Telomerase, a ribonucleoprotein expressed in 85% of advanced cancers but no
t in most somatic cells, compensates for telomeric DNA erosion and as such
stabilizes cell immortality. Telomerase inhibition might restore mortality
in tumor cells. Recent progress is illustrated in studies on telomerase and
telomere targeting with differentiation induction, reverse transcriptase i
nhibitors, promoter down regulation, antisense inhibition, and blockage of
telomere/telomerase interactions. Also, new developments are described indi
cating that anti-telomerase treatment can induce apoptosis in tumor cells a
nd fan chemosensitize drug-resistant cell lines. Implications of these find
ings for anti-telomerase-based therapeutic applications, in particular in c
ombination therapies, are discussed.