md4 - intercalators and telomerase inhibitors

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Last updated 6:30 AM on 4/18/26
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102 Terms

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What is the basic structure of DNA in the cell?

: In the cell, DNA is typically modeled as a double helix

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What is supercoiling of DNA?

Supercoiling refers to the winding of circular DNA molecules multiple times, forming loops and twists.

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Why does supercoiling make DNA less accessible?

Because supercoiling compresses the DNA strands, making them tightly wound and less available for processes like transcription.

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Which enzymes are responsible for managing DNA supercoiling?

Topoisomerases, specifically topoisomerase I and II, control DNA supercoiling.

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How does topoisomerase I help manage supercoiling?

Topoisomerase I relaxes supercoiled DNA by cleaving one strand, allowing it to unwind, and then re-ligating the strand.

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What is the function of topoisomerase II?

Topoisomerase II cleaves both DNA strands to manage tangles and supercoils that occur during DNA replication and transcription.

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Why are topoisomerases important for DNA function?

They help maintain DNA in a relaxed and accessible form necessary for accurate replication, transcription, and overall cell function.

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explain what topo 1 does:

topo 1 make transient single stranded breaks in the dna double helix and then researls the strand.

so there is a single strand nick, then it passes the other strand through the cut and researls the break .

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What type of DNA break does Topoisomerase I introduce to relax supercoiled DNA?

Topoisomerase I introduces a transient single-strand break.

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How does Topoisomerase I restore DNA after relieving torsional stress?

It re-ligates the broken single strand, restoring the DNA’s integrity.

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What kind of DNA break does Topoisomerase II create to manage DNA tangles and supercoiling?

Topoisomerase II creates a transient double-strand break.

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During its action, how does Topoisomerase II resolve DNA tangles?

It passes another duplex of DNA through the double-strand break before re-ligating, helping to untangle DNA.

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Why is the activity of topoisomerases crucial during DNA replication and cell division?

They manage supercoiling and tangles, ensuring proper separation of replicated DNA strands.

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What would happen if topoisomerases did not function properly?

DNA would become overly supercoiled or tangled, impairing processes like transcription and replication.

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explain what topoisomerase 2 does:

Topoisomerase 2 (Topo 2) is an enzyme that cuts both strands of DNA, allows another DNA segment to pass through the break, and then reseals the DNA using ATP.

  • It starts with supercoiled or tangled double-stranded DNA.

  • Topo 2 uses ATP to create a temporary double-stranded break (nick).

  • This allows another double-stranded DNA segment to pass through the break, helping to untangle (decatenate) or relax the DNA.

  • After this, Topo 2 reseals the DNA strands, resulting in relaxed or separated DNA molecules.

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What does Topoisomerase II do to DNA?

It creates temporary double-stranded breaks, allows DNA strands to pass through, and then reseals the DNA.

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What type of DNA does Topoisomerase II act on?

It acts on double-stranded DNA, especially supercoiled or tangled DNA.

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What is the role of ATP in Topoisomerase II activity?

ATP provides the energy needed for cutting, passing DNA strands through, and resealing the DNA.

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What happens after Topoisomerase II makes a double-stranded break?

Another double-stranded DNA segment passes through the break.

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What is meant by “decatenation” of DNA?

It is the process of separating intertwined DNA molecules.

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Q6: What is the final result after Topoisomerase II acts on DNA?

The DNA becomes relaxed or untangled and is properly separated.

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what is the main difference between topo1 and topo2?

topo1 makes single stranded breaks and topo2 makes double stranded breaks in the dna double helix.

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Q2: Does Topoisomerase I require ATP?

A: No, Topoisomerase I does not require ATP.

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Q3: Does Topoisomerase II require ATP?

A: Yes, Topoisomerase II requires ATP to function.

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Q4: How do Topo I and Topo II relieve DNA supercoiling differently?

  • Topo I relaxes DNA by cutting one strand, pass the other strand through the cut and reseal the break. NO ATP.

