Telomere is important for maintaining chromosome integrity, preventing end-to-end fusion of chromosomes, and facilitating complete telomere replication. In normal human cells, telomere length becomes shorter upon each cell division. Progressive shortening of telomeres then triggers cells to enter a non-dividing senescent state. In most of the cancer cells, however, telomerase activation maintains the telomere length and prevents cells from entering senescence. Telomerase plays an important role in supporting continuous proliferation of cancer cells. Through the understanding of telomerase, a series of inhibitors had been developed targeting the RNA component of telomerase. Here we discuss the function of telomerase, telomerase RNA, and focus on the developments of inhibitors targeting telomerase RNA.