The activation of a telomere maintenance mechanism (TMM) is an essential step in cancer progression to escape replicative senescence and apoptosis. Paediatric brain tumors frequently exhibit Alternative Lengthening of Telomere (ALT) as active TMM, but the mechanisms involved in the induction of ALT in brain tumor cells are not clear.Here, we report a model of juvenile zebrafish brain tumor that progressively develops ALT.We discovered that reduced expression of tert and increase in Terra expression precedes ALT development. Additionally, tumors show persistent telomeric DNA damage and loss of heterochromatin marks at chromosome ends. Surprisingly, expression of telomerase reverts ALT features. Comparative analysis of gene expression after the rescue of ALT with telomerase and analysis of telomerase positive paediatric brain cancers showed increase of telomeric heterochromatin and maintenance of telomere length compared to ALT tumors, with reduced expression of genes of the pre-replicative complex as hallmark. Thus our study identifies telomere maintenance mechanisms as major drivers of telomeric DNA replication and chromatin status in brain cancers. of cancers use alternative lengthening of telomeres (ALT), a mechanism based on homologous recombination between telomeres 3 . The molecular details of ALT activation remain to be defined 4 . ALT is found mostly in tumors with a mesenchymal origin (sarcoma) and in a subset of malignant paediatric brain tumors 5 , including High Grade Glioma (HGG, 51%), Diffuse Intrinsic Pontine Glioma (DIPG) (18%), Choroid Plexus Carcinoma (CPC) (22.6%), and Primitive Neuroectodermal Tumors (PNET) (11.6%) 6,7 . HGGs represent approximately 3-5% of childhood brain tumors and include a heterogeneous group of rare but aggressive tumors 8 , which remains largely incurable, with the most aggressive forms being lethal within months. In contrast with adult glioma, mutations within the promoter region of the telomerase catalytic subunit, TERT, occur at a lower rate in paediatric tumors (3-11% compared to 55-83% in adult tumors) 9 . Indeed, paediatric gliomas show distinctive genetic mutations, which suggest that the mechanisms of tumor development and progression are different from those identified in adult brain tumors, where ALT develops in approximately 15% of cases, and associates with IDH1 mutations and better prognosis 10 .Exon sequencing of paediatric HGGs identified recurrent somatic mutations (K27M, G34R/V) in histone H3 11,12 , and inactivating mutations in the Death-domain associated protein/Alpha thalassemia-mental retardation (DAXX/ATRX) genes, leading to DNA hypomethylation 13,14,15 .These findings suggest that telomeric chromatin plays an important role in ALT. Altered histone modifications in subtelomeric regions in association with ATRX loss result in deregulated telomere length and chromosomal instability, features that are often associated with ALT 4 . Notably, ALT activation can be inferred by a number of other features, including the presence of heterogeneous telomeres, w...