732 How do small GTPase signal transduction pathways regulate cell cycle entry? Chris Marshall A variety of studies have shown that activation of the cell cycle machinery requires the participation of multiple signalling pathways. These pathways include Ras-dependent effectors such as the extracellular-signal related kinases, otherwise known as mitogen-activated protein kinases (ERKs, MAPKs), phosphatidylinositol 3 (PI3)-kinase and p21Ral pathways, as well as other signalling pathways regulated by the small GTPases p21Rho, p21Rac and p21Cdc42. Addresses Cancer Research Campaign Centre for Cell and Molecular Biology, Chester Beatty Laboratories, Institute of Cancer Research, London SW3 6JB, UK; e-mail: [email protected] pathways interface with the cell cycle machinery it is important to identify which cell cycle events are directly regulated by intracellular signals. Considerable evidence suggests that signal transduction pathways from the small GTPases of the Ras and Rho family play an important role in cell cycle control. This review provides an outline of how growth-factor-activated small GTPase signalling pathways control entry into the cell cycle in mammalian somatic cells. The reader is referred to other reviews for a comprehensive description of signalling pathways regulated by small GTPases [2,3]. Figure 1 Current Opinion in Cell Biology 1999, 11:732–736 0955-0674/99/$ — see front matter © 1999 Elsevier Science Ltd. All rights reserved. Abbreviations CAK Cdk-activating kinase Cdk cyclin-dependent kinase CKI Cdk inhibitor ERK extracellular-signal-regulated kinase GSK glycogen synthase kinase MAPK mitogen-activated protein kinase PI3 phosphatidylinositol 3 pRb retinoblastoma protein PO 4 PO 4 PO 4 pRb Cdk4/6 The regulation of the activity of these kinases requires an interplay between the synthesis of the cyclins, formation of cyclin/Cdk complexes, association with the cyclindependent-kinase inhibitors (CKIs), phosphorylation of Cdks by activating kinases (CAKs) and transport of cyclin Cdk complexes to the nucleus (Figure 1; for a review, see [1••]). Some of these events may be regulated directly by signal transduction pathways, whereas others are a consequence of the cell cycle machinery becoming activated. Thus, in trying to understand how signal transduction cyclin D cyclin E Cdk2 SKP2 Introduction Numerous studies with cultured cells have demonstrated that entry of quiescent Go cells into S-phase is dependent on the activities of the G1 cyclin-dependent kinases (Cdks). These kinases consist of Cdk4 and Cdk6 complexed with the D-type cyclins D1, D2, D3, and Cdk2 complexed with cyclin E. A key regulatory event mediated by the G1 Cdks is the phosphorylation of the ‘pocket’ proteins and in particular the retinoblastoma protein pRb105, which is the product of the Rb tumour suppressor locus. In its hypophosphorylated form pRb105 associates with the E2F family of transcription factors and actively promotes transcriptional repression or sequesters E2F from genes required for entry into S-phase. Following phosphorylation of pRb105 by the G1 Cdks, E2F is released from pRb105 and transcription results. S -PHASE E2F p16 CKIs p21Waf1 p27Kip1 Current Opinion in Cell Biology Relationship between cyclins and CKIs in the regulation of Cdk activity, pRb105 phosphorylation and S-phase entry. The cyclinD/Cdk4/6 and the cyclinE/Cdk2 complexes phosphorylate pRb, which releases the transcription factor E2F, resulting in entry into Sphase. The activity of Cdk4/6 is inhibited by the p16 family of CKIs, whereas the p21 family (p21Waf1, p27Kip1) inhibits Cdk2 and Cdk4/6. The cyclinE/Cdk2 complex phosphorylates p27Kip1, which is then degraded by p45Skp2 (SKP2). Degradation of p27Kip1 is an important control point for entry into the cell cycle. The double-headed arrow between Cdk4/6 and the p21 family of CKIs reflects the potential dual role of these CKIs in assembly of active cyclinD/Cdk4/6 complexes and in their inhibition. Signal transduction and cell cycle progression A characteristic of mitogenic signalling is that it requires prolonged exposure to growth factors until the ‘restriction point’ is reached and growth factors are no longer necessary. This requirement