Telomeres are nucleoprotein complexes located at the end of chromosomes. They have an essential role in protecting chromosome ends. Telomerase or ALT (alternative lengthening of telomeres) mechanisms maintain telomeres by compensating natural telomeric loss. We have set up a flow-FISH method and using mouse lymphoma cell lines we identified unexpectedly the presence of subpopulations of cells with different telomere lengths. Subpopulations of cells with different telomere lengths were also observed in a human ALT and non-ALT cell line. Differences in telomere length between subpopulations of cells were significant and we term this phenomenon TELEFLUCS (TElomere LEngth FLUctuations in Cell Subpopulations). By applying flow-FISH we could successfully measure telomere lengths during replicative senescence in human primary fibroblasts with different genetic defects that confer sensitivity to ionising radiation (IR). The results from this study, based on flow-FISH and Southern hybridisation measurements, revealed an accelerated rate of telomere shortening in radiosensitive fibroblasts. We also observed accelerated telomere shortening in murine BRCA1 deficient cells, another defect conferring radiosensitivity, in comparison with a BRCA1 proficient cell line. We transiently depleted BRCA1 by siRNAs in two human mammary epithelial cell lines but could not find changes in telomere length in comparison with control cells. Cytological evidence of telomere dysfunction was observed in all radiosensitive cell lines. These results suggest that mechanisms that confer sensitivity to IR may be linked with mechanisms that cause telomere dysfunction. Furthermore, we have been able to show that human ALT positive cell lines show dysfunctional telomeres as detected by either the presence of DSBs at their telomeres or cytogenetic analysis and usually cells with dysfunctional telomeres are sensitive to IR. Finally, we assessed hTERT mRNA splicing variants and telomerase activity in brain tumours, which exhibit considerable chromosome instability suggesting that DNA repair mechanisms may be impaired. We demonstrated that high levels of hTERT mRNAs and telomerase activity correlate with proliferation rate. The presence of hTERT splice variants did not strictly correlate with absence of telomerase activity but hTERT spliced transcripts were observed in some telomerase negative brain tumours suggesting that hTERT splicing may contribute to activation of ALT mechanisms.

Drosophila telomere maintenance depends on the transposition of three specialized retrotransposons – HeT-A, TART and TAHRE (HTT). Controlling the activation and silencing of these elements is crucial to maintain telomere length homeostasis without compromising genomic instability. In this thesis, I have identified the role of different chromosomal proteins involved in creating the correct chromatin environment to achieve telomere length homeostasis and stability. JIL-1, together with HP1a and Z4, act as a boundary at the telomere-subtelomere frontier. The interplay of these proteins leads to an equilibrium in the activation/repression state of the telomere retrotransposons. Additionally, I have contributed to the finding that the HeT-A Gag protein is a key component targeting different protein complexes to the telomeres and guaranteeing genome stability. I have also been able to demonstrate that the Z4 partners DREF, TRF2 and KEN are also involved in the silencing of HTT, probably by mediating chromatin remodeling. Finally, I have identified a special subtelomere domain at the 4R telomere with different chromatin characteristics and demonstrated that SETDB1, HP1a and POF are involved in the regulation of the telomeric retrotransposons in the 4th chromosome. These results provide important insights to better understand how in Drosophila the telomere retrotransposons are orchestrated to achieve a telomere function analogous to telomerase telomeres in other eukaryotes. / El manteniment dels telòmers de Drosophila depèn de la transposició especialitzada de tres retrotransposons, HeT-A, TART i TAHRE (HTT). El control de l’activació i la repressió d’aquests elements és crucial a l’hora de mantenir la llargada telomèrica sense comprometre l’estabilitat genòmica. En aquesta tesi jo he pogut identificar el paper de diferents proteïnes cromosòmiques involucrades en crear un estat de la cromatina adient per mantenir la longitud i l’estabilitat telomèrica. JIL-1 juntament amb HP1a i Z4 ajuden a crear el llindar entre la frontera dels domini telomèric i subtelomèric. L’actuació conjunta d’aquestes proteïnes aconsegueix un estat d’equilibri activació/repressió dels retrotransposons telomèrics. A més a més, he contribuït a la descoberta de la implicació de la proteïna HeT-A Gag en el reclutament de diferents complexes proteics als telomèrs de Drosophila per poder garantir l’estabilitat telomèrica. També he pogut demostrar que altres membres dels complexes on participa Z4, com ara: DREF, TRF2 i KEN, estan també implicats en el silenciament dels retrotransposons telomèrics segurament per mitjà de la remodelació de la cromatina. Finalment he pogut demostrar que el domini subtelomèric del telòmer 4R, té una estructura cromatínica diferent a la resta dels dominis subtelomèrics dels altres cromosomes i he pogut demostrar que les proteïnes SETDB1, HP1a i POF estan implicades en la regulació de l’HTT del cromosoma 4. Els resultats d’aquesta tesi ajuden de manera substancial a comprendre com els retrotransposons telomèrics estan orquestrats per tal de poder fer una funció anàloga als telòmers de telomerasa en altres eucariotes.

