Progressive telomere shortening occurs in somatic cells, and with increasing donor age a significant decline in telomere length has been shown in various postnatal tissues. In contrast, little is known about changes in telomere length during human fetal development. Therefore, we measured telomere length in the leukocyte fraction of umbilical cord blood samples from 15 preterm (Ͻ37 wk of gestation) and 11 full-term (Ͼ37 wk of gestation) neonates using the telomere restriction fragment assay. Whereas no differences in mean (Ϯ SD) telomere restriction fragment between the groups of preterm neonates (8512 Ϯ 523 bp) and full-term newborns (8323 Ϯ 503 bp) could be found, significantly longer telomeres (p ϭ 0.002) were found in very low birth weight preterm neonates when compared with low birth weight preterm neonates. In addition, a rapid and significant decline in mean telomere restriction fragment was observed between 27 and 32 wk of gestation (p ϭ 0.02, r ϭ 0.79) followed by a period of no significant loss of telomere repeats between 33 and 42 wk of gestation. These results are consistent with the known almost maximal proliferation rate of hematopoietic progenitor cells before 32 wk of gestation. The initial decrease in telomere restriction fragment could be caused by ontogenyrelated functional alterations of hematopoietic cells or differences in stem cell turnover or the rate of telomere loss per cell division. Telomeres play a major role in chromosome structure and function by protecting their degradation and apparently contributing to the attachment of chromosome ends to the nuclear envelope. Telomeres lose a portion of their noncoding repetitive DNA sequences with each cell division, and the ribonucleoprotein enzyme telomerase can compensate for this by synthesis of telomere repeats onto chromosomes (1-3). Despite the observation that some immortalized cell lines manifest stable telomeres without evidence of telomerase activity (4), telomerase-dependent telomere elongation seems to be the most important mechanism for maintaining telomere length in vitro and in vivo.In man telomerase is expressed during embryogenesis. Ulaner and Giudice (5) examined telomerase activity in various fetal tissues from 8 to 21 wk of gestation. They found that all tissues expressed telomerase at the earliest ages analyzed, followed by tissue-specific suppression during embryogenic development. After birth this enzyme is repressed in most somatic tissues (6), and high activity persists only in germline cells.Whereas in most postnatal somatic tissues telomerase is not expressed, low levels of this enzyme are detected in hematopoietic progenitor cells, activated lymphocytes (7), intestinal crypt cells (8), the basal layer of the skin (9), and during the proliferative phase in the premenopausal endometrium (10, 11). It is assumed that the low telomerase activity compensates the increased loss of telomere repeats associated with the high rate of cell turnover in these tissues. However, in contrast to germline and tumor cells, these low l...