telomeric ligated C-strand Okazaki fragment TERF2 POT1 RPA2 PCNA TINF2 RFC,(CFT18-RFC)DSCC1 HIST1H2BA WRAP53 POT1 ATPDKC1 TERF1 G-strand Chromosome end with two additional single strand repeats - Telomeric POLR2D DKC1 HIST1H2BL NHP2 NHP2 STN1 ACD ATRX ligated C-strand Okazaki fragment NOP10 HIST1H2BM TERF2IP HIST1H2AC H+WRAP53 TINF2 POLR2I PCNA PCNA Telomere:Shelterin:Nucleosome (H3F3A):ATRX:DAXXH2AFX ATPG-strand Chromosome end with two additional single strand repeats and a subterminal loop - Telomeric RFC4 Processive complexloaded ontelomere:Okazakifragment:FlapHIST1H2BL HIST1H2BD POLD4 RPA3 POLR2H CCNA2 H2AFZ TERF1 HIST1H2BO ACD TERF1 ANKRD28 G-strand chromosome end - Telomeric TERF2 H2OCTC1 HIST1H2BO TERF2IP POLD3 STN1 HIST1H2BO Processive complexloaded ontelomere:nicked DNAfrom adjacentOkazaki fragmentsPOT1 DNA primer PiWRNHIST3H3HIST1H2AC DKC1PCNA HIST1H2AJ ATRX:DAXXTERF1 RFCHeteropentamer:RNAprimer-DNAprimer:G-strandextended telomereend duplex:PCNAhomotrimerHIST1H2AB POLA1 HIST3H3 TERF2 TERT PRIM2 TINF2 RFC3 G-strand Chromosome end with two additional single strand repeats - Telomeric TERF1 TEN1 POT1 TERF2IP TERF2IP TERF1 TERT Flap HIST1H2BD AMPCHTF8ACD NHP2 POT1 NTPExtended AndProcessed TelomereEnd and AssociatedDNA Binding andPackaging ProteinComplex Folded IntoHigher OrderStructurePOT1 CHTF8 PiPCNA TERF2IP HIST1H2BB HIST1H2BB Telomere:Shelterin:Nucleosome:ATRX:DAXXPOLA1 dTTPNHP2 TERF2 HIST1H2BC HIST1H2AC TERF1 TINF2 POLD1 Telomerase RNA Component (TERC) HIST1H2AJ TERF2IP RPA1 HIST1H2AD HIST3H2BB ATRXHIST1H2BN TINF2 TINF2 G-strand Chromosome end with two additional single strand repeats - Telomeric HIST1H2BH ACD RFC5 HIST1H2BM TERF1 DSCC1WRAP53 HIST1H2BC SHQ1NOP10 TERT TERF1 DNA primer TERF2 GAR1 POT1 DSCC1 PRIM1 HIST1H2AB H2AFB1 HIST1H2BH ligated C-strand Okazaki fragment HIST1H2AC TERF2IP TelomeraseHoloenzyme:Telomeric RNP End with Two Additional Single Stranded Telomere RepeatsPOLA1 RFC5 RNA Polymerase IIholoenzyme complex(generic)POLD3 TERF1 HIST1H2BM RFC2 p-T160-CDK2 RTEL1 POLR2L TEN1 DAXXGAR1ligated C-strand Okazaki fragment RPA2 TERF1 CHTF8 HIST1H2BB G-strand Chromosome end with two additional single strand repeats - Telomeric HIST1H2BJ Telomerase RNPHIST1H2AC POLD3 ACD HIST1H2BB G-strand Chromosome end with an additional single strand repeat - Telomeric ADPPCNA homotrimerPOLD1 SHQ1 TERF2IP ACD PRIM2 HIST1H2BM HIST2H2AC TERF2 RFC3TERF2 POLD3 POLD2 RPA heterotrimerH2BFS CTF18 complexTERF1 POLD1 ACD C-strand Okazaki fragment Telomerase RNA Component (TERC) POLA2 Telomerase RNAComponent (TERC)ACD TERF2 TEN1H2AFB1 CHTF8 RFC5 POT1 PCNA ACD RTEL1 TERF2 TERF2IP DNA Damage/TelomereStress InducedSenescenceRFCHeteropentamer:RNAprimer-DNAprimer:G-strandextended telomereendTERF1 HIST2H2BE TINF2 STN1NHP2 TERF1 RNA primer HIST1H2BK HIST3H2BB WRAP53 TINF2 RFC3 NOP10 C-strand Okazaki fragment TINF2 H2BFS H2AFJ HIST1H2BL ACD TINF2 POLR2K H2AFB1 TERF2IP TINF2 G-strand Chromosome end with two additional single strand repeats - Telomeric Telomerase RNA Component (TERC) STN1 RFC1 CHTF18 HIST3H3 ACD POT1 PRIM1 POLR2J RTEL1ligated C-strand Okazaki fragment H3F3A GAR1 ACD TINF2 NOP10RFC1 HIST1H2BC HIST2H2BE RNAprimer:DNAprimer:G-strandextendedtelomere:POLA:primaseDKC1 G-strand Chromosome end with two additional single strand repeats - Telomeric TERF1 ACD Extended AndProcessed TelomereEnd and AssociatedDNA Binding andPackaging ProteinComplexHIST3H3 TINF2 TERF2 POT1 DKC1 Processive complexloaded ontelomere:Okazakifragment:Flap:RPAheterotrimerPOT1TERF1 HIST1H2BA dATPPOLD4 POLD4 ACD HIST1H2BK H2AFV TERF2IP POT1 HIST1H4 H2AFX RPA1 G-strand Chromosome end with two additional single strand repeats - Telomeric PCNA H2AFX TERF2 TEN1 H2AFX POLR2E G-strand Chromosome end with two additional single strand repeats - Telomeric TERF2IP G-strand Chromosome end with two additional single strand repeats - Telomeric RNA primer GAR1 C-strand Okazaki fragment NHP2HIST1H2BN CCNA:p-T160-CDK2GAR1 HIST1H4 CTF18-RFC(7s)complexHIST1H2AJ RFC4POT1 CHTF8 NucleosomeNHP2 DAXX CHTF18 G-strand Chromosome end with two additional single strand repeats - Telomeric POLD3 ACD HIST1H2AB TERF2IP POT1 H2AFV H2AFV HIST1H2AD HIST1H2BA HIST1H2AD ACD RNA primer:G-strandextended telomereend:POLA:primaseHIST1H2BD POT1 TERF2 ADPG-strand Chromosome end with two additional single strand repeats - Telomeric TERRAExtended AndProcessed TelomereEndUMPACD C-strand Okazaki fragment POLA2 Telomeric G-strandchromosomeend:ShelterinPOT1 ACD PiTERF1 HIST1H2BJ TERF2 DKC1 ATP HIST1H2BB G-strand chromosome end - Telomeric POLA2 HIST3H2BB CMPPOLD1 CTP GTP H2AFZ HIST1H2BL HIST1H4 Remaining Flap POLD4 RFC5 RFC5ADPRPA1 POLD4 CCNA1 TERF2IP H2ORPA3 RFC4 TERF1 H2BFS Telomerase RNA Component (TERC) TINF2 POLD2 TERF2 TERF1 TERF2 POLD1 CHTF8 HIST1H2BA PCNA Processive complexloaded on telomereTERF2IP DAXX PIF1G-strand Chromosome end with two additional single strand repeats - Telomeric TERF2 POLD2 TERF1 dCTPHIST1H2BM TERF2IP Flap POLR2B TINF2 TINF2 HIST1H2AD DNA Polymerase deltatetramerRTEL1 HIST2H2AC TERF2 Processive complexloaded ontelomere:Okazakifragment:Flap:RPAheterotrimer:DNA2WRN H+H2AFJ ATPCST complexPOLD3 RFC3 DKC1 Processive complexloaded ontelomere:ligatedC-strand OkazakifragmentsSTN1 C-strand Okazaki fragment minus Flap POLA:primase:G-strand extended telomere endACD PiH2AFV POT1 POLD4 HIST1H2BK HIST2H2AC ACD POT1 POT1 Flap TINF2 BLM,WRNG-strand chromosome end - Telomeric PRIM2 HIST2H2AA3 POLR2G RFC4 WRAP53 HIST2H2BE CHTF18Telomeric DNAPOLA2 PRIM2 PCNA TERF1 TINF2 POLD2 HIST1H2BC RTEL1 TERF2 RPA3 ACD HIST3H2BB PRIM1 HIST1H2AB POLD4 TERF2 TERF2IP H2AFV H2AFJ RNA primer PCNA POT1 H2BFS Telomeric G-strandchromosome end withtwo additionalsingle strandrepeatsPPP6R3 RNA primer TERF2 Processive complexloaded ontelomere:Okazakifragments:RemainingFlapG-strand Chromosome end with an additional single strand repeat - Telomeric HIST3H2BB ATRX HIST3H3 TERTPOLD2 POLD1 TINF2 Telomerase RNA Component (TERC) GAR1 HIST2H2AC TERF2IP CHTF18 UTP POLD2 RFC2 TERF2IP HIST2H2AA3 HIST1H2AJ TelomeraseRNP:TelomericChromosome End withan Additionalsingle StrandedTelomere repeatTINF2 dGTPGAR1 PP6-PPP6R3Processive complexloaded ontelomere:Okazakifragment complexDNA polymerasealpha:primaseACD TERF2IP ACD TERF2 DNA primer POT1 POT1 TERF2 H2AFJ ACD TINF2 RNA primer GMPG-strand Chromosome end with two additional single strand repeats - Telomeric POLD4 POT1 CTC1 Telomerase RNA Component (TERC) CTC1 TERF2IP CHTF18 CTC1 TERF1 POLA1 RUVBL1H2OTINF2 TelomeraseHoloenzymeBase-paired to theTelomericChromosome End withan Additionalsingle StrandedTelomere repeatNOP10 HIST1H4 POLD1 ligated C-strand Okazaki fragment TERT WRAP53TERF1 H2AFZ RNA primer-DNAprimer:G-strandextendedtelomere:PCNAH2AFB1 HIST1H2BN POT1 HIST2H2AA3 H2AFB1 DKC1:SHQ1TERT ACD HIST1H2BO POLD3 HIST2H2BE HIST2H2AA3 HIST2H2BE POLR2A HIST1H2BK TERF2IP HIST2H2AA3 H2AFJ PPP6C TERF1 ADPHIST1H2BJ p-S365-TERF2 DSCC1 TERF2 H2OPOLR2C HIST2H2AC POLD2 RFC4 PRIM1 TERF2IP BLM LIG1TERF1 POT1 RNA primer POLD2 PCNA NOP10 CTC1TERF1 ATPG-strand Chromosome end with two additional single strand repeats - Telomeric HIST1H2BH G-strand Chromosome end with two additional single strand repeats - Telomeric TERF2IP 38, 732518, 29572536, 4620, 30, 37, 41, 42, 50...