  • Topo II relaxes DNA by cutting both strands and passing another DNA segment through.

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Q4: How do Topo I and Topo II relieve DNA supercoiling differently?

  • Topo I relaxes DNA by cutting one strand and allowing it to unwind.

  • Topo II relaxes DNA by cutting both strands and passing another DNA segment through.

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Q5: Which enzyme is involved in decatenation of DNA?

A: Topoisomerase II, because it can separate intertwined DNA molecules.

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Q6: Which enzyme is more complex in function?

A: Topoisomerase II, because it involves double-strand breaks and ATP use.

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Q7: What happens after Topoisomerase I cuts DNA?

A: The DNA strand rotates to relieve tension, then the enzyme reseals the break.

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Q8: What happens after Topoisomerase II cuts DNA?

A: Another double-stranded DNA segment passes through the break before it is resealed.

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Q9: Why are topoisomerases important targets in cancer therapy?

Cancer cells divide rapidly and rely heavily on DNA replication, so inhibiting topoisomerases disrupts DNA processes and kills the cells.

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Q10: What happens when Topoisomerase II is inhibited in cancer treatment?

DNA double-strand breaks cannot be properly resealed, leading to DNA damage and cell death.

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Q11: What happens when Topoisomerase I is inhibited?

A: Single-strand breaks accumulate, which can lead to replication errors and cell death.

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Q12: Why are Topoisomerase II inhibitors often more toxic?

A: Because they cause double-stranded DNA breaks, which are more damaging to cells.

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Q13: Compare the mechanisms of Topoisomerase I and Topoisomerase II.

  • Topo I: single-strand break, no ATP, relieves supercoiling by rotation.

  • Topo II: double-strand break, requires ATP, passes DNA through break for decatenation.

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Q14: Explain how Topoisomerase inhibitors can be used in cancer therapy.

A: They prevent DNA repair during replication, causing DNA damage accumulation and leading to cancer cell death.

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Q15: Why are rapidly dividing cells more sensitive to topoisomerase inhibitors?

Because they rely heavily on DNA replication, making them more vulnerable to disruptions in DNA topology.

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summary of topo1 and topo2:

Topoisomerase I (Topo I)

  • Cuts ONE DNA strand

  • DNA twists/rotates to relieve tension

  • No ATP needed


Topoisomerase II (Topo II)

  • Cuts BOTH DNA strands

  • Another DNA strand passes through the break

  • Uses ATP

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Q1: What is camptothecin and where is it derived from?

Camptothecin is an anticancer compound originally isolated from the bark and stem of Camptotheca acuminata (the “Happy Tree”).

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Q2: Which enzyme does camptothecin target?

Camptothecin targets Topoisomerase I.

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Q3: How does camptothecin affect Topoisomerase I?

it prevents Topoisomerase I from resealing single-strand DNA breaks after cutting the DNA.

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Q4: What is the consequence of inhibiting Topoisomerase I in cancer cells?

A: DNA damage accumulates, especially during replication, leading to cancer cell death.

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Q5: Why are cancer cells particularly affected by camptothecin?

A: Because they divide rapidly and rely heavily on Topoisomerase I for DNA replication.

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Q6: What are the limitations of camptothecin?

A: It has low solubility and can cause significant adverse drug interactions.

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Q7: What are examples of camptothecin analogues used clinically?

A: Topotecan and Irinotecan.

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Q8: Why were camptothecin analogues developed?

A: To improve stability, solubility, and reduce side effects for clinical use.

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Q9: How does this relate to Topoisomerase II inhibitors?

camptothecin targets Topo I (single-strand breaks), whereas other drugs target Topo II (double-strand breaks).

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camptothecin and why it is relevant in cancer:

Simple explanation

  • Camptothecin (from the “Happy Tree”) is a drug that targets Topoisomerase I.

  • It prevents Topo I from resealing the single-strand DNA break after it cuts it.

  • This causes DNA damage to build up, especially during replication → leads to cancer cell death.