Les télomères sont des structures complexes associant des répétitions de séquences nucléotidiques TTAGGG à diverses protéines dont le complexe shelterin. Le TRF2 (Telomeric repeat-binding Factor 2) est un composant majeur de ce complexe, indispensable à la formation de la boucle télomérique T-loop qui permet la protection des extrémités vis-à-vis des exonucléases et systèmes de réparation de l'ADN. Ce facteur est aussi impliqué dans la tumorigenèse de nombreux cancers. Le carcinome épidermoïde oral représente 90% des cancers des Voies Aéro-Digestives Supérieures (VADS) sixième cause de cancer dans le monde avec une incidence de plus de 14000 nouveaux cas en France en 2012. Souvent diagnostiqué par des chirurgiens-dentistes, c'est un cancer de mauvais pronostic traité par chirurgie, radiothérapie, chimiothérapie et thérapies ciblant le R-EGF. Peu d'études se sont intéressées à l'expression de TRF2 dans le carcinome épidermoïde oral et leurs résultats contradictoires ne permettent pas de comprendre son rôle dans leur agressivité.L'expression de TRF2 a été analysée dans les biopsies de 62 patients atteints d'un carcinome épidermoïde oral, à l'aide d'un score de lecture en immunohistochimie. Une forte expression de TRF2 est associé une survie globale significativement plus faible ce qui en fait un facteur pronostique pertinent. In vitro, une faible expression de TRF2 induit une modification du profil sécrétoire des cellules tumorales qui se traduit in vivo par des modifications de l'architecture tissulaire de tumeurs chez la souris nude. Enfin, TRF2 est un marqueur prédictif de réponse aux thérapies ciblées, leur efficacité étant optimale lorsque TRF2 est faiblement exprimé. / Telomeres are composed of tandmely repeated TTAGGG nucleotidic sequences associated with various proteins including shelterin complex. TRF2 (Telomeric repeat-binding Factor 2) is the major component of this complex, necessary for T-loop formation which protects telomeres from DNA damage response and exonucleases. Oral Squamous Cell Carcinoma (OSCC) is the most incident subtype of head and neck cancer (90%), sixth most common cancer in the world with an incidence of 14000 cases in France in 2012. Often diagnosed by dental surgeons,this bad prognosis malignancy is treated by surgery, radiotherapy, chemotherapy and targeted therapies against EGFR. Few studies evaluated TRF2 expression in OSCC and their results are discrepant. TRF2 expression has been assessed in immunohistochemistry in 62 tumoral samples of patients with an history of OSCC. TRF2 overexpression is associated with bad prognosis. TRF2 knockdown changes cells' secretome thus modifying tumoral tissue architecture. Our results showed that TRF2 is predictive for treatment response in targeted therapies in OSCC.

