How the CST protein complex and telomerase work at chromosome ends

The interplay of the CST complex and telomerase at human telomeres

NIH-funded research Rockefeller University · NIH-11184445

Researchers are looking at how the CST protein complex and telomerase keep chromosome ends (telomeres) healthy to help people at risk for cancer and short-telomere diseases like Coats plus.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionRockefeller University NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11184445 on NIH RePORTER

What this research studies

From my point of view as a patient, the team studies three CST proteins (Ctc1, Stn1, Ten1) and the DNA replication proteins that act at telomeres to understand how telomere length is controlled. They use laboratory experiments with purified systems and human cells, plus genetic and biochemical tests, to map how the C-strand is copied and how telomerase activity is limited. The researchers recently found a new end-replication problem that can shorten telomeres and are probing how CST and Pola/primase fix or fail to fix that problem. Their work links mistakes in these processes to cancer risk when telomeres are too long and to organ failure in short-telomere syndromes like Coats plus.

Who could benefit from this research

Good fit: People with inherited short-telomere syndromes (for example dyskeratosis congenita or Coats plus), people with family histories of telomere-related cancers, or those willing to donate samples for telomere research would be most relevant.

Not a fit: Patients with conditions unrelated to telomere biology or those seeking an immediate clinical therapy are unlikely to receive direct benefit from this basic laboratory research.

Why it matters

Potential benefit: If successful, this work could point to new ways to prevent or treat cancers tied to telomere length and to better understand or diagnose short-telomere disorders such as Coats plus.

How similar studies have performed: Prior studies have established that telomerase and telomere-associated complexes control telomere length, and this project builds on that body of work while exploring a newly described end-replication problem that is still novel.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions CancersCoats plus diseaseCoats plus syndromeCole syndromeCole-Rauschkolb-Toomey syndrome
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.