Why this matters in cancer

  • Cancer cells divide rapidly → they rely heavily on Topo I

  • If Topo I is blocked, DNA can’t be properly unwound or repaired

  • This leads to cell death (especially in fast-dividing cancer cells)

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how does topotecan and irinotecan work?

  • Topotecan and Irinotecan work during the S-phase (when DNA is being copied).

  • Normally, Topoisomerase I makes temporary single-strand cuts to relieve tension and then reseals them.

  • These drugs bind to the Topo I–DNA complex and stop the DNA from being resealed.

  • This causes the replication machinery to stall, leading to double-strand DNA breaks.

  • If the damage isn’t repaired, the cell dies.

  • Topotecan works by inserting itself into the DNA (intercalation) at the cut site.

  • This blocks the DNA from being rejoined.

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Q1: During which phase of the cell cycle do Topotecan and Irinotecan act?

They act during the S-phase, when DNA is being replicated.

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Q2: What is the normal function of Topoisomerase I?

It relieves DNA tension by creating temporary single-strand breaks and then resealing them.

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Q3: How do Topotecan and Irinotecan affect Topoisomerase I?

They bind to the Topo I–DNA complex and prevent the resealing (re-ligation) of the single-strand breaks.

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Q4: What happens when the DNA cannot be resealed?

A: The replication fork stalls, leading to double-strand DNA breaks.

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Q5: Why are double-strand breaks dangerous for the cell?

A: If not repaired, they lead to cell death.

55
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Q6: How does Topotecan specifically interact with DNA?

A: It intercalates (inserts) into the DNA at the cleavage site, blocking re-ligation.

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Q7: What is meant by intercalation in this context?

A: It means the drug inserts itself between DNA base pairs.

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Q8: What is the overall effect of Topotecan and Irinotecan on cancer cells?

A: They cause accumulation of DNA damage, leading to death of rapidly dividing cancer cells.

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Q1: What is a ternary complex in the context of Topoisomerase I inhibitors?

: A ternary complex is a three-part complex formed between Topoisomerase I, DNA, and a drug (e.g. Topotecan or Irinotecan).

enzyme + dna + drug

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How is the ternary complex formed?

It forms when the drug binds to the Topo I–DNA complex after the DNA has been cut, preventing resealing.

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Q3: What is the effect of forming a ternary complex?

A: It stabilises the DNA in a broken state, stopping repair of the single-strand break.

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Q4: How does the ternary complex affect DNA replication?

A: It stalls the replication fork, preventing normal DNA synthesis.

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Q5: What is the consequence of replication fork stalling?

A: It leads to double-strand DNA breaks, which are highly damaging.

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Q6: Why is the ternary complex lethal to cancer cells?

Because the accumulated DNA damage cannot be repaired, leading to cell death, especially in rapidly dividing cells.

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Q7: Why are rapidly dividing cells more affected by ternary complex formation?

because they are actively replicating DNA, so replication fork stalling occurs more frequently.

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in simple terms, what is the significance of the ternary complex?

ternary complex = Topo I + DNA + drug → trapped broken DNA → cell death

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Q1: What is the main function of Type II topoisomerases (TOP2)?

A: They cut both strands of the DNA helix simultaneously to manage DNA tangles and supercoiling.

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Q2: How do Type II topoisomerases differ from Type I topoisomerases?

A: Type II cut both DNA strands, while Type I cut only one strand.

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Q3: Why are TOP2 enzymes important during DNA replication?

A: They are essential for processes like separating daughter DNA strands and resolving tangles.

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Q4: What types of small molecules target TOP2?

A: They are either TOP2 inhibitors or TOP2 poisons.

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Q5: What do TOP2 poisons do?

A: They increase levels of TOP2-DNA covalent complexes, leading to DNA strand breaks.

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Q6: What is the effect of TOP2 poisons on cells?

A: They cause DNA damage (including strand breaks), leading to cell death.

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Q7: What do catalytic TOP2 inhibitors do?

A: They block the catalytic activity of TOP2 without increasing covalent DNA complexes.