Les télomères sont des structures nucléoprotéiques spécialisées qui assurent l’intégrité des extrémités des chromosomes linéaires. Ils sont composés d’une séquence d’ADN qui leur est propre, sont associées à des protéines spécifiques, et sont maintenus par la télomérase. Leur fonction est d’empêcher le raccourcissement progressif des extrémités des chromosomes dû à la réplication ainsi que leur reconnaissance par les mécanismes de réparation des cassures double brin. La réparation des cassures double-brin consiste en deux mécanismes généraux : la recombinaison non-homologue et la recombinaison homologue. L’activation de ces voies de recombinaison en réponse à la déprotection télomérique est un mécanisme de survie cellulaire, mais qui conduit fréquemment à une instabilité génomique.Nous avons testé l’implication des voies de recombinaison non-homologue dans la prise en charge des télomères déprotégés par inactivation de chacune de ces voies. La génération d’un multiple mutant ne présentant pas de voies de recombinaison non-homologue fonctionnelles a permis de restaurer la capacité des plantes à se développer normalement en présence de télomères déprotégés. Nos résultats ont mis en évidence une compétition entre les voies de recombinaison non-homologue et la télomérase en absence de protection télomérique.L’étude des homologues de la protéine GEN1 – impliquée dans la résolution de structures d’ADN branchées lors de la recombinaison homologue – a permis d'identifier l'homologue fonctionnel de GEN1 chez Arabidopsis et de mettre en évidence un rôle télomérique de cette protéine. En effet, cette nucléase s’avère essentielle à la stabilité des télomères en favorisant leur réplication.L’inhibition de la recombinaison homologue en absence de télomérase entraine l’apparition précoce et significative d’instabilité chromosomique. L’induction d’un stress réplicatif exacerbe cette instabilité télomérique, indiquant que la recombinaison homologue facilite la réplication des télomères en absence de télomérase. Nos données indiquent que la télomérase participe également au déroulement correct de la réplication des télomères. De façon inattendue, le rôle positif de la recombinaison homologue est dépendant de l’hélicase RTEL1. / Telomeres are specialized nucleoprotein structures that ensure the integrity of the ends of linear eukaryotic chromosomes. They are composed of a particular DNA sequence, associated with specific proteins and are maintained by telomerase. Their function is to prevent the progressive shortening of chromosome due to replication and to protect chromosome ends from recognition by cellular double-strand break repair proteins. Double-strand break repair involves two general mechanisms: non-homologous recombination and homologous recombination. Activation of these recombination pathways in response to unprotected telomeres is a cell survival mechanism, which frequently leads to genomic instability.We tested the involvement of non-homologous recombination pathways in fusions of unprotected telomeres by inactivation of each of these pathways. The generation of a triple KO mutant without non-homologous recombination restores the normal growth and development of the plants with deprotected telomeres. These results show a competition between non-homologous recombination pathways and telomerase in the absence of telomeric protection.Study of GEN1 homologues – involved in the resolution of branched DNA structures during homologous recombination – permitted identification of the functional GEN1 homologue of Arabidopsis and the demonstration of a telomeric role of this protein. Indeed, this nuclease proves to be essential to the stability of the telomeres by promoting their replication.Inhibition of homologous recombination in absence of telomerase leads to the early and significant appearance of chromosomal instability. Induction of replicative stress exacerbates this telomere instability, indicating that homologous recombination facilitates telomere replication in the absence of telomerase. Our data indicate that telomerase also contributes to correct replication of telomeres. Unexpectedly, the positive role of the homologous recombination in telomere stability is dependent on the RTEL1 helicase.

Drosophila melanogaster extends its telomeres by transposition of special telomeric retroelements (HeT-A, TART and TAHRE) targeted specifically to chromosome ends. Retroelement HeT-A is the most studied of telomeric elements and recent studies revealed significant sequence variability of the element HeT-A, not only along its length but also in areas with regulatory activity. This thesis is focused on the activity of different HeT-A promotors during the whole Drosophila development and comparision of transgenic lines with HeT-A promotor and reporter Tomato transgen and it was confirmed the sequence variability of the promotor HeT-A element and its tissue and organ specificity.

Telomeres are nucleoprotein structures at the ends of eukaryotic chromosomes that are important for genome stability and integrity. They are shortened with each cell cycle and during organismal aging. Although the most common telomere length compensation mechanism is the activity of a special reverse transcriptase, telomerase, in Drosophila telomeres are maintained by the retrotransposition of telomeric elements. In mammals, telomere length and telomerase activity can be influenced by lifestyle and the environmental conditions. This thesis is focused on activity of telomere length maintenance mechanism in insects in relation to aging and stress response.

Instead of using telomerase, Drosophila melanogaster extends its telomeres by transposition of special telomeric retroelements (HeT-A, TART and TAHRE) targeted specifically to chromosome ends. One key step of the transposition mechanism is a transcription of the elements. Using the expression of a reporter Tomato transgene under HeT-A promoter control we obtained a spatial and temporal visualization of HeT-A promoter activity during the whole Drosophila development. This analysis confirmed that the activity of the HeT-A promoter is up-regulated by cell proliferation, however HeT-A promoter activity is not limited only to proliferating diploid cells. One important outcome of this study is the observation of variation in HeT-A promoter activity in both location and intensity.

