Cellular telomere length is linked to replicative life span. Telomere repeats are lost in peripheral blood cells in vivo by age, and women show less telomere attrition than men. Previous reports have indicated that telomere length and chromosome-specific telomerelength patterns partly are inherited. The mode of heredity has not been clarified, but a link to the X chromosome was recently suggested. We analyzed peripheral mononuclear cells from 49 unrelated families for telomere length using a real-time PCR method. Short-term cultured Epstein-Barr virus-transformed lymphoblasts from the same individuals (n ؍ 130) were analyzed for ability to maintain telomere length and possible gender-linked inheritance. A statistically significant association between telomere lengths comparing father-son (P ؍ 0.011, n ؍ 20) and father-daughter (P ؍ 0.005, n ؍ 22) pairs was found. However, no correlation was observed between mother-daughter (P ؍ 0.463, n ؍ 23) or mother-son (P ؍ 0.577, n ؍ 18). The father-offspring correlation was highly significant (P < 0.0001), in contrast to mother-offspring (P ؍ 0.361). Epstein-Barr virus cultures demonstrated in most cases telomere preservation inversely related to initial mononuclear cell telomere length with short telomeres displaying the most pronounced elongation. Telomere length is inherited, and evidence for a father-to-offspring heritage of this trait was obtained, whereas in vitro telomere length maintenance was found to be dependent on the initial telomere length.gender S ince the demonstration of an association between telomere length and replicative potential (1-6), telomere biology has been in focus for issues on cellular senescence and immortalization. In human replicating somatic cells, there is an inverse relationship between telomere length and age, in cell cultures as well as at the organism level in vivo, albeit with a large interindividual variation. A strong association exists between critically short telomeres and induction of a senescence program leading to irreversible cell-cycle arrest, although telomere shortening is not an absolute requirement for senescence induction (7). True immortalization requires telomere maintenance, usually executed by the activity of telomerase or more rarely through recombinatorial events, as in ALT (alternative lengthening of telomeres) cells. The telomere reduction observed in normal peripheral mononuclear cells (MNCs) has been estimated to be 14-80 base pairs (bp) per year with some differences between various blood cell types (8-13). Because women have been found to lose fewer repeats per year than men, a gender difference in telomere attrition rate in blood cells has been proposed (10,14,15). Peripheral blood cell telomere length also has been found to be associated with cardiovascular diseases such as hypertension, atherosclerosis, and heart failure (16).Reports on monozygotic and dizygotic twins indicate that mean telomere length as well as chromosome-specific telomerelength patterns are in part inherited (17,18)...