In a previous study, we showed that telomerase activity (TA) and human telomerase reverse transcriptase (hTERT) mRNA expression were undetectable in benign mesenchymal lesions and low-grade soft tissue sarcomas (STSs), but detectable in about 50% of intermediate-/high-grade STSs. We wondered if this lack of TA or hTERT mRNA expression could be related to the tumor sample examined and if there was a relationship between the former 2 parameters and telomere length. Two separate tumor samples from 37 STSs were examined for telomerase activity, using the telomerase repeat amplification protocol (TRAP) assay and for hTERT mRNA expression, using RT-PCR. Considerable attention has been drawn recently to the regulation of telomere length and telomerase activity in the process of cellular senescence and immortalization. 1,2 Human telomeres are specialized terminal chromosomal structures composed of TTAGGG repeats. Shortening of telomeres has been suggested to represent the mitotic clock of cell cycle; telomere shortening is observed in most dividing somatic cells, leading to cell senescence when reaching a critical level. 1,2 Telomerase, a ribonucleoprotein enzyme that is capable of synthesizing telomeric repeats, plays a pivotal role in the process of telomere length maintenance and cell immortalization. Telomerase activity (TA) has been shown to be expressed in a majority of human carcinomas 1,2 but only few data exist regarding TA in sarcomas. [3][4][5][6][7][8][9] In a previous study, 3 we showed that TA is detectable in only about 50% of intermediate-/high-grade soft tissue sarcomas (STS) and undetectable in benign lesions and low-grade STS. These results are in keeping with those of Schneider Stock et al. detecting TA in 38% (23/60) of their STS 4 and 69% of liposarcomas. 5 A rapid literature survey shows, however, that TA in STS may vary greatly, ranging from 17% 7 to 100% 9 of the cases examined. Some authors also found a positive correlation between TA and tumor aggressiveness in sarcomas 4 and, more specifically, in liposarcomas 5,6,9 whereas others did not. 3 Telomere length has rarely been examined in STS. 5,10 Examining a series of 30 sarcomas, Schneider-Stock et al. 10 showed that telomere TRF length was heterogeneous in this tumor category. Unfortunately, they didn't examine their tumors for TA and, thus, it was not known if telomere length correlated with TA or not. In a further study focusing on liposarcomas only, the same group found a positive correlation between the presence of TA, tumor aggressiveness, high tumor grade and high proliferative activity but not between TA and TRF length. This lack of correlation between TA and TRF length may have several causes including the activation of telomerase-independent mechanism(s) of telomere lengthening referred to as alternative lengthening of telomeres (ALT) 11-13 that seems to occur by means of telomeretelomere recombination. 13,14 In our first study on STS, we observed some degree of heterogeneity in TA expression when examining several, otherwise morphol...