Oxidative stress is caused by an imbalance between oxidants and antioxidants. Oxidative stress generated by reactive oxygen species (ROS) or reactive nitrogen species (RNS) occurs when protection of antioxidants fails or when an amount of ROS is too high. Telomeres, regions of repetitive nucleotide sequences at the end of chromosomes, are especially sensitive to oxidative stress because they contain a lot of guanine which is often oxidised. Antioxidants play an important role in protection against oxidative stress. In this thesis I analysed the effect of oxidative stress caused by paraquat on activity of antioxidant enzymes (catalase and superoxide dismutase) and telomere length in Locusta migratoria. I also studied differences in telomere length between locusts of various development stages and telomerase activity in locusts and other Orthoptera.

Orientador: Maria Isabel Nogueira Cano / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-10T06:46:56Z (GMT). No. of bitstreams: 1 Giardini_MiriamAparecida_D.pdf: 16478216 bytes, checksum: 881eff76c52bbb67a22537e86deba896 (MD5) Previous issue date: 2007 / Resumo: Telômeros são complexos DNA-proteínas que protegem os cromossomos eucarióticos da degradação, garantindo estabilidade genômica. As seqüências teloméricas são ricas em G e apresentam uma protrusão 3¿ simples-fita que se estende em direção ao terminal cromossômico. Em Leishmania, os telômeros são compostos pela seqüência repetida 5¿-TTAGGG-3¿ e são replicados pela telomerase, a principal responsável pela manutenção dos terminais cromossômicos em eucariotos. Além de replicar os telômeros, o complexo holoenzimático da telomerase, composto pela transcriptase reversa da telomerase (TERT), pelo RNA da telomerase (TER) e por proteínas associadas, também atua como parte de um complexo de ordem maior que protege os terminais teloméricos. O entendimento do mecanismo de regulação da manutenção telomérica será de grande valor científico e poderá levar ao descobrimento de algum alvo potencial para o desenvolvimento de novas drogas anti-leishmania. Com esse objetivo, identificamos, clonamos e caracterizamos o gene que codifica o componente TERT em Leishmania spp.. O alinhamento múltiplo das seqüências através do programa ClustalW demonstrou que as telomerases de Leishmania apresentam muito mais homologia entre si do que com as proteínas de outros kinetoplastídeos e eucariotos. Experimentos de caracterização indicaram que a seqüência putativa do gene da telomerase de Leishmania localiza-se provavelmente em cópia única nos maiores cromossomos. Um único transcrito de RNA mensageiro foi encontrado nos promastigotas. Análises filogenéticas sugeriram que a telomerase de Leishmania pode representar uma ligação entre os mais antigos e os mais novos ramos das telomerases. Além disso, proteínas recombinantes foram expressas em sistema bacteriano, tornando possível a produção de anticorpos policlonais em coelhos. Experimentos de ¿Western blotting¿ e imunoprecipitação de cromatina indicaram que o anticorpo foi capaz de reconhecer a proteína nativa e que a telomerase de L. amazonensis interage in vivo com a seqüência telomérica rica em G. A atividade de telomerase de L. amazonensis foi purificada utilizando-se uma combinação de colunas cromatográficas. Testou-se a atividade enzimática em cada passo da purificação utilizando-se o ensaio ¿Two-tube TRAP¿. Os resultados mostraram que a atividade enzimática é encontrada nas frações purificadas pelas cromatografias de troca iônica, de afinidade por Heparina e de gel filtração. A atividade foi altamente enriquecida após a purificação por afinidade utilizando um oligonucleotídeo de DNA telomérico rico em G. Quando foi utilizado um oligorribonucleotídeo 2¿O-metil complementar à putativa seqüência molde do TER de Leishmania como ligante na cromatografia de afinidade, pouca ou nenhuma atividade enzimática foi eluída da resina, sugerindo que a interação entre a telomerase de L. amazonensis e este oligorribonucleotídeo é tão forte que não permite sua dissociação nas condições de eluição gentis necessárias para manter a atividade enzimática. Formas procíclicas de Trypanosoma brucei foram utilizadas para a construção do sistema ¿PTP-tagging¿, no intuito de futuramente purificar o complexo holoenzimático da telomerase. Em paralelo, ensaios de ¿primer extension¿ foram padronizados e identificou-se uma seqüência candidata ao gene do RNA da telomerase de T. brucei. Também foi identificada e clonada em L. amazonensis, uma seqüência homóloga à PinX1 humana, descrita como uma proteína que interage diretamente com a TERT humana e considerada um inibidor natural da atividade de telomerase / Abstract: Telomeres are protein-DNA complexes that protect linear