Telomeres are repetitive nucleotide sequences at the end of chromosomes that protect them from deterioration. Telomerase is an enzyme that adds telomere repeats and maintains telomere length. As cells divide, telomeres shorten due to the end replication problem. This eventual telomere shortening leads to cell senescence and aging. Diseases such as cancer, cardiovascular disease, and various progerias are associated with abnormal telomere shortening or maintenance by telomerase. Understanding telomeres and telomerase may help treat aging and age-related diseases.