Description

Telomeres are protein-DNA complexes at the ends of linear chromosomes that are important for genome stability. Telomeric DNA in humans, as in many eukaryotic organisms, consists of tandem repeats (Blackburn and Gall 1978; Moyzis et al. 1988; Meyne et al. 1989). The repeats at human telomeres are composed of TTAGGG sequences and stretch for several kilobase pairs. Another feature of telomeric DNA in many eukaryotes is a G-rich 3' single strand overhang, which in humans is estimated to be approximately 50-300 bases long (Makarov et al. 1997; Wright et al. 1997; Huffman et al. 2000). Telomeric DNA isolated from humans and several other organisms can form a lasso-type structure called a t-loop in which the 3' single-strand end is presumed to invade the double stranded telomeric DNA repeat tract (Griffith et al. 1999). Telomeric DNA is bound by multiple protein factors that play important roles in regulating telomere length and in protecting the chromosome end from recombination, non-homologous end-joining, DNA damage signaling, and unregulated nucleolytic attack (reviewed in de Lange 2005).

DNA attrition can occur at telomeres, which can impact cell viability. Attrition can occur owing to the "end-replication problem", a consequence of the mechanism of lagging-strand synthesis (Watson 1972; Olovnikov 1973). Besides incomplete replication, nucleolytic processing also likely contributes to telomere attrition (Huffman et al. 2000). If telomeres become critically shortened, replicative senescence can result (Harley et al. 1990). Thus, in order to undergo multiple divisions, cells need a mechanism to replenish the sequence at their chromosome ends.

The primary means for maintaining the sequence at chromosome ends in many eukaryotic organisms, including humans, is based on telomerase (Greider and Blackburn, 1985; Morin 1989). Telomerase is a ribonucleoprotein complex minimally composed of a conserved protein subunit containing a reverse transcriptase domain (telomerase reverse transcriptase, TERT) (Lingner et al. 1997; Nakamura et al. 1997) and a template-containing RNA (telomerase RNA component, TERC, TR, TER) (Greider and Blackburn, 1987; Feng et al 1995). Telomerase uses the RNA template to direct addition of multiple tandem repeats to the 3' G-rich single strand overhang. Besides extension by telomerase, maintenance of telomeric DNA involves additional activities, including C-strand synthesis, which fills in the opposing strand, and nucleolytic processing, which likely contributes to the generation of the 3' overhang. View original pathway at Reactome.

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Pathway is converted from Reactome ID: 157579
Reactome-version 
Reactome version: 75
Reactome Author 
Reactome Author: Blackburn, EH, Seidel, Jeff

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  72. Ohki R, Ishikawa F.; ''Telomere-bound TRF1 and TRF2 stall the replication fork at telomeric repeats.''; PubMed Europe PMC Scholia
  73. Hubscher U, Maga G, Spadari S.; ''Eukaryotic DNA polymerases.''; PubMed Europe PMC Scholia
  74. Hastie ND, Dempster M, Dunlop MG, Thompson AM, Green DK, Allshire RC.; ''Telomere reduction in human colorectal carcinoma and with ageing.''; PubMed Europe PMC Scholia
  75. Karlseder J, Broccoli D, Dai Y, Hardy S, de Lange T.; ''p53- and ATM-dependent apoptosis induced by telomeres lacking TRF2.''; PubMed Europe PMC Scholia
  76. Moiseeva O, Bourdeau V, Roux A, Deschênes-Simard X, Ferbeyre G.; ''Mitochondrial dysfunction contributes to oncogene-induced senescence.''; PubMed Europe PMC Scholia
  77. Paeschke K, Bochman ML, Garcia PD, Cejka P, Friedman KL, Kowalczykowski SC, Zakian VA.; ''Pif1 family helicases suppress genome instability at G-quadruplex motifs.''; PubMed Europe PMC Scholia

History

View all...
CompareRevisionActionTimeUserComment
114708view16:18, 25 January 2021ReactomeTeamReactome version 75
113153view11:21, 2 November 2020ReactomeTeamReactome version 74
112381view15:31, 9 October 2020ReactomeTeamReactome version 73
101284view11:17, 1 November 2018ReactomeTeamreactome version 66
100821view20:48, 31 October 2018ReactomeTeamreactome version 65
100362view19:23, 31 October 2018ReactomeTeamreactome version 64
99907view16:06, 31 October 2018ReactomeTeamreactome version 63
99463view14:38, 31 October 2018ReactomeTeamreactome version 62 (2nd attempt)
93874view13:42, 16 August 2017ReactomeTeamreactome version 61
93441view11:23, 9 August 2017ReactomeTeamreactome version 61
88407view11:43, 5 August 2016FehrhartOntology Term : 'pathway pertinent to DNA replication and repair, cell cycle, maintenance of genomic integrity, RNA and protein biosynthesis' added !
86532view09:20, 11 July 2016ReactomeTeamreactome version 56
83097view09:58, 18 November 2015ReactomeTeamVersion54
81422view12:57, 21 August 2015ReactomeTeamVersion53
76893view08:16, 17 July 2014ReactomeTeamFixed remaining interactions
76598view11:57, 16 July 2014ReactomeTeamFixed remaining interactions
75930view09:58, 11 June 2014ReactomeTeamRe-fixing comment source
75631view10:50, 10 June 2014ReactomeTeamReactome 48 Update
74986view13:50, 8 May 2014AnweshaFixing comment source for displaying WikiPathways description
74630view08:41, 30 April 2014ReactomeTeamReactome46
68975view17:41, 8 July 2013MaintBotUpdated to 2013 gpml schema
42143view22:00, 4 March 2011MaintBotAutomatic update
39954view05:58, 21 January 2011MaintBotNew pathway

External references

DataNodes

View all...
NameTypeDatabase referenceComment
ACD ProteinQ96AP0 (Uniprot-TrEMBL)
ADPMetaboliteCHEBI:456216 (ChEBI)
AMPMetaboliteCHEBI:16027 (ChEBI)
ANKRD28 ProteinO15084 (Uniprot-TrEMBL)
ATP MetaboliteCHEBI:30616 (ChEBI)
ATPMetaboliteCHEBI:30616 (ChEBI)
ATRX ProteinP46100 (Uniprot-TrEMBL)
ATRX:DAXXComplexR-HSA-9007927 (Reactome)
ATRXProteinP46100 (Uniprot-TrEMBL)
BLM ProteinP54132 (Uniprot-TrEMBL)
BLM,WRNComplexR-HSA-9668968 (Reactome)
C-strand Okazaki fragment R-ALL-176398 (Reactome)
C-strand Okazaki fragment minus Flap R-ALL-176397 (Reactome)
CCNA1 ProteinP78396 (Uniprot-TrEMBL)
CCNA2 ProteinP20248 (Uniprot-TrEMBL)
CCNA:p-T160-CDK2ComplexR-HSA-187952 (Reactome)
CHTF18 ProteinQ8WVB6 (Uniprot-TrEMBL)
CHTF18ProteinQ8WVB6 (Uniprot-TrEMBL)
CHTF8 ProteinP0CG13 (Uniprot-TrEMBL)
CHTF8ProteinP0CG13 (Uniprot-TrEMBL)
CMPMetaboliteCHEBI:17361 (ChEBI)
CST complexComplexR-HSA-9668830 (Reactome)
CTC1 ProteinQ2NKJ3 (Uniprot-TrEMBL)
CTC1ProteinQ2NKJ3 (Uniprot-TrEMBL)
CTF18 complexComplexR-HSA-9668900 (Reactome)
CTF18-RFC(7s) complexComplexR-HSA-9668901 (Reactome)
CTP MetaboliteCHEBI:17677 (ChEBI)
DAXX ProteinQ9UER7 (Uniprot-TrEMBL)
DAXXProteinQ9UER7 (Uniprot-TrEMBL)
DKC1 ProteinO60832 (Uniprot-TrEMBL)
DKC1:SHQ1ComplexR-HSA-9671148 (Reactome)
DKC1ProteinO60832 (Uniprot-TrEMBL)
DNA Damage/Telomere

Stress Induced

Senescence
PathwayR-HSA-2559586 (Reactome) Reactive oxygen species (ROS), whose concentration increases in senescent cells due to oncogenic RAS-induced mitochondrial dysfunction (Moiseeva et al. 2009) or due to environmental stress, cause DNA damage in the form of double strand breaks (DSBs) (Yu and Anderson 1997). In addition, persistent cell division fueled by oncogenic signaling leads to replicative exhaustion, manifested in critically short telomeres (Harley et al. 1990, Hastie et al. 1990). Shortened telomeres are no longer able to bind the protective shelterin complex (Smogorzewska et al. 2000, de Lange 2005) and are recognized as damaged DNA.