chromosomes from degradation, providing genomic stability. The telomeric sequences are G-rich and contain a 3¿ single-stranded region that protrudes toward the chromosome end. In Leishmania, the telomeric DNA is composed by the conserved 5¿-TTAGGG-3¿ repeated sequence and it is replicated by telomerase. Telomerase is responsible for maintaining chromosome ends in most eucaryotes by adding new telomeric sequences to the G-rich strand. Besides replicating telomeres, the telomerase holoenzyme complex, composed by the reverse transcriptase component (TERT), the telomerase RNA (TER) and associated proteins, also works as part of the higher order complex that protects telomeric ends. Understanding the regulation of the telomeric maintainance mechanism may allow the discovery of potential targets to the development of new antileishmania drugs. Therefore, we identified, cloned and characterized the TERT gene in Leishmania spp.. A ClustalW multiple-sequence alignment demonstrated that the Leishmania telomerases show greater homology with each other than with the proteins of other kinetoplastids and eukaryotes. Characterization experiments indicated that the putative Leishmania TERT gene was probably located in single copy at the largest chromosomes. A single messenger RNA transcript was found in promastigotes. Phylogenetic analysis suggested that Leishmania telomerase might represent a liaison between the oldest and the newest branches of telomerases. Besides that, recombinant proteins were expressed in bacterial system, allowing production of anti-LaTERT polyclonal serum in rabbits. Western blotting and chromatin immunoprecipitation assays indicated that the anti-LaTERT serum was able to recognize a native protein in nuclear and total extracts of the parasite and that L. amazonensis telomerase interacts in vivo with the G-richtelomeric sequence. We have also purified the L. amazonensis telomerase activity in order to better understand its biochemical features. Protein extracts of L. amazonensis containing telomerase activity were purified using combined chromatographic columns. Enzyme activity was tested in each purification step using the ¿Two-tube TRAP¿ assay. The results showed that enzyme activity is found in fractions purified by ion exchange (DEAE), Heparin affinity and gel filtration chromatographic methods. The activity was greatly enriched after affinity purification using a G rich telomeric DNA oligonucleotide as the ligand. When a 2¿O-methyl oligoribonucleotide complementary to the putative L. amazonensis TER template was used as a ligand in the affinity purification, little or no enzyme activity was eluted from resin, suggesting that the interaction between L. amazonensis telomerase and this oligoribonucleotide is too strong that disables its dissociation under the gentle elution conditions necessary to maintain enzyme activity. In order to identify the telomerase holoenzyme components, procyclic forms of Trypanosoma brucei were used to construct the PTP-tagging system. ¿Primer extension¿ reactions were also done in order to isolate and sequence an RNA candidate for the telomerase RNA gene in T. brucei. In addition, we have cloned a L. amazonensis homologue of the human PinX1 protein, previously known as a hTERT-interacting factor and as a potent telomerase inhibitor / Doutorado / Genetica de Microorganismos / Doutor em Genetica e Biologia Molecular

Pneumonia intersticial familiar (PIF) é definida como a ocorrência de pelo menos dois casos de pneumonia intersticial fibrosante em uma mesma família biológica. Apesar do avanço sobre o tema em anos recentes, ainda não há estudos brasileiros nessa área. O objetivo deste estudo foi caracterizar uma amostra de pacientes brasileiros com PIF quanto aos aspectos clínicos, radiológicos, anatomopatológicos e genéticos, bem como analisar os respectivos comprimentos teloméricos (CT). Entre março de 2014 e novembro de 2017 foi realizada uma busca ativa por casos de PIF. Os pacientes identificados foram submetidos a testes de função pulmonar; tomografia computadorizada de alta resolução (TCAR) de tórax e a coleta de amostras de sangue. Ainda foram realizadas avaliações empregando ficha clínica padronizada. Amostras de tecido pulmonar foram obtidas e revisadas em seis casos. Empregando-se um kit apropriado, DNA genômico foi extraído de células brancas do sangue periférico. A avaliação do CT foi feita pelo método de Southern blot. Um painel envolvendo 154 genes de interesse foi desenvolvido pelo grupo de pesquisa e construído pela empresa Agilent Technologies. A pesquisa desses genes foi realizada empregando-se técnicas de sequenciamento de nova geração (NGS-Illumina). Foram selecionados 35 pacientes, com idade mediana de 66 (35,5-89,3) anos. Tabagismo e outras exposições ambientais estiveram presentes em 45,7% e 80% dos casos, respectivamente. Estertores finos foram identificados em 91,4% dos pacientes e baqueteamento digital em 20%. Os testes de função pulmonar foram classificados como restritivos em 20 (57,1%), normais em 10 (28,6%), inespecíficos em 4 (11,45) e obstrutivo leve em 1 (2,9%). A DCO esteve reduzida nos 30 pacientes em que foi possível pesquisá-la. Padrão típico de PIU na TCAR foi detectado em 6 (17,1%) pacientes e padrão indeterminado para PIU em outros 4 (11,4%). A maioria dos casos, 25 (71,4%), exibiu padrão tomográficoinconsistente com PIU. A revisão do material anatomopatológico revelou pneumonite intersticial com acentuação bronquiolocêntrica em quatro indivíduos. A grande maioria (85,7%) mostrou CTs inferiores ao percentil 50%. Quatro indivíduos exibiram CTs curtos e um muito curto. Foram identificadas variantes genéticas comuns no promotor do gene MUC5B (rs35705950), nos genes TOLLIP (rs111521887, rs5743894 e rs5743890) ou TERT (rs2736100) em 90% dos casos. Detectaram-se ainda sete variantes raras distintas. As alterações c.2594G>A e c.2146G>A do gene TERT, e c.394C>T do gene RTEL1, previamente descritas e associadas a telomeropatias. Uma anormalidade de TERT (c.1730G>A) e outra de RTEL1 (c.2299C>T) inéditas. Duas outras variantes raras encontradas já conhecidas, ainda não haviam sido associadas a doenças pulmonares: gene SHQ1 (c.828_831del) e gene WRAP53 (c.1558dupG). Em conclusão, pacientes brasileiros com PIF demonstram acentuada heterogeneidade fenotípica e genotípica. Este estudo identificou ainda duas novas variantes genéticas raras associadas a PIF e dois possíveis novos genes implicados na patogênese dessa doença. / Familial interstitial pneumonia (FIP) is defined as the occurrence of at least two cases of interstitial fibrosing pneumonias in the same biological family. Despite advances in the field in recent years, there are no Brazilian studies in this area. The aim of this study was to characterize a sample of Brazilian patients with PIF regarding clinical, radiological, histological and genetic aspects, as well as to analyze the respective telomeric lengths (TL). Between March 2014 and November 2017 an active search was conducted for FIP cases. The patients identified were submitted to pulmonary function tests, high resolution computed tomography (HRCT) of the chest and the collection of blood samples. In addition, a standardized clinical file was also fulfilled. Pulmonary tissue samples were obtained and reviewed in six cases. Using a suitable kit, genomic DNA was extracted from white peripheral blood cells. The TL measurements were done by Southern blot method. A panel of 154 genes of interest was developed by the research group and built by Agilent Technologies. Research on these genes was carried out using next generation sequencing techniques (NGSIllumina). Thirty-five patients were selected, with a median age of 66 (35.5-89.3) years. Smoking and other environmental exposures were present in, respectively, 45.7% and 80% of the cases. Fine crackles were identified in 91.4% of patients and digital clubbing in 20%. Pulmonary function tests were classified as restrictive in 20 (57.1%), normal in 10 (28.6%), non-specific in 4 (11.45) and mild obstructive in 1 (2.9%). The DLCO was reduced in the 30 patients in whom it was possible to investigate it. Typical pattern of UIP in HRCT was detected in 6 (17.1%) patients and undetermined pattern for UIP in another 4 (11.4%). The majority of cases, 25 (71.4%), showed a tomographic pattern inconsistent with UIP. The review of histological material revealed interstitial pneumonitis with bronchiolocentric accentuation in four individuals. The vast majority (85.7%) showed TL lower than the 50th percentile. Four individuals had short TL and one a very short TL. Commongenetic variants were identified in the MUC5B gene promoter (rs35705950), in the TOLLIP genes (rs111521887, rs5743894 and rs5743890) or TERT (rs2736100) in 90% of the cases. Seven different rare variants were also detected: the changes c.2594G> A and c.2146G> A of the TERT gene, and c.394C> T of the RTEL1 gene, previously described and associated with telomeropathy; one previously unknown abnormality of TERT (c.1730G> A) and another of RTEL1 (c.2299C> T); two additional rare genetic variants, had not yet been associated with pulmonary diseases: SHQ1 gene (c.828_831del) and WRAP53 gene (c.1558dupG). In conclusion, FIP Brazilian patients demonstrate marked phenotypic and genotypic heterogeneity. This study also identified two new rare genetic variants associated with FIP and two other possible new genes implicated in the pathogenesis of this disease.