Two caveats govern every page on this site. (1) Telomere length is a contested aging biomarker — it is measured differently by different methods, varies between tissues, and "longer" is not straightforwardly "healthier"; changing a telomere-length or telomerase-activity number in a trial is not the same as slowing human aging. (2) Activating telomerase is not risk-free — telomerase expression is low in many differentiated normal tissues, while some normal proliferating cells can express it. Cancer can also use telomere maintenance; the included human records do not resolve long-term cancer risk from pharmacological activation. Tellingly, the FDA-approved telomerase inhibitor — imetelstat (RYTELO, 2024) — inhibits telomerase to treat cancer (lower-risk MDS), the opposite direction from the anti-aging "activation" narrative.
○ Evidence tier 6 — Animal healthspan / disease-model / mechanism

Record verify: source publication identified; see evidence and limitations

DesignPreclinical AAV-TERT gene-therapy study in a mouse pulmonary-fibrosis model
PMID29378675
DOI10.7554/eLife.31299
Citation statusOriginal publication identity matched by title, author and DOI; relevant full-text sections, results and limitations examined 2026-10-14.

Five-qualifier claim

Species / populationMice with pulmonary fibrosis induced by low-dose bleomycin plus short telomeres (a short-telomere disease model).
Exposure, route, scheduleA tail-vein injection of AAV9-Tert: 100 μL at 2.5 × 10^13 viral genomes/mL, in the mouse model. Reporter-vector experiments showed preferential transduction of ATII cells.
Comparator / durationAAV9-Empty comparison in the fibrosis experiment; lung-function, CT and tissue assessments from 1 to 8 weeks after vector treatment. AAV9-eGFP was used separately for cell-targeting measurements.
Endpoint / numeric resultIn this model, lung-function and fibrosis measures improved, with 50% of treated mice having no detectable fibrotic lesions on the reported eight-week staining assessment. ATII cells showed improved relative telomere maintenance and less DNA damage. Lower apoptosis and senescence-marker measurements were also observed in lung tissue; those histological measurements did not distinguish all cell types.
What it did NOT establishThis short-telomere mouse disease-model experiment does not establish a human treatment benefit or human safety and did not measure lifespan extension. Eight-week tissue results cannot settle long-term tumor risk; the authors call for further work in cancer-prone or severely damaged tissue settings.

Primary reference

https://doi.org/10.7554/eLife.31299

Each identifier above was confirmed against the primary record; the citation status names the source and the date. An identifier that could not be confirmed is left empty and named as such in the record, never filled in from a secondary source.