Telomere length (TL) is emerging as a biomarker for aging and survival. To evaluate factors influencing this trait, we measured TL in a large homogeneous population, estimated the heritability (h 2 ), and tested for parental effects on TL variation. Our sample included 356 men and 551 women, aged 18 -92 years, from large Amish families. Mean TL in leukocytes was measured by quantitative PCR (mean: 6,198 ؎ 1,696 bp). The h 2 of TL was 0.44 ؎ 0.06 (P < 0.001), after adjusting for age, sex, and TL assay batch. As expected, TL was negatively correlated with age (r ؍ ؊0.40; P < 0.001). There was no significant difference in TL between men and women, consistent with our previous findings that Amish men lived as long as Amish women. There was a stronger and positive correlation and association between TL in the offspring and paternal TL (r ؍ 0.46, P < 0.001;  ؍ 0.22, P ؍ 0.006) than offspring and maternal TL (r ؍ 0.18, P ؍ 0.04;  ؍ ؊0.02, P ؍ 0.4). Furthermore, we observed a positive correlation and association between daughter's TL and paternal lifespan (r ؍ 0.20, P < 0.001;  ؍ 0.21, P ؍ 0.04), but not between daughter's TL and maternal lifespan (r ؍ ؊0.01,  ؍ 0.04; both P ؍ not significant). Our data, which are based on one of the largest family studies of human TL, support a link between TL and aging and lifespan and suggest a strong genetic influence, possibly via an imprinting mechanism, on TL regulation.heritability ͉ parental effects ͉ sex specific ͉ imprinting ͉ Amish T elomeres are DNA capping structures that protect the ends of eukaryotic chromosomes. In vitro studies in mammalian cells suggest that telomere shortening triggers cellular senescence or apoptosis, depending on cell type (1-4). Studies in humans have shown that telomeres shorten with aging in various mitotic tissues and cell types (5-7). The rate of telomere attrition is slower in long-lived mammals compared with short-lived ones (8). Senescent cells accumulate with increasing age in vivo (9) and are thought to play an important role in organismal aging (10), which is characterized by physiologic and metabolic decline (4) and increasing susceptibility to several diseases associated with death (11). Thus, it is likely that telomere shortening may be mechanistically linked to organismal lifespan.Factors influencing telomere homeostasis are not fully known; however, it is likely that both environmental and biological factors play roles. Among the biological factors, a growing body of evidence suggests that genes play a very important role. Several genes that influence telomere length (TL) have been identified in model organisms (12, 13). In humans, shelterin, the protein complex that shapes and safeguards telomeres is made up of six subunits: TRF1, TRF2, TIN2, Rap1, TPP1, and POT1 (14). Other genes, such as TERT, UP1, Tankyrase, EST1, EST2, and EST3 are known to influence telomere homeostasis, and other genes such as YKU70, SIR4, and RIF2, encode proteins that bind specifically to the telomeres (13). In humans, the re...