The evolutionarily conserved MRN complex, consisting of MRE11A (MRE11), RAD50 and NBN (NBS1) subunits, binds DSBs (Lee and Paull 2005) and shortened telomeres that are no longer protected by shelterin (Wu et al. 2007). Once bound to the DNA, the MRN complex recruits and activates ATM kinase (Lee and Paull 2005, Wu et al. 2007), leading to phosphorylation of ATM targets, including TP53 (p53) (Banin et al. 1998, Canman et al. 1998, Khanna et al. 1998). TP53, phosphorylated on serine S15 by ATM, binds the CDKN1A (also known as p21, CIP1 or WAF1) promoter and induces CDKN1A transcription (El-Deiry et al. 1993, Karlseder et al. 1999). CDKN1A inhibits the activity of CDK2, leading to G1/S cell cycle arrest (Harper et al. 1993, El-Deiry et al. 1993).

SMURF2 is upregulated in response to telomere attrition in human fibroblasts and induces senecscent phenotype through RB1 and TP53, independently of its role in TGF-beta-1 signaling (Zhang and Cohen 2004). The exact mechanism of SMURF2 involvement is senescence has not been elucidated.

DNA Polymerase delta tetramerComplexR-HSA-68450 (Reactome)
DNA polymerase alpha:primaseComplexR-HSA-68507 (Reactome)
DNA primer R-ALL-68424 (Reactome)
DNA2 ProteinP51530 (Uniprot-TrEMBL)
DNA2ProteinP51530 (Uniprot-TrEMBL)
DSCC1 ProteinQ9BVC3 (Uniprot-TrEMBL)
DSCC1ProteinQ9BVC3 (Uniprot-TrEMBL)
Extended And

Processed Telomere End and Associated DNA Binding and Packaging Protein Complex Folded Into Higher Order

Structure
ComplexR-HSA-182751 (Reactome)
Extended And

Processed Telomere End and Associated DNA Binding and Packaging Protein

Complex
ComplexR-HSA-176703 (Reactome)
Extended And

Processed Telomere

End
ComplexR-HSA-9690022 (Reactome)
FEN1ProteinP39748 (Uniprot-TrEMBL)
Flap R-ALL-68454 (Reactome)
G-strand Chromosome end with an additional single strand repeat - Telomeric MetaboliteCHEBI:15986 (ChEBI)
G-strand Chromosome end with two additional single strand repeats - Telomeric MetaboliteCHEBI:15986 (ChEBI)
G-strand Chromosome end with two additional single strand repeats and a subterminal loop - Telomeric R-HSA-182791 (Reactome)
G-strand chromosome end - Telomeric MetaboliteCHEBI:15986 (ChEBI)
GAR1 ProteinQ9NY12 (Uniprot-TrEMBL)
GAR1ProteinQ9NY12 (Uniprot-TrEMBL)
GMPMetaboliteCHEBI:17345 (ChEBI)
GTP MetaboliteCHEBI:15996 (ChEBI)
H+MetaboliteCHEBI:15378 (ChEBI)
H2AFB1 ProteinP0C5Y9 (Uniprot-TrEMBL)
H2AFJ ProteinQ9BTM1 (Uniprot-TrEMBL)
H2AFV ProteinQ71UI9 (Uniprot-TrEMBL)
H2AFX ProteinP16104 (Uniprot-TrEMBL)
H2AFZ ProteinP0C0S5 (Uniprot-TrEMBL)
H2BFS ProteinP57053 (Uniprot-TrEMBL)
H2OMetaboliteCHEBI:15377 (ChEBI)
H3F3A ProteinP84243 (Uniprot-TrEMBL)
H3F3AProteinP84243 (Uniprot-TrEMBL)
HIST1H2AB ProteinP04908 (Uniprot-TrEMBL)
HIST1H2AC ProteinQ93077 (Uniprot-TrEMBL)
HIST1H2AD ProteinP20671 (Uniprot-TrEMBL)
HIST1H2AJ ProteinQ99878 (Uniprot-TrEMBL)
HIST1H2BA ProteinQ96A08 (Uniprot-TrEMBL)
HIST1H2BB ProteinP33778 (Uniprot-TrEMBL)
HIST1H2BC ProteinP62807 (Uniprot-TrEMBL)
HIST1H2BD ProteinP58876 (Uniprot-TrEMBL)
HIST1H2BH ProteinQ93079 (Uniprot-TrEMBL)
HIST1H2BJ ProteinP06899 (Uniprot-TrEMBL)
HIST1H2BK ProteinO60814 (Uniprot-TrEMBL)
HIST1H2BL ProteinQ99880 (Uniprot-TrEMBL)
HIST1H2BM ProteinQ99879 (Uniprot-TrEMBL)
HIST1H2BN ProteinQ99877 (Uniprot-TrEMBL)
HIST1H2BO ProteinP23527 (Uniprot-TrEMBL)
HIST1H4 ProteinP62805 (Uniprot-TrEMBL)
HIST2H2AA3 ProteinQ6FI13 (Uniprot-TrEMBL)
HIST2H2AC ProteinQ16777 (Uniprot-TrEMBL)
HIST2H2BE ProteinQ16778 (Uniprot-TrEMBL)
HIST3H2BB ProteinQ8N257 (Uniprot-TrEMBL)
HIST3H3 ProteinQ16695 (Uniprot-TrEMBL)
HIST3H3ProteinQ16695 (Uniprot-TrEMBL)
LIG1ProteinP18858 (Uniprot-TrEMBL)
NHP2 ProteinQ9NX24 (Uniprot-TrEMBL)
NHP2ProteinQ9NX24 (Uniprot-TrEMBL)
NOP10 ProteinQ9NPE3 (Uniprot-TrEMBL)
NOP10ProteinQ9NPE3 (Uniprot-TrEMBL)
NTPComplexR-ALL-30595 (Reactome)
NucleosomeComplexR-HSA-181921 (Reactome) This is a generic nucleosome created for the telomerase module. It contains Histones H2A, H2B, and H3 as candidate sets where all of the variants of each histone protein are entered as candidates (as opposed to members). The list for each is not exhaustive, but rather is a list of histones known to Reactome at the time of the creation of the nucleosome complex. Histone H4 is only documented once in Uniprot, so for now it is an EWAS.
PCNA ProteinP12004 (Uniprot-TrEMBL)
PCNA homotrimerComplexR-HSA-68440 (Reactome)
PIF1ProteinQ9H611 (Uniprot-TrEMBL)
POLA1 ProteinP09884 (Uniprot-TrEMBL)
POLA2 ProteinQ14181 (Uniprot-TrEMBL)
POLA:primase:G-strand extended telomere endComplexR-HSA-9668602 (Reactome)
POLD1 ProteinP28340 (Uniprot-TrEMBL)
POLD2 ProteinP49005 (Uniprot-TrEMBL)
POLD3 ProteinQ15054 (Uniprot-TrEMBL)
POLD4 ProteinQ9HCU8 (Uniprot-TrEMBL)
POLR2A ProteinP24928 (Uniprot-TrEMBL)
POLR2B ProteinP30876 (Uniprot-TrEMBL)
POLR2C ProteinP19387 (Uniprot-TrEMBL)
POLR2D ProteinO15514 (Uniprot-TrEMBL)
POLR2E ProteinP19388 (Uniprot-TrEMBL)
POLR2F ProteinP61218 (Uniprot-TrEMBL)
POLR2G ProteinP62487 (Uniprot-TrEMBL)
POLR2H ProteinP52434 (Uniprot-TrEMBL)
POLR2I ProteinP36954 (Uniprot-TrEMBL)
POLR2J ProteinP52435 (Uniprot-TrEMBL)
POLR2K ProteinP53803 (Uniprot-TrEMBL)
POLR2L ProteinP62875 (Uniprot-TrEMBL)
POT1 ProteinQ9NUX5 (Uniprot-TrEMBL)
POT1ProteinQ9NUX5 (Uniprot-TrEMBL)
PP6-PPP6R3ComplexR-HSA-9686572 (Reactome)
PPP6C ProteinO00743 (Uniprot-TrEMBL)
PPP6R3 ProteinQ5H9R7 (Uniprot-TrEMBL)
PRIM1 ProteinP49642 (Uniprot-TrEMBL)
PRIM2 ProteinP49643 (Uniprot-TrEMBL)
PiMetaboliteCHEBI:43474 (ChEBI)
Processive complex

loaded on telomere:Okazaki

fragment complex
ComplexR-HSA-174435 (Reactome)
Processive complex

loaded on telomere:Okazaki fragment:Flap:RPA

heterotrimer:DNA2
ComplexR-HSA-174442 (Reactome)
Processive complex

loaded on telomere:Okazaki fragment:Flap:RPA

heterotrimer
ComplexR-HSA-174436 (Reactome)
Processive complex

loaded on telomere:Okazaki

fragment:Flap
ComplexR-HSA-174431 (Reactome)
Processive complex

loaded on telomere:Okazaki fragments:Remaining

Flap
ComplexR-HSA-174440 (Reactome)
Processive complex

loaded on telomere:ligated C-strand Okazaki

fragments
ComplexR-HSA-176394 (Reactome)
Processive complex

loaded on telomere:nicked DNA from adjacent

Okazaki fragments
ComplexR-HSA-174432 (Reactome)
Processive complex loaded on telomereComplexR-HSA-174453 (Reactome)
RFC

