INTRODUCTION. Ataxia teleangiectasia (AT) is an autosomal recessive disorder characterized by progressive neurological degeneration, teleangiectasia, high sensitivity to ionizing radiation, high incidence of cancer, and premature aging of skin and hair (1). Cells derived from AT patients exhibit a variety of abnormalities in culture, such as hypersensitivity to ionizing radiation, rapid shortening of telomere length, and premature replicative senescence. Normal diploid fibroblasts in culture have a finite proliferative lifespan and enter a nondividing state termed replicative senescence (2). Ectopic expression of the catalytic subunit of telomerase, hTERT, has been shown to restore telomerase activity, stabilize telomere length and bypass replicative senescence in telomerase-negative normal fibroblasts (3) as well as in the premature aging Werner syndrome (4). In order to address a role of ATM (AT mutated) protein in the regulation of telomere length and a relationship between telomere length and premature replicative senescence in AT cells, we have examined whether fibroblasts from AT patients can be immortalized by introduction of hTERT. METHODS. Primary dermal fibroblasts from normal and AT individuals were used. Amphotrophic retrovirus expressing hTERT was created with pMX-puro-hTERT in Phenix-A cells. Cells were infected with the hTERT retrovirus, and selected in culture containing 0.5 µg / ml puromycin. Telomere length was measured by terminal restriction fragment (TRF) assay, and telomerase activity was assessed by telomeric repeat amplification protocol (TRAP) using TRAPeze kit (Intergen, Purchase, NY). RESULTS. Expression of hTERT mRNA and telomerase activity in hTERT-infected AT as well as normal cells was confirmed by RT-PCR and TRAP assays, respectively. Telomere length of hTERT-infected AT cells was extended to approximately 9 kb, compared with short telomeric DNA of about 6kb in the parent AT cells at near mortal 1 (M1) phase. Whereas parental AT cells underwent replicative senescence at about 24 population doublings (PDs), hTERT-positive AT cells survived over 40 PDs, similar to hTERT-infected normal fibroblasts (Fig. 1).