The Telomere Theory of Aging

What Happens as Cells Divide

The discovery of telomeres completely changed the way researchers study longevity and the process of aging. In fact, the researchers who discovered telomeres won the Nobel Prize in Physiology or Medicine in 2009. Telomeres are bits of "junk DNA" that are located at the ends of chromosomes. They protect your real DNA every time a cell divides.

Elderly man looking out window
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Each time a cell divides, the DNA unwraps, and the information within it is copied. Because of how cells divide, that very last bit of a chromosome, the telomere, cannot be completely copied. A little bit has to be cut off.

It is thought that, as a cell divides, the telomeres become shorter and shorter each time until they are gone. At this point, the so-called "real" DNA cannot be copied anymore, and the cell simply ages and is no longer able to replicate.

What Research on Telomere Shortening and Aging Says

In population-level studies, researchers have found that older people have shorter telomeres. Eventually, the cells with shorter telomeres can no longer replicate. This affects more and more cells over time, leading to tissue damage and the dread signs of aging.

Most cells can replicate approximately 50 times before the telomeres become too short. Some researchers believe that telomeres are the supposed secret to longevity and that there are circumstances in which telomeres will not shorten. For example, cancer cells don't die (which is the main problem) because they activate an enzyme called telomerase that adds on to the telomeres when cells divide.

All cells in the body have the capacity to produce telomerase, but only certain cells—including stem cells, sperm cells, and white blood cells—need to produce the enzyme. These cells need to replicate more than 50 times within a lifetime, so by producing telomerase they aren't affected by telomere shortening.

Shorter telomeres are not only associated with age but with disease too. In fact, shorter telomere length and low telomerase activity are linked to several chronic preventable diseases. These include hypertension, cardiovascular disease, insulin resistance, type 2 diabetes, depression, osteoporosis, and obesity.

Does It Happen to Everyone?

No. And that’s a big surprise. In fact, a study of people who lived to age 100 found that some had telomeres that remained the same length over time or even got longer.

What does this mean? It's unclear. It could be that those people have an amazing cellular antiaging mechanism, or it could be fairly meaningless. What we do know for sure is that aging is a lot more complicated than simply looking at the shortening of telomeres.

That's because research on telomere length and age-related diseases has had mixed and contradictory results. Scientists are increasingly concluding that telomere length is not a reliable marker for aging, with one review concluding that "it is still far from clear whether change in [telomere length] is a cause or effect of aging."

A Word From Verywell

The telomere theory is one of the theories of aging. This is a developing field, and new discoveries may disprove it, or they may lead to using the theory to develop treatments for diseases and conditions.

10 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. National Institutes of Health. NIH Grantees Win 2009 Nobel Prize in Physiology or Medicine for Telemore Research.

  2. National Human Genome Research Institute. Telomere.

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  8. Kalmbach KH, Fontes Antunes DM, Dracxler RC, et al. Telomeres and human reproduction. Fertil Steril. 2013;99(1):23-29. doi: 10.1016/j.fertnstert.2012.11.039

  9. Adams CD, Boutwell BB. A Mendelian randomization study of telomere length and blood-cell traits. Sci Rep. 2020;10(1):12223. doi: 10.1038/s41598-020-68786-6

  10. Puterman E, Lin J, Krauss J, Blackburn EH, Epel ES. Determinants of telomere attrition over 1 year in healthy older women: stress and health behaviors matter. Mol Psychiatry. 2015;20(4):529-535. doi: 10.1038/mp.2014.70

Additional Reading
  • Nordfjäll K, Svenson U, Norrback K-F, Adolfsson R, Lenner P, Roos G. The individual blood cell telomere attrition rate is telomere length dependent. PLoS Genetics, February 13, 2009 DOI: 10.1371/journal.pgen.1000375

By Mark Stibich, PhD
Mark Stibich, PhD, FIDSA, is a behavior change expert with experience helping individuals make lasting lifestyle improvements.