Direct experimental evidence implicates telomere erosion as a primary cause of cellular senescence. Using a well characterized model system for breast cancer, we define here the molecular and cellular consequences of adriamycin treatment in breast tumor cells. Cells acutely exposed to adriamycin exhibited an increase in p53 activity, a decline in telomerase activity, and a dramatic increase in -galactosidase, a marker of senescence. Inactivation of wild-type p53 resulted in a transition of the cellular response to adriamycin treatment from replicative senescence to delayed apoptosis, demonstrating that p53 plays an integral role in the fate of breast tumor cells treated with DNA-damaging agents. Stable introduction of hTERT, the catalytic protein component of telomerase, into MCF-7 cells caused an increase in telomerase activity and telomere length. Treatment of MCF-7-hTERT cells with adriamycin produced an identical senescence response as controls without signs of telomere shortening, indicating that the senescence after treatment is telomere length-independent. However, we found that exposure to adriamycin resulted in an overrepresentation of cytogenetic changes involving telomeres, showing an altered telomere state induced by adriamycin is probably a causal factor leading to the senescence phenotype. To our knowledge, these data are the first to demonstrate that the mechanism of adriamycin-induced senescence is dependent on both functional p53 and telomere dysfunction rather than overall shortening.Most normal somatic cells continually shorten their telomeres after each cell division because of incomplete replication at the end of linear chromosomes (1, 2). The original hypothesis stated that when telomeres have become sufficiently shortened, replicative senescence is induced (3, 4). Tumor suppressor proteins such as p53 are required for this senescence arrest. Most cells with indefinite proliferative ability (e.g. human tumors and their derivative cell lines) express the enzyme telomerase to maintain telomeres, which allows for the continued cellular proliferation characteristic of human cancer (5, 6). Telomerase is a cellular reverse transcriptase containing two strictly required elements: a protein component, hTERT, and an RNA element, hTR (7-9). hTERT serves as the catalytic subunit, whereas hTR is utilized by hTERT as the template for catalyzing the addition of telomeric DNA to the end of the chromosome. The introduction of telomerase into normal human cells provides for telomere maintenance, prevention of senescence, and an extension of life span, indicating that gradual telomere shortening is one of the factors contributing to the onset of cellular senescence (10, 11). Recent evidence suggests that although telomere length is an important trigger for the onset of senescence, increased telomere dysfunction results in a loss of chromosome end protection and induction of the senescence state (12). These novel findings show that senescence can be induced without net telomere shortening, and that while len...