for prolonged exposure to growth factors implies that signal transduction also must be sustained. The seminal experiments of Stacey and collaborators [4], using microinjection of a Ras neutralising How do small GTPase signal transduction pathways regulate cell cycle entry? Marshall antibody, showed that cellular Ras function is required throughout most of G1 in order for growth factors to stimulate quiescent cells to enter DNA synthesis. These observations are nicely paralleled by the demonstration that the activation of Ras occurs in two waves following growth factor stimulation: the first immediately following addition of growth factors and the second in mid G1 [5]. Ras function is also required for cell cycle progression in asynchronously growing cycling cells, and recent observations indicate that Ras function is actually required in the previous cell cycle presumably to provide cell cycle components, such as cyclin D1, for the following cell cycle [6•]. One approach to understanding how signal transduction pathways are coupled to the cell cycle is to investigate whether genetic ablation of key regulatory components alters the requirements for cell signalling. Two research groups have investigated whether pRb105 null cells have a reduced requirement for Ras-dependent signalling. Although blocking Ras almost completely inhibited proliferation of asynchronous cultures of wild-type cells, it had a very much reduced effect on the null cells [7,8]. These experiments highlight the importance of Ras signalling in activating the G1 Cdks that phosphorylate and inactivate pRb105. Loss of pRb105 does not completely overcome the requirement for Ras-dependent signalling because Mittnacht et al. [8] found that pRb105 null cells still showed some inhibition of proliferation when injected with a Ras neutralising antibody, and Peeper et al. [7] found that pRb105 null cells still require Ras function for exit from Go into G1. Possibly this requirement for Ras signalling may reflect the need for cyclinE/Cdk2 activity which is still required in pRb105 null cells. Experiments with oncogenic Ras show that in combination with overexpressed c-Myc it can lead to the activation of cyclinE/Cdk2 in the absence of growth factor stimulation [9]. Regulation of cyclin D1 expression A key event in stimulating cell cycle entry in quiescent cells is the activation of the kinases Cdk4 and Cdk6. In quiescent cells, expression of the D-type cyclins is low and is stimulated by mitogenic growth factor treatment. Studies from Pouyssegur and collaborators [10] established that growth factor stimulation of cyclin D1 levels requires activation of the ERK MAP kinase pathway. This observation has been extended to a variety of systems and demonstrates that one component of Ras-dependent mitogenic signalling is activation of the ERK MAP kinases. Sustained activation of ERK MAP kinases is required for entry into DNA synthesis and has been shown to be required for cyclin D1 expression [11,12]. The ERK MAP kinase pathway appears to regulate transcription of the cyclin D1 gene as growth factor stimulation of cyclin D1 mRNA levels is blocked by inhibiting activation of ERK with the MAP kinase kinase (Mek1) inhibitor PD98059 [11]. Furthermore, activated Raf, a component of the Ras pathway, can stimulate expression from cyclin D1 reporter constructs [10]. The precise mechanism by which ERK MAP kinase signalling 733 leads to activation of cyclin D1 transcription is not clear. A clear transcriptional effector of ERK MAP kinase signalling is the AP1 complex of transcription factors, which consists of Fos related proteins c-Fos, Fos B, Fra-1, Fra-2, and Jun related proteins c-Jun, JunB and JunD. Thus the link between ERK MAP kinase signalling and cyclin D1 transcription might be AP1. Evidence to support such a mechanism comes from the observation that mouse embryo fibroblasts null for c-Jun grow poorly in culture and fail to induce cyclin D1 mRNA expression following growth factor stimulation [13•]. However, others have found that cyclin D1 expression is not reduced in c-Jun null cells and have argued that the proliferative defect of the null cells results from elevated levels of p53 in these cells