Beyond its role in telomere maintenance, telomerase provides additional functions in tumorogenesis, DNA repair, and cell survival. Telomerase protects cells from apoptosis and necrosis, and stimulates growth in adverse conditions. Furthermore, gross overexpression of the catalytic subunit of telomerase (hTERT) may act as a hyperproliferative signal to induce a senescence-like phenotype in normal fibroblasts, which is similar to the senescence induced by overexpression of oncogenes. As some of these functions can be dissociated from telomere lengthening, the question arises as to how the mere presence of telomerase can serve as a survival and growth-promoting factor.Telomerase was discovered over a decade ago as a reverse transcriptase that adds tandem repeats at the telomeric ends, thereby preventing telomere shortening. 1 Since then a lot has been learned about the regulation of hTERT expression, its cellular localization, and its enzymatic activity. Telomere shortening was proposed to be the counting mechanism in cellular senescence, 2 and it was shown that ectopic expression of telomerase can immortalize human cells. [3][4][5][6] Two to three years ago the picture seemed very clear: telomerase is an enzyme whose sole function is to elongate telomeres. Recent data, however, suggest additional roles for telomerase in tumorogenesis, cell survival, and DNA repair, which are not directly dependent on telomere lengthening.