Heteropentamer:RNA primer-DNA primer:G-strand extended telomere end duplex:PCNA

homotrimer
ComplexR-HSA-174449 (Reactome)
RFC

Heteropentamer:RNA primer-DNA primer:G-strand extended telomere

end
ComplexR-HSA-174454 (Reactome)
RFC,(CFT18-RFC)ComplexR-HSA-9668941 (Reactome)
RFC1 ProteinP35251 (Uniprot-TrEMBL)
RFC2 ProteinP35250 (Uniprot-TrEMBL)
RFC2ProteinP35250 (Uniprot-TrEMBL)
RFC3 ProteinP40938 (Uniprot-TrEMBL)
RFC3ProteinP40938 (Uniprot-TrEMBL)
RFC4 ProteinP35249 (Uniprot-TrEMBL)
RFC4ProteinP35249 (Uniprot-TrEMBL)
RFC5 ProteinP40937 (Uniprot-TrEMBL)
RFC5ProteinP40937 (Uniprot-TrEMBL)
RNA

primer:DNA primer:G-strand extended

telomere:POLA:primase
ComplexR-HSA-174433 (Reactome)
RNA Polymerase II

holoenzyme complex

(generic)
ComplexR-HSA-209680 (Reactome)
RNA primer R-ALL-68422 (Reactome)
RNA primer-DNA

primer:G-strand extended

telomere:PCNA
ComplexR-HSA-174450 (Reactome)
RNA primer:G-strand

extended telomere

end:POLA:primase
ComplexR-HSA-174434 (Reactome)
RPA heterotrimerComplexR-HSA-68462 (Reactome)
RPA1 ProteinP27694 (Uniprot-TrEMBL)
RPA2 ProteinP15927 (Uniprot-TrEMBL)
RPA3 ProteinP35244 (Uniprot-TrEMBL)
RTEL1 ProteinQ9NZ71 (Uniprot-TrEMBL)
RTEL1ProteinQ9NZ71 (Uniprot-TrEMBL)
RUVBL1ProteinQ9Y265 (Uniprot-TrEMBL)
RUVBL2ProteinQ9Y230 (Uniprot-TrEMBL)
Remaining Flap R-ALL-68467 (Reactome)
SHQ1 ProteinQ6PI26 (Uniprot-TrEMBL)
SHQ1ProteinQ6PI26 (Uniprot-TrEMBL)
STN1 ProteinQ9H668 (Uniprot-TrEMBL)
STN1ProteinQ9H668 (Uniprot-TrEMBL)
Shelterin complexComplexR-HSA-174898 (Reactome)
TEN1 ProteinQ86WV5 (Uniprot-TrEMBL)
TEN1ProteinQ86WV5 (Uniprot-TrEMBL)
TERF1 ProteinP54274 (Uniprot-TrEMBL)
TERF2 ProteinQ15554 (Uniprot-TrEMBL)
TERF2IP ProteinQ9NYB0 (Uniprot-TrEMBL)
TERRAR-HSA-9670084 (Reactome)
TERT ProteinO14746 (Uniprot-TrEMBL)
TERTProteinO14746 (Uniprot-TrEMBL)
TINF2 ProteinQ9BSI4 (Uniprot-TrEMBL)
Telomerase

Holoenzyme Base-paired to the Telomeric Chromosome End with an Additional single Stranded

Telomere repeat
ComplexR-HSA-164684 (Reactome)
Telomerase Holoenzyme:Telomeric RNP End with Two Additional Single Stranded Telomere RepeatsComplexR-HSA-164619 (Reactome)
Telomerase

RNP:G-strand telomeric

chromosome end
ComplexR-HSA-163088 (Reactome)
Telomerase

RNP:Telomeric Chromosome End with an Additional single Stranded

Telomere repeat
ComplexR-HSA-163098 (Reactome)
Telomerase RNA Component (TERC)RnaU86046 (EMBL)
Telomerase RNA Component (TERC) ProteinU86046 (EMBL)
Telomerase RNP Bound

and base-paired to the Telomeric

Chromosome End
ComplexR-HSA-164683 (Reactome)
Telomerase RNPComplexR-HSA-163101 (Reactome)
Telomere:Shelterin:Nucleosome (H3F3A):ATRX:DAXXComplexR-HSA-9670122 (Reactome)
Telomere:Shelterin:Nucleosome:ATRX:DAXXComplexR-HSA-9670098 (Reactome)
Telomeric DNAR-HSA-9670147 (Reactome)
Telomeric G-strand

chromosome end:Shelterin

(p-S365-TERF2)
ComplexR-HSA-9686523 (Reactome)
Telomeric G-strand

chromosome

end:Shelterin
ComplexR-HSA-9671076 (Reactome)
Telomeric G-strand

chromosome end with two additional single strand

repeats
ComplexR-HSA-9671097 (Reactome)
UMPMetaboliteCHEBI:16695 (ChEBI)
UTP MetaboliteCHEBI:15713 (ChEBI)
WRAP53 ProteinQ9BUR4 (Uniprot-TrEMBL)
WRAP53ProteinQ9BUR4 (Uniprot-TrEMBL)
WRN ProteinQ14191 (Uniprot-TrEMBL)
WRNProteinQ14191 (Uniprot-TrEMBL)
dATPMetaboliteCHEBI:16284 (ChEBI)
dCTPMetaboliteCHEBI:16311 (ChEBI)
dGTPMetaboliteCHEBI:16497 (ChEBI)
dTTPMetaboliteCHEBI:18077 (ChEBI)
ligated C-strand Okazaki fragment R-ALL-176395 (Reactome)
p-S365-TERF2 ProteinQ15554 (Uniprot-TrEMBL)
p-T160-CDK2 ProteinP24941 (Uniprot-TrEMBL)

Annotated Interactions

View all...
SourceTargetTypeDatabase referenceComment
ADPArrowR-HSA-163120 (Reactome)
ADPArrowR-HSA-174438 (Reactome)
ADPArrowR-HSA-174439 (Reactome)
ADPArrowR-HSA-9686521 (Reactome)
AMPArrowR-HSA-174441 (Reactome)
ATPR-HSA-163120 (Reactome)
ATPR-HSA-174438 (Reactome)
ATPR-HSA-174439 (Reactome)
ATPR-HSA-9686521 (Reactome)
ATRX:DAXXArrowR-HSA-9007926 (Reactome)
ATRX:DAXXArrowR-HSA-9670114 (Reactome)
ATRX:DAXXR-HSA-9670101 (Reactome)
ATRXR-HSA-9007926 (Reactome)
BLM,WRNmim-catalysisR-HSA-174438 (Reactome)
CCNA:p-T160-CDK2TBarR-HSA-163096 (Reactome)
CCNA:p-T160-CDK2mim-catalysisR-HSA-9686521 (Reactome)
CHTF18R-HSA-9668904 (Reactome)
CHTF8R-HSA-9668904 (Reactome)
CMPArrowR-HSA-174441 (Reactome)
CST complexArrowR-HSA-174425 (Reactome)
CST complexArrowR-HSA-174452 (Reactome)
CST complexArrowR-HSA-9668831 (Reactome)
CST complexR-HSA-9668597 (Reactome)
CTC1R-HSA-9668831 (Reactome)
CTF18 complexArrowR-HSA-9668904 (Reactome)
CTF18 complexR-HSA-9668902 (Reactome)
CTF18-RFC(7s) complexArrowR-HSA-9668902 (Reactome)
DAXXR-HSA-9007926 (Reactome)
DKC1:SHQ1ArrowR-HSA-9671145 (Reactome)
DKC1R-HSA-164616 (Reactome)
DKC1R-HSA-9671145 (Reactome)
DNA Polymerase delta tetramerArrowR-HSA-176702 (Reactome)
DNA Polymerase delta tetramerR-HSA-174448 (Reactome)
DNA polymerase alpha:primaseArrowR-HSA-174452 (Reactome)
DNA polymerase alpha:primaseR-HSA-9668597 (Reactome)
DNA2ArrowR-HSA-174441 (Reactome)
DNA2R-HSA-174451 (Reactome)
DSCC1R-HSA-9668904 (Reactome)
Extended And

Processed Telomere End and Associated DNA Binding and Packaging Protein Complex Folded Into Higher Order

Structure
ArrowR-HSA-176700 (Reactome)
Extended And

Processed Telomere End and Associated DNA Binding and Packaging Protein Complex Folded Into Higher Order