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Q8: How do catalytic inhibitors kill cells?

A: By preventing TOP2 function, disrupting essential DNA processes.

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Q9: What structural feature do many TOP2 poisons have?

A: They are planar, aromatic, multi-ring molecules.

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Q10: How do TOP2 poisons interact with DNA?

A: They act as intercalators, inserting between DNA base pairs.

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what do topo2 poisons do?

  • These trap TOP2 on DNA after it has cut both strands, forming a covalent TOP2–DNA complex.

  • The DNA is broken, and because the enzyme is stuck, the break cannot be repaired, leading to DNA damage accumulationcell death.

  • Example drugs: Doxorubicin

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what do Catalytic TOP2 Inhibitors do?

  • These prevent TOP2 from cutting DNA in the first place.

  • No covalent complex forms, so there aren’t trapped DNA breaks, but DNA supercoiling and tangles cannot be resolved during replication.

  • This disrupts essential DNA processes, eventually leading to cancer cell death.

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Q1: What type of drugs are most Topoisomerase II drugs used in the clinic?

A: Most are anthracycline-type drugs (doxorubicin)

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Q2: What is the structure of anthracycline drugs?

A: They have a large, planar aromatic region and a flexible part that binds in the grooves of DNA.

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Q3: What type of DNA damage is caused by TOP2-targeting drugs?

A: They cause DNA strand breaks and formation of protein–DNA covalent complexes.

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Q4: How is TOP2-mediated DNA damage repaired in cells?

A: It is repaired by double-strand break repair pathways and pathways that remove protein–DNA adducts.

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Q5: What is a major limitation of anthracycline use?

A: Their use is limited by cardiotoxicity.

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Q6: Is the mechanism of anthracycline cardiotoxicity well understood?

A: No, the mechanism is poorly understood.

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Q7: What is a serious long-term side effect of TOP2 poisons?

A: They can cause secondary cancers due to drug-induced chromosomal translocations.

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summary so far:

  • Anthracyclines (e.g. doxorubicin) → TOP2 poisons → DNA breaks

  • Side effects = cardiotoxicity + peripheral neuropathy

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Q1: What is telomerase?

A: Telomerase is an enzyme that adds DNA sequence repeats to the ends of chromosomes.

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Q2: What DNA sequence does telomerase add in vertebrates?

A: It adds the repeat sequence TTAGGG to the 3’ end of DNA strands.

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Q3: Where does telomerase act in the chromosome?

A: It acts at the telomeres, which are located at the ends of eukaryotic chromosomes.

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Q4: What are telomeres?

A: Telomeres are regions of repeated, non-coding DNA at the ends of chromosomes.

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Q5: What is the function of telomeres?

A: They protect chromosomes by preventing loss of important DNA during replication.

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Q6: Why is telomerase important for cells?

A: It maintains telomere length, preventing excessive shortening that could damage genetic information.

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Q1: What is hTERT?

A: hTERT (human Telomerase Reverse Transcriptase) is the catalytic subunit of telomerase.

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Q2: What is the function of hTERT?

A: It is responsible for adding DNA repeats to telomeres, enabling telomerase activity.

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Q3: In which cells is hTERT upregulated?

A: It is upregulated in rapidly dividing cells, including cancer cells.

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Q4: How does hTERT contribute to cancer?

A: It allows cells to maintain telomere length, leading to cell immortalisation.

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Q5: Why is hTERT an important therapeutic target?

A: Because inhibiting it can limit telomere maintenance and reduce cancer cell survival.

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Q6: What is ALT?

A: ALT is a telomerase-independent mechanism for maintaining telomeres.

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Q7: How does ALT maintain telomere length?

A: It uses homology-directed repair, copying sequences from other telomeres.

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Q8: How does ALT differ from normal homologous recombination?

A: Instead of copying from a sister chromatid, it copies from matching telomere sequences.

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Q8: What is the function of telomestatin?

A: Telomestatin binds to and stabilises G-quadruplexes, preventing them from being unwound.