Telomere structure and maintenance. Human telomeres are specialised nucleoprotein structures that cap the end of chromosomes. Telomeric DNA is coated by shelterin proteins that regulate (A) chromosome end protection; (B) telomerase regulation; and (C) overhang generation. (A) Telomeres adopt a t-loop structure that prevents DNA damage response (DDR), by blocking ATM and ATR activation, and DNA repair activities via NHEJ and HR; (B) telomerase action is tightly regulated and only acts at telomeres during S-phase. Telomerase preferentially acts in short telomeres, maybe by indirect inhibition through TRF1 and PINX1 and/or other unknown mechanisms. TPP1 physically interacts with telomerase, and is essential for telomerase recruitment together with TIN2. It has been suggested that POT1-TPP1 is implicated in telomerase-telomere engagement. Besides that, POT1-TPP1 stimulates telomerase action until a certain threshold of telomeric repeats is reached. Once telomerase is blocked by CTC1-STN1-TEN1 (CST) and/or POT1, CST facilitates fill-in synthesis of the C-strand by polymerase-α (POL-α) recruitment; (C) Mammalian chromosomes terminate in a 3′ G-rich overhang that is essential for t-loop formation. DNA replication originates blunt ends in the leading strands, and non-blunt ends in the lagging strands. TRF2 recruits Apollo that resects 5′ strand from leading ends (dashed red line) to generate a 3′ overhang. Then, EXO1 excessively resects the leading and lagging strands (dashed red lines) to generate longer overhangs. In addition, finally, POT1 facilitates the 5′-strand fill-in (dashed green lines) by the recruitment of POL-α, through the CST complex.