Structure
R-HSA-9670101 (Reactome)
Extended And

Processed Telomere End and Associated DNA Binding and Packaging Protein

Complex
ArrowR-HSA-181450 (Reactome)
Extended And

Processed Telomere End and Associated DNA Binding and Packaging Protein

Complex
R-HSA-176700 (Reactome)
Extended And

Processed Telomere

End
ArrowR-HSA-176702 (Reactome)
Extended And

Processed Telomere

End
R-HSA-181450 (Reactome)
FEN1mim-catalysisR-HSA-174446 (Reactome)
GAR1R-HSA-164616 (Reactome)
GMPArrowR-HSA-174441 (Reactome)
H+ArrowR-HSA-163120 (Reactome)
H+ArrowR-HSA-174438 (Reactome)
H2OR-HSA-163120 (Reactome)
H2OR-HSA-174438 (Reactome)
H2OR-HSA-174439 (Reactome)
H2OR-HSA-9686524 (Reactome)
H3F3AR-HSA-9670114 (Reactome)
HIST3H3ArrowR-HSA-9670114 (Reactome)
LIG1mim-catalysisR-HSA-174456 (Reactome)
NHP2R-HSA-164616 (Reactome)
NOP10R-HSA-164616 (Reactome)
NTPR-HSA-174425 (Reactome)
NucleosomeR-HSA-176700 (Reactome)
NucleosomeR-HSA-181450 (Reactome)
PCNA homotrimerArrowR-HSA-176702 (Reactome)
PCNA homotrimerR-HSA-174439 (Reactome)
PIF1mim-catalysisR-HSA-163120 (Reactome)
POLA:primase:G-strand extended telomere endArrowR-HSA-9668597 (Reactome)
POLA:primase:G-strand extended telomere endR-HSA-174425 (Reactome)
POLA:primase:G-strand extended telomere endmim-catalysisR-HSA-174425 (Reactome)
POT1R-HSA-176700 (Reactome)
POT1R-HSA-181450 (Reactome)
PP6-PPP6R3ArrowR-HSA-163096 (Reactome)
PP6-PPP6R3mim-catalysisR-HSA-9686524 (Reactome)
PiArrowR-HSA-163120 (Reactome)
PiArrowR-HSA-174438 (Reactome)
PiArrowR-HSA-174439 (Reactome)
PiArrowR-HSA-9686524 (Reactome)
Processive complex

loaded on telomere:Okazaki

fragment complex
ArrowR-HSA-174444 (Reactome)
Processive complex

loaded on telomere:Okazaki

fragment complex
R-HSA-174438 (Reactome)
Processive complex

loaded on telomere:Okazaki fragment:Flap:RPA

heterotrimer:DNA2
ArrowR-HSA-174451 (Reactome)
Processive complex

loaded on telomere:Okazaki fragment:Flap:RPA

heterotrimer:DNA2
R-HSA-174441 (Reactome)
Processive complex

loaded on telomere:Okazaki fragment:Flap:RPA

heterotrimer:DNA2
mim-catalysisR-HSA-174441 (Reactome)
Processive complex

loaded on telomere:Okazaki fragment:Flap:RPA

heterotrimer
ArrowR-HSA-174445 (Reactome)
Processive complex

loaded on telomere:Okazaki fragment:Flap:RPA

heterotrimer
R-HSA-174451 (Reactome)
Processive complex

loaded on telomere:Okazaki

fragment:Flap
ArrowR-HSA-174438 (Reactome)
Processive complex

loaded on telomere:Okazaki

fragment:Flap
R-HSA-174445 (Reactome)
Processive complex

loaded on telomere:Okazaki fragments:Remaining

Flap
ArrowR-HSA-174441 (Reactome)
Processive complex

loaded on telomere:Okazaki fragments:Remaining

Flap
R-HSA-174446 (Reactome)
Processive complex

loaded on telomere:ligated C-strand Okazaki

fragments
ArrowR-HSA-174456 (Reactome)
Processive complex

loaded on telomere:ligated C-strand Okazaki

fragments
R-HSA-176702 (Reactome)
Processive complex

loaded on telomere:nicked DNA from adjacent

Okazaki fragments
ArrowR-HSA-174446 (Reactome)
Processive complex

loaded on telomere:nicked DNA from adjacent

Okazaki fragments
R-HSA-174456 (Reactome)
Processive complex loaded on telomereArrowR-HSA-174448 (Reactome)
Processive complex loaded on telomereR-HSA-174444 (Reactome)
Processive complex loaded on telomeremim-catalysisR-HSA-174444 (Reactome)
R-HSA-163090 (Reactome) The template of hTERC directs the sequential addition of nucleotides to the 3' telomeric DNA end. Following addition of a nucleotide, the template and catalytic site must move relative to one another within the telomerase RNP to place the appropriate template residue in the active site. As base-pairing and nucleotide addition occur at one end of the template, base pair melting occurs at the other (Collins and Greider 1993; Wang and Blackburn, 1997; Hammond and Cech 1998; Benjamin et al. 2000; Forstemann and Lingner 2005). This un-pairing is thought to reduce the energy used for mediating the subsequent translocation step. Nucleotide addition can occur up until the template boundary which in hTERC is defined by a helix called P1b (Chen and Greider 2003).

R-HSA-163096 (Reactome) Studies in yeast and human cells indicate that recruitment of telomerase to a telomere may be influenced by multiple variables, including regulatory protein factors, hTERT domains, telomere length, and the cell cycle stage. First, in yeast, the telomerase associated factor Est1 and the single-strand DNA binding protein Cdc13 play roles in telomerase recruitment (Pennock et al. 2001; Bianchi et al. 2004). Analogous proteins exist in human cells (Est1A, Est1B, Est1C, and POT1, respectively); however, how or whether these proteins are directly involved in telomerase recruitment remains to be elucidated. Second, N-terminal residues of hTERT within the DAT (dissociate the activities of telomerase) domain may have a role in binding single stranded telomeric DNA as the "anchor site" (Lee et al. 1993; Moriarty et al. 2005). Third, a cis-acting mechanism in yeast and humans that regulates telomere length maintenance may modulate telomerase access to the telomere (reviewed in Blackburn 2001; Smogorzewska and de Lange, 2004). Long telomeres, which have more associated protein factors, are in a state that is acted on by telomerase less frequently than that of short telomeres, which have fewer associated factors. Whether short telomeres actively recruit telomerase remains to be determined. Last, the recruitment of telomerase to telomeres shows cell-cycle regulation (Taggart et al. 2002; Smith et al. 2003; Fisher et al. 2004; Jady et al. 2006; Tomlinson et al. 2006). Presence of the telomeric protection complex shelterin at telomeres is necessary for the recruitment of telomerase. ACD (TPP1), the subunit of the shelterin complex, directly interacts, through its TEL patch region, with telomerase and is required for telomerase function in vivo (Abreu et al. 2010, Nandakumar et al. 2012, Sexton et al. 2014). The interaction involves the TEN domain of TERT (Schmidt et al. 2014).
The helicase RTEL1 is recruited to telomeres in S phase via direct interaction with the shelterin complex subunit TREF2. RTEL1 is needed for T-loop unwinding and resolution of telomeric G-quadruplex (G4) DNA structures, necessary steps for efficient telomere replication (Vannier et al. 2012, Sarek et al. 2015). Germline mutations in RTEL1 cause a severe form of dyskeratosis congenita, a telomere disorder syndrome, called Hoyeraal Hreidarsson syndrome (Ballew, Yeager et al. 2013; Walne et al. 2013; Ballew, Joseph et al. 2013, Le Guen et al. 2013, Deng et al. 2013). Loading of RTEL1 to telomere ends is negatively regulated outside of S phase by CDK2:CCNA-mediated phosphorylation of the shelterin complex subunit TERF2 at serine residue S365. At the S phase entry, TERF2 is dephosphorylated by the PP6 phosphatase, thus allowing timely RTEL1 loading (Sarek et al. 2019).
R-HSA-163099 (Reactome) In vitro studies of telomerase complexes derived from multiple organisms indicate that at least two types of interactions are important for telomerase RNP catalytic site alignment at the 3' G-rich single-strand telomere end. In one interaction, an alignment region in hTERC base-pairs with the 3' G-rich single-strand telomeric DNA end to form an RNA-DNA hybrid, which positions the template adjacent to the 3' end of the telomere. In a second interaction, a portion of hTERT is proposed to interact with the DNA 5' of the telomerase RNA/DNA primer hybrid (Harrington and Greider 1991; Morin 1991; Moriarty et al. 2005), which is important for the catalytic rate (Lee and Blackburn, 1993) and presumably allows telomerase to maintain contact with the chromosome during the translocation step. How the anchor site binding and template hybridization are coordinated is not known.
R-HSA-163120 (Reactome) In vitro, telomerase can disassociate from the primer following addition of each nucleotide or during the translocation step. The regulation of telomerase disassociation from the telomere in vivo is not well-characterized (de Lange 2002, Zhu et al. 2003, Ye et al. 2004, Smorgozewska and de Lange 2004, Tomita 2018). One factor that may be involved is a helicase termed hPIF1, which can unanneal the telomerase RNA/telomeric DNA hybrid (Boule et al. 2005; Zhang et al. 2006). PIF1 can directly interact with telomerase (Mateyak and Zakian 2006) and it acts to inhibit telomerase activity and telomere lengthening (Zhang et al. 2006, Paeschke et al. 2013).
In addition to regulation of telomere lengthening, PIF1 is also involved in resolution of G-quadruplex (G4) structures in single-stranded nucleic acid intermediates that form during DNA replication and gene expression (Sanders 2010, Paeschke et al. 2013).
R-HSA-164616 (Reactome) hTERC is transcribed as a precursor and is processed at its 3' end to yield a 451 nucleotide RNA (Zaug et al. 1996). The accumulation of hTERC that has undergone this processing event requires a conserved region of sequence termed the box H/ACA motif (Mitchell et al. 1999a). This motif is bound by a complex containing DKC1 (dyskerin), and mutations in dyskerin affect the processing and accumulation of hTERC (Mitchell et al. 1999b; Mitchell and Collins 2000; Fu and Collins 2003). Studies of purified, catalytically active telomerase indicate that the minimal structure that has telomerase activity in vitro is a complex of one molecule of hTERC RNA, one molecule of hTERT and two molecules of DKC1 (dyskerin) (Cohen et al. 2007). A cryo-electron microscopy (EM) structure of human substrate-bound telomerase holoenzyme revealed that, in addition to one molecule of hTERC RNA, one molecule of hTERT and two molecules of DKC1, the holoenzyme also contains one molecule of WRAP53 (TCAB1, also known as telomere Cajal body protein 1) and two molecules of each NOP10, NHP2 (NOLA2) and GAR1 (Nguyen et al. 2018). WRAP53 is needed for the activity and localization of the telomerase holoenzyme to Cajal bodies (Venteicher et al. 2009). Homozygosity for NHP2 mutations is associated with telomerase failure (dyskeratosis congenita) in humans (Vuillamy et al. 2008). Several additional proteins may associate with the holoenzyme, promoting its assembly and modulating its activity. RUVBL1 (pontin) and RUVBL2 (reptin) are found associated with human telomerase RNPs purified from HeLa cells, and activities of these proteins are required for telomerase RNP assembly in vivo (Venteicher et al. 2008). Pontin and reptin may modulate the interaction between SHQ1 and DKC1 (Machado-Pinilla et al. 2012), but as their exact roles in the assembly and function of telomerase RNP remain unclear, they are annotated simply as positive regulators of telomerase RNP formation.

