Normal human cells undergo a finite number of cell divisions and ultim
ately enter a nondividing state called replicative senescence. It has
been proposed that telomere shortening is the molecular clock that tri
ggers senescence, To test this hypothesis, two telomerase-negative nor
mal human cell types, retinal pigment epithelial cells and foreskin fi
broblasts, were transfected with vectors encoding the human telomerase
catalytic subunit. In contrast to telomerase-negative control clones,
which exhibited telomere shortening and senescence, telomerase-expres
sing clones had elongated telomeres, divided vigorously, and showed re
duced staining for beta-galactosidase, a biomarker for senescence, Not
ably, the telomerase-expressing clones have a normal karyotype and hav
e already exceeded their normal life-span by at least 20 doublings, th
us establishing a causal relationship between telomere shortening and
in vitro cellular senescence. The ability to maintain normal human cel
ls in a phenotypically youthful state could have important application
s in research and medicine.