The core components hTERC and hTERT undergo trafficking in the cell that may be important for telomerase function. hTERC has been found localized in multiple nuclear structures, including Cajal bodies, nucleoli, and at telomeres (Mitchell et al. 1999a; Jady et al. 2004; Zhu et al. 2004; Jady et al. 2006; Tomlinson et al. 2006). hTERT is also reported localize in Cajal bodies, nucleoli, and to associate with telomeres (Etheridge et al. 2002; Wong et al. 2002; Yang et al. 2002; Zhu et al. 2004; Tomlinson et al. 2006). Some of the factors that regulate trafficking of these two core components of telomerase have been identified, such as nucleolin (Khurts et al. 2004), SMN (Bachand et al. 2002), and 14-3-3 (Seimiya et al. 2000). Cytological studies of HeLa cells suggest that the localization of the telomerase core components can change through the cell-cycle (Jady et al. 2006; Tomlinson et al. 2006). Despite these studies, it is not clear in which compartment hTERT and hTERC assemble to form functional telomerase RNP.

The assembly of telomerase involves the chaperone proteins p23 and Hsp90, which stably associate with telomerase in vitro (Holt et al. 1999; Forsythe et al. 2001; Keppler et al. 2006). A number of other proteins interact with the telomerase RNP, but it is not clear if they play a role in telomerase assembly. Interestingly, assembled human telomerase RNP can multimerize, though the function of multimerization remains unclear (Beattie et al. 2001; Wenz et al. 2001; Arai et al. 2002).
R-HSA-164617 (Reactome) The elongation reaction proceeds as follows: The template of hTERC directs the sequential addition of nucleotides to the 3' telomeric DNA end. Following addition of a nucleotide, the template and catalytic site must move relative to one another within the telomerase RNP to place the appropriate template residue in the active site. As base-pairing and nucleotide addition occur at one end of the template, base pair melting occurs at the other (Collins and Greider 1993; Wang and Blackburn, 1997; Hammond and Cech 1998; Benjamin et al. 2000; Forstemann and Lingner 2005). This un-pairing is thought to reduce the energy used for mediating the subsequent translocation step. Nucleotide addition can occur up until the template boundary which in hTERC is defined by a helix called P1b (Chen and Greider 2003).

R-HSA-164620 (Reactome) The human telomerase RNP can catalyze multiple rounds of repeat addition on the same telomeric substrate in vitro. Before initiating synthesis of another repeat, telomerase undergoes a translocation step to reposition itself on the telomere. Base pairs in the DNA/RNA hybrid are unannealed, the RNA template is repositioned relative to the active site, and the template base-pairs at the 3' end of the newly synthesized DNA. The anchor site interaction with DNA 5' of the RNA-DNA duplex is thought to maintain the interaction of telomerase with DNA during the translocation step.
R-HSA-174425 (Reactome) The complementary C-strand at telomeres is synthesized by the DNA polymerase alpha:primase complex (Nakamura et al. 2005) using conventional RNA priming (Wang et al. 1984). Interaction of the DNA polymerase alpha complex with the G-strand-bound CST complex is needed for successful priming of the C-strand (Feng et al. 2018).
R-HSA-174427 (Reactome) The complementary C-strand at telomeres is synthesized by the polymerase alpha:primase complex using conventional RNA priming (Nakamura et al. 2005, Dai et al. 2010). This process is regulated by the CST complex (Dai et al. 2010, Feng et al. 2017, Feng et al. 2018) and CDK1 (Dai et al. 2010, Dai et al. 2012).
R-HSA-174438 (Reactome) When the polymerase delta:PCNA complex reaches a downstream Okazaki fragment, strand displacement synthesis occurs. The primer containing 5'-terminus of the downstream Okazaki fragment is folded into a single-stranded flap (Podust et al. 1995, Bae et al. 2001, Maga et al. 2001). The helicase activity of either WRN (Werner syndrome protein) or BLM (Bloom syndrome helicase) is needed for DNA polymerase delta progression and strand displacement synthesis across G-rich telomeric repeats during lagging strand (C-strand) synthesis (Li et al. 2017).
R-HSA-174439 (Reactome) The binding of the primer recognition complex involves the loading of the proliferating cell nuclear antigen (PCNA). Replication Factor C (RFC) transiently opens the PCNA toroid in an ATP-dependent reaction, and then allows PCNA to re-close around the double helix adjacent to the primer terminus. This leads to the formation of the "sliding clamp" (Tsurimoto et al. 1990, Mossi and Hubscher 1998). In a human telomere replication model, RFC-mediated PCNA loading increases the processivity of telomeric C-strand synthesis, but does not eliminate polymerase delta stalling on the G-rich template (Lormand et al. 2013).
Interaction of RTEL1 with PCNA is needed for telomere replication and maintenance of telomere integrity (Vannier et al. 2013).
R-HSA-174441 (Reactome) The DNA2 endonuclease removes the initiator RNA along with several downstream deoxyribonucleotides. The cleavage of the single-stranded RNA substrate results in the disassembly of RPA and DNA2. The current data for the role of the DNA2 endonuclease has been derived from studies of yeast (Budd et al. 2000, Bae et al. 2001) and Xenopus DNA2 (Liu et al. 2000, Liao et al. 2008). DNA2-mediated cleavage of G-quadruplexes (G4), DNA structures commonly formed by polyguanine-rich telomeric DNA sequences, is necessary for completion of telomeric DNA synthesis (Masuda-Sasa et al. 2008, Lin et al. 2013).
R-HSA-174444 (Reactome) After RFC initiates the assembly of the primer recognition complex, the complex of pol delta and PCNA is responsible for incorporating the additional nucleotides prior to the position of the next downstream initiator RNA primer. On the lagging strand, short discontinuous segments of DNA, called Okazaki fragments, are synthesized on RNA primers. The average length of the Okazaki fragments is 100 nucleotides. Polymerase switching is a key event that allows the processive synthesis of DNA by the pol delta and PCNA complex (Lee and Hurwitz 1990, Tsurimoto and Stillman 1991, Nethanel et al. 1992, Brown and Campbell 1993, Waga et al.1994, Bambara et al. 1997). PCNA increases the processivity of the DNA polymerase delta during telomeric C-strand synthesis in a human telomere replication model, but it does not eliminate the DNA polymerase delta stalling on the G-rich template (Lormand et al. 2013).
R-HSA-174445 (Reactome) The first step in the removal of the flap intermediate is the binding of Replication Protein A (RPA) to the long flap structure. RPA is a eukaryotic single-stranded DNA binding protein (Bae et al. 2001). Binding of RPA to the single strand DNA during telomeric strand displacement synthesis is necessary for the recruitment of DNA2. DNA2 is a helicase/endonuclease that resolves G quadruplexes (G4), which are DNA structures that commonly form in polyguanine-rich telomeric DNA sequences (Masuda-Sasa et al. 2008). DNA2 also removes the initiator RNA primers of Okazaki fragments (Bae et al. 2001).
R-HSA-174446 (Reactome) The remaining flap, which is too short to support RPA binding, is then processed by FEN1. There is evidence that binding of RPA to the displaced end of the RNA-containing Okazaki fragment prevents FEN1 from accessing the substrate. FEN1 is a structure-specific endonuclease that cleaves near the base of the flap at a position one nucleotide into the annealed region. Biochemical studies have shown that the preferred substrate for FEN1 consists of a one-nucleotide 3'-tail on the upstream primer in addition to the 5'-flap of the downstream primer (Harrington and Lieber 1994, Harrington and Lieber 1995, Murante et al. 1996, Lieber 1997, Kaiser et al. 1999, Xu et al. 2000, Kao et al. 2002). The interaction of FEN1 with WRN, a RECQ family DNA helicase, is needed for successful flap cleavage during telomeric strand displacement synthesis (Saharia et al. 2010, Li et al. 2017).
R-HSA-174447 (Reactome) It is assumed that, as shown for generic DNA replication (Podust et al. 1998), the RFC complex dissociates from PCNA following sliding clamp formation at the telomere, and the DNA toroid alone tethers pol delta to the DNA.
R-HSA-174448 (Reactome) The loading of proliferating cell nuclear antigen (PCNA) leads to recruitment of pol delta, the process of polymerase switching. Human PCNA is a homotrimer of 36 kDa subunits that form a toroidal structure. The loading of PCNA by RFC is a key event in the transition from the priming mode to the extension mode of DNA synthesis. The processive complex is composed of the pol delta holoenzyme and PCNA (Lee and Hurwitz 1990, Podust et al. 1998). While PCNA increases the processivity of the DNA polymerase delta during telomeric C-strand synthesis in a human telomere replication model, it does not eliminate the DNA polymerase delta stalling on the G-rich template (Lormand et al. 2013).
R-HSA-174451 (Reactome) After RPA binds the long flap, it recruits the DNA2 helicase/endonuclease which removes the initiator RNA primers of Okazaki fragments (Bae et al. 2001). DNA2 is also needed to resolve G quadruplexes (G4), DNA structures commonly formed by polyguanine-rich telomeric DNA sequences (Masuda-Sasa et al. 2008, Lin et al. 2013).
R-HSA-174452 (Reactome) Once the RNA-DNA primer is synthesized, replication factor C (RFC) initiates a reaction called "polymerase switching"; pol delta, the processive enzyme, replaces pol alpha, the priming enzyme. RFC binds to the 3'-end of the RNA-DNA primer on the Primosome, to displace the pol alpha primase complex. The binding of RFC triggers the binding of the primer recognition complex (Tsurimoto and Stillman 1991, Maga et al. 2000, Mossi et al. 2000). RFC is recruited to telomeres via interaction with 5'-phosphate ends of a telomere repeat sequence (Uchiumi et al. 1996, Uchiumi et al. 1999). In budding yeast, the alternative evolutionarily conserved RFC complex in which the RFC1 subunit is substituted with the CTF18 complex (composed of CHTF18, CHTF8 and DSCC1) plays a critical role in telomere maintenance (Hiraga et al. 2006, Gao et al. 2014). The CTF18-RFC complex is also implicated in telomere maintenance in fission yeast (Khair et al. 2010). It was shown that the human CTF18-RFC complex has a redundant function with the RFC pentamer in PCNA loading and DNA replication (Bermudez et al. 2003), but its role in human telomere maintenance has not been studied. Mouse CFT18 complex is necessary for proper development of germ cells (Berkowitz et al. 2012).
R-HSA-174456 (Reactome) Removal of the flap by FEN1 leads to the generation of a nick between the 3'-end of the upstream Okazaki fragment and the 5'-end of the downstream Okazaki fragment. DNA ligase I (LIG1) then seals the nicks between adjacent processed Okazaki fragments to generate intact double-stranded DNA (Turchi and Bambara 1993, Bambara et al. 1997, Waga and Stillman 1998, Levin et al. 2000). LIG1 is necessary for ligation of Okazaki fragments at the lagging telomere DNA strand. LIG1 deficiency results in telomere instability, manifested through telomere sister fusions, which is a consequence of DNA breaks in the lagging strand (C-strand) (Le Chalony et al. 2012).
R-HSA-176700 (Reactome) In addition to telomerase-mediated elongation and C-strand synthesis, other DNA processing steps are likely involved in telomere maintenance. In humans, nucleolytic activity is proposed to be involved in generating the G-rich 3' single strand overhang. In addition, differences in the structure of the overhang at telomeres that have undergone leading vs. lagging strand replication suggest that DNA processing may be different at these telomeres (Chai et al. 2006).

Electron microscopy studies of purified human telomeric DNA have provided evidence for telomeric loops, or t-loops (Griffith et al. 1999). t-loops are proposed to result from invasion of the 3' G-rich single strand overhang into the double stranded portion of the telomeric TTAGGG repeat tract. The strand displaced by invasion forms a structure called a D loop. The function of the t-loop is presumed to be the protection of the 3' telomeric end. In vitro, the double strand telomeric DNA binding protein TRF2 can increase the frequency of t-loop formation. The prevalence of the t-loops in vivo is not known.

Many proteins associate with telomeric DNA. One complex that binds telomeres is called shelterin. Shelterin is a six-protein complex composed of TRF1 and TRF2, which can bind double-stranded telomeric DNA, POT1, which can bind single-stranded telomeric DNA, and three other factors, RAP1, TIN2, and TPP1 (reviewed in de Lange 2006 "Telomeres"). Human telomeric DNA is also bound by nucleosomes (Makarov et al. 1993; Nikitina and Woodcock 2004). A number of other proteins, including some that play roles in the DNA damage response, can be found at telomeres (Zhu et al. 2000; Verdun et al. 2005).

Studies in yeast and humans indicate that the association of many proteins with telomeres is regulated through the cell cycle (Smith et al. 1993; Zhu et al. 2000; Taggart et al. 2002; Fisher et al. 2004; Takata et al. 2004; Takata et al. 2005; Verdun et al. 2005). For instance, TRF1, MRE11, POT1, ATM, and NBS1 display cell cycle regulated chromatin immunoprecipitation of telomeric DNA (Zhu et al. 2000; Verdun et al. 2005), and cytologically observable hTERT and hTERC localize to a subset of telomeres only in S-phase (Jady et al. 2006; Tomlinson et al. 2006). These data indicate that telomeres are dynamically remodeled through the cell cycle.
R-HSA-176702 (Reactome) At some point in the extension process a sufficient number of regulatory factors that repress telomere extension become bound to the extending telomere. These factors include the TRF1 complexes, TRF2 complexes, telomerase, other factors, and the telomere itself. As repeats are added to the G-rich strand, and once lagging strand synthesis completes the duplex, new binding sites become available for these repressive factors. Once a balance is reached between telomere extension and the telomere repression factors, extension ceases. In this state extension machinery disassociates, leaving the telomere to be folded into a stable conformation.

This module details a single transit through the telomere extension process, detailing the addition of two repeats, and the corresponding synthesis of a section of lagging strand. An actual round of in vivo telomere extension would require thousands of telomere repeat additions, and it is the repressive effect of the factors bound to these repeats that turns off telomere extension (Moldovan et al. 2007).

R-HSA-181450 (Reactome) In addition to telomerase-mediated elongation and C-strand synthesis, other DNA processing steps are likely involved in telomere maintenance. In humans, nucleolytic activity is proposed to be involved in generating the G-rich 3' single strand overhang. In addition, differences in the structure of the overhang at telomeres that have undergone leading vs. lagging strand replication suggest that DNA processing may be different at these telomeres (Chai et al. 2006).

Many proteins associate with telomeric DNA. One complex that binds telomeres is called shelterin. Shelterin is a six-protein complex composed of TRF1 and TRF2, which can bind double-stranded telomeric DNA, POT1, which can bind single-stranded telomeric DNA, and three other factors, RAP1, TIN2, and TPP1 (reviewed in de Lange 2006 "Telomeres"). Human telomeric DNA is also bound by nucleosomes (Makarov et al. 1993; Nikitina and Woodcock 2004). A number of other proteins, including some that play roles in the DNA damage response, can be found at telomeres (Zhu et al. 2000; Verdun et al. 2005).

Studies in yeast and humans indicate that the association of many proteins with telomeres is regulated through the cell cycle (Zhu et al. 2000; Taggart et al. 2002; Fisher et al. 2004; Takata et al. 2004; Takata et al. 2005; Verdun et al. 2005). For instance, TRF1, MRE11, POT1, ATM, and NBS1 display cell cycle regulated chromatin immunoprecipitation of telomeric DNA (Zhu et al. 2000; Verdun et al. 2005), and cytologically observable hTERT and hTERC localize to a subset of telomeres only in S-phase (Jady et al. 2006; Tomlinson et al. 2006). These data indicate that telomeres are dynamically remodeled through the cell cycle.
R-HSA-9007926 (Reactome) ATRX (Alpha-thalassemia mental retardation syndrome X-linked) binds to transcriptional co-activator DAXX (Death domain-associated protein 6) to form an ATP-dependent chromatin remodeling complex with triple-helix displacement activity (Xue et al. 2003).
R-HSA-9668597 (Reactome) Binding of the polymerase alpha complex and the CST (Ctc1-Stn1-Ten1) complex to the telomeric DNA ends inhibits further extension of the G-strand by telomerase. The loading of the DNA polymerase alpha to telomeres does not depend on the CST complex, but the CST complex is needed for cessation of telomerase activity and for synthesis of RNA primers by the primase component of the DNA polymerase alpha (Feng et al. 2018. Gu et al. 2018).
R-HSA-9668831 (Reactome) CTC1, STN1 and TEN1, orthologs of S. cerrevisiae proteins Cdc13, Stn1 and Ten1, respectively, form the CST complex. This evolutionarily conserved complex plays a role in telomere maintenance (Miyake et al. 2009).
R-HSA-9668902 (Reactome) The CTF18 complex, composed of RFC1 homolog CHTF18 (CTF18), CHTF8 (CTF8) and DSCC1 (DCC1) binds to RFC2, RFC3, RFC4 and RFC5 to form the evolutionarily conserved heteroheptameric CTF18-RFC complex (CTF18-RFC(7s)), in which the RFC1 subunit of the RFC complex is replaced with the CTF18 complex (Bermudez et al. 2003, Merkle et al. 2003). CHTF18 is able to form a heteropentameric CTF18-RFC complex (CTF18-RFC(5s)) with RFC2, RFC3, RFC4 and RFC5 in the absence of CHTF8 and DSCC1 (Bermudez et al. 2003, Shiomi et al. 2004).
R-HSA-9668904 (Reactome) CHTF18 (CTF18), a homolog of the RFC complex subunit RFC1, binds to CHTF8 (CTF8) and DSCC1 (DCC1) to form the evolutionarily conserved CTF18 complex (Merkle et al. 2003, Bermudez et al. 2003). Formation of a heterodimer between DSCC1 and CHTF8 may precede formation of a heterotrimer (Bermudez et al. 2003).
R-HSA-9670101 (Reactome) The complex of ATRX (Alpha-thalassemia mental retardation syndrome X-linked) and DAXX (Death domain-associated protein 6) binds to subtelomeric chromosomal regions and plays a role in the recruitment of cohesin to subtelomeric regions and in the regulation of transcription of the noncoding telomeric repeat-containing RNA (TERRA) (Eid et al. 2015).
R-HSA-9670114 (Reactome) ATRX (Alpha-thalassemia mental retardation syndrome X-linked) and its binding partner DAXX (Death domain-associated protein 6) are required for deposition of histone H3.3, encoded by either the H3F3A gene or the H3F3B gene, to telomeres, independently of the H3.3 chaperone HIRA, in both human and mouse embryonic stem cells. Highly evolutionarily conserved N-terminus of DAXX interacts directly with the H3.3 core (Goldberg et al. 2010, Lewis et al. 2010).
R-HSA-9670149 (Reactome) Transcription of the telomeric noncoding RNA TERRA (the telomere repeat-containing RNA) is inhibited by ATRX (Flynn et al. 2015). Tumors with ATRX and DAXX mutations associated with the alternative lengthening of telomeres (ALT) show increased TERRA levels (Barthel et al. 2017).
R-HSA-9671145 (Reactome) SHQ1 is an evolutionarily conserved protein involved in assembly of H/ACA ribonucleoparticles, including telomerase RNPs. SHQ1 binds to DKC1 (dyskerin) and, by sequestering DKC1, it regulates the step-wise functional assembly of the telomerase holoenzyme (Grozdanov, Roy et al. 2009). A subset of DKC1 (dyskerin) mutations that cause dyskeratosis congenita, a rare bone marrow failure syndrome, modulate the affinity of DKC1 for SHQ1, thus preventing the assembly of telomerase RNPs (Grozdanov, Fernandez-Fuentes et al. 2009). Rarely, mutations in SHQ1 that impair binding to DKC1 cause a dyskeratosis congenita-like disease phenotype (Bizarro and Meier 2017).
R-HSA-9686521 (Reactome) Outside of the S phase of the cell cycle, the shelterin complex subunit TERF2 (TRF2) is phosphorylated on serine residue S365. This phosphorylation is performed by the complex of CDK2 and cyclin A (CCNA). Phosphorylation of TERF2 at S365 prevents association of RTEL1 with telomeres, thus protecting t-loops from promiscuous unwinding and inappropriate activation of ATM (Sarek et al. 2019).
R-HSA-9686524 (Reactome) The regulatory subunit PPP6R3 of the protein phosphatase complex PP6 facilitates PP6-mediated dephosphorylation of the shelterin subunit TERF2 at serine residue S365. PP6-mediated dephosphorylation of TERF2 occurs at the S phase entry and enables timely loading of RTEL1 to telomere ends (Sarek et al. 2019).
RFC

Heteropentamer:RNA primer-DNA primer:G-strand extended telomere end duplex:PCNA

homotrimer
ArrowR-HSA-174439 (Reactome)
RFC

Heteropentamer:RNA primer-DNA primer:G-strand extended telomere end duplex:PCNA

homotrimer
R-HSA-174447 (Reactome)
RFC

Heteropentamer:RNA primer-DNA primer:G-strand extended telomere

end
ArrowR-HSA-174452 (Reactome)
RFC

Heteropentamer:RNA primer-DNA primer:G-strand extended telomere

end
R-HSA-174439 (Reactome)
RFC

Heteropentamer:RNA primer-DNA primer:G-strand extended telomere

end
mim-catalysisR-HSA-174439 (Reactome)
RFC,(CFT18-RFC)ArrowR-HSA-174447 (Reactome)
RFC,(CFT18-RFC)R-HSA-174452 (Reactome)
RFC2R-HSA-9668902 (Reactome)
RFC3R-HSA-9668902 (Reactome)
RFC4R-HSA-9668902 (Reactome)
RFC5R-HSA-9668902 (Reactome)
RNA

primer:DNA primer:G-strand extended

telomere:POLA:primase
ArrowR-HSA-174427 (Reactome)
RNA

primer:DNA primer:G-strand extended

telomere:POLA:primase
R-HSA-174452 (Reactome)
RNA Polymerase II

holoenzyme complex

(generic)
mim-catalysisR-HSA-9670149 (Reactome)
RNA primer-DNA

primer:G-strand extended

telomere:PCNA
ArrowR-HSA-174447 (Reactome)
RNA primer-DNA

primer:G-strand extended

telomere:PCNA
R-HSA-174448 (Reactome)
RNA primer:G-strand

extended telomere

end:POLA:primase
ArrowR-HSA-174425 (Reactome)
RNA primer:G-strand

extended telomere

end:POLA:primase
R-HSA-174427 (Reactome)
RNA primer:G-strand

extended telomere

end:POLA:primase
mim-catalysisR-HSA-174427 (Reactome)
RPA heterotrimerArrowR-HSA-174441 (Reactome)
RPA heterotrimerR-HSA-174445 (Reactome)
RTEL1ArrowR-HSA-163120 (Reactome)
RTEL1R-HSA-163096 (Reactome)
RUVBL1ArrowR-HSA-164616 (Reactome)
RUVBL2ArrowR-HSA-164616 (Reactome)
SHQ1R-HSA-9671145 (Reactome)
STN1R-HSA-9668831 (Reactome)
Shelterin complexR-HSA-176700 (Reactome)
Shelterin complexR-HSA-181450 (Reactome)
TEN1R-HSA-9668831 (Reactome)
TERRAArrowR-HSA-9670149 (Reactome)
TERTR-HSA-164616 (Reactome)
Telomerase

Holoenzyme Base-paired to the Telomeric Chromosome End with an Additional single Stranded

Telomere repeat
ArrowR-HSA-164620 (Reactome)
Telomerase

Holoenzyme Base-paired to the Telomeric Chromosome End with an Additional single Stranded

Telomere repeat
R-HSA-164617 (Reactome)
Telomerase

Holoenzyme Base-paired to the Telomeric Chromosome End with an Additional single Stranded

Telomere repeat
mim-catalysisR-HSA-164617 (Reactome)
Telomerase Holoenzyme:Telomeric RNP End with Two Additional Single Stranded Telomere RepeatsArrowR-HSA-164617 (Reactome)
Telomerase Holoenzyme:Telomeric RNP End with Two Additional Single Stranded Telomere RepeatsR-HSA-163120 (Reactome)
Telomerase

RNP:G-strand telomeric

chromosome end
ArrowR-HSA-163096 (Reactome)
Telomerase

RNP:G-strand telomeric

chromosome end
R-HSA-163099 (Reactome)
Telomerase

RNP:Telomeric Chromosome End with an Additional single Stranded

Telomere repeat
ArrowR-HSA-163090 (Reactome)
Telomerase

RNP:Telomeric Chromosome End with an Additional single Stranded

Telomere repeat
R-HSA-164620 (Reactome)
Telomerase RNA Component (TERC)R-HSA-164616 (Reactome)
Telomerase RNP Bound

and base-paired to the Telomeric

Chromosome End
ArrowR-HSA-163099 (Reactome)
Telomerase RNP Bound

and base-paired to the Telomeric

Chromosome End
R-HSA-163090 (Reactome)
Telomerase RNP Bound

and base-paired to the Telomeric

Chromosome End
mim-catalysisR-HSA-163090 (Reactome)
Telomerase RNPArrowR-HSA-163120 (Reactome)
Telomerase RNPArrowR-HSA-164616 (Reactome)
Telomerase RNPR-HSA-163096 (Reactome)
Telomere:Shelterin:Nucleosome (H3F3A):ATRX:DAXXArrowR-HSA-9670114 (Reactome)
Telomere:Shelterin:Nucleosome (H3F3A):ATRX:DAXXTBarR-HSA-9670149 (Reactome)
Telomere:Shelterin:Nucleosome:ATRX:DAXXArrowR-HSA-9670101 (Reactome)
Telomere:Shelterin:Nucleosome:ATRX:DAXXR-HSA-9670114 (Reactome)
Telomeric DNAR-HSA-9670149 (Reactome)
Telomeric G-strand

chromosome end:Shelterin

(p-S365-TERF2)
ArrowR-HSA-9686521 (Reactome)
Telomeric G-strand

chromosome end:Shelterin

(p-S365-TERF2)
R-HSA-9686524 (Reactome)
Telomeric G-strand

chromosome

end:Shelterin
ArrowR-HSA-9686524 (Reactome)
Telomeric G-strand

chromosome

end:Shelterin
R-HSA-163096 (Reactome)
Telomeric G-strand

chromosome

end:Shelterin
R-HSA-9686521 (Reactome)
Telomeric G-strand

chromosome end with two additional single strand

repeats
ArrowR-HSA-163120 (Reactome)
Telomeric G-strand

chromosome end with two additional single strand

repeats
R-HSA-9668597 (Reactome)
UMPArrowR-HSA-174441 (Reactome)
WRAP53R-HSA-164616 (Reactome)
WRNArrowR-HSA-174446 (Reactome)
dATPR-HSA-163090 (Reactome)
dATPR-HSA-164617 (Reactome)
dATPR-HSA-174427 (Reactome)
dATPR-HSA-174444 (Reactome)
dCTPR-HSA-163090 (Reactome)
dCTPR-HSA-164617 (Reactome)
dCTPR-HSA-174427 (Reactome)
dCTPR-HSA-174444 (Reactome)
dGTPR-HSA-163090 (Reactome)
dGTPR-HSA-164617 (Reactome)
dGTPR-HSA-174427 (Reactome)
dGTPR-HSA-174444 (Reactome)
dTTPR-HSA-163090 (Reactome)
dTTPR-HSA-164617 (Reactome)
dTTPR-HSA-174427 (Reactome)
dTTPR-HSA-174444 (Reactome)
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