inducing expression of the CKI p21Waf1 [14•]. A second transcriptional effector of ERK MAP kinase signalling is c-Ets-2 and this may provide the route to cyclin D1 transcription [15]. Although the ERK MAP kinase pathway appears to be required for growth factor signalling to activate cyclin D1 expression in a variety of systems, it is clear that it is not the only signalling pathway that is required. Activation of the PI3-kinase pathway is also required since activation of ERK MAP kinases resulting from an inducible Mek construct only results in cyclin D1 expression when a PI3-kinase signal is present [16]. Furthermore, inhibition of the PI3-kinase pathway blocks growth factor stimulated cyclin D1 expression through a rapamycin-insensitive pathway [17]. Transcription from cyclin D1 reporter constructs can be stimulated by signals from PI3-kinase and the Ral and Rac GTPases [18,19•]. In addition, signalling from Cdc42 elevates cyclin D1 expression, although it is not clear whether this is due to an effect on cyclin D1 transcription [20]. These observations demonstrate that multiple small GTPase signalling pathways are required for cyclin D1 expression. The signalling pathways activated by Ral, Rac and Cdc42 that contribute to cyclin D1 expression have not been elucidated, however. As the activation of PI3-kinase can lead to the activation of Rac, at least part of the effects of PI3-kinase on the activation of cyclin D1 reporters may be mediated by Rac. However, other PI3-kinase signalling pathways may be involved such as protein kinase B (PKB) [19]. Although these observations suggest that a variety of GTPase signalling pathways impinge on cyclin D1 transcription some caution must be exercised. Many of these studies have been carried out with reporter constructs in transient assays and using overexpression of constitutively activated signalling components, so there is still much to learn about the mechanism by which the endogenous D-type cyclin genes are regulated by signalling pathways. As well as the effects of the PI3-kinase pathway on cyclin D1 transcription, PI3-kinase post-transcriptionally regulates the cyclin D1 protein. Phosphorylation of cyclin D1 at Thr286 leads to its degradation with the phosphorylated protein having a half life of around 10 minutes. Sherr and collaborators [21••] have identified glycogen synthase kinase-3β (GSK-3β) as the Thr286 kinase and argued that 734 Cell multiplication Figure 2 +Myc Ras PI3-K PKB Cdk2 cyclin E Raf RalGEFs MEK Ral p21Waf1 ERK GSK3β Rho p27Kip1 Stability Cyclin D1 Transcription Small GTPase signalling and the regulation of G1 Cdk activity. Inhibitory pathways are indicated with a hammerhead, and stimulatory pathways are indicated with an arrow. Ras activates the PI3-kinase (PI3-K) signalling pathway, resulting in cyclin D1 transcription and stability, and degradation of p27Kip1. Cyclin D1 transcription is also activated by the Ras-activated Ral and MEK/ERK signalling pathways. It is not clear whether Cdc42 acts transcriptionally or posttranscriptionally to regulate cyclin D1 expression. Activation of the ERK pathway leads to expression of p21Waf1, which inhibits cyclinE/Cdk2 complex activity. Rho signalling is thought to control the cell’s response to activation of the ERK pathway. Rac/ Cdc42 Current Opinion in Cell Biology inactivation of GSK-3β through phosphorylation by PKB provides a PI3-kinase- and Ras-dependent route to the stabilisation of cyclin D1. PI3-kinase, together with mTor, the mammalian target of rapamycin, may also regulate the translation of the cyclin D1 mRNA [22]. In cells where cyclin D1 mRNA levels are high, even in the absence of growth factors, the PI3-kinase-dependent regulation of cyclin D1 protein stability and translation may be particularly important for cell cycle progression and such cells may show no requirement for the ERK MAP kinase pathway. Such situations may arise where cyclin D1 transcription is elevated due to gene amplification or translocation. Signal transduction and CKIs As well as the regulation of Cdk4 and Cdk6 activity through the synthesis of D-type cyclins, the cell cycle machinery is regulated by the CKIs. In quiescent-serum-starved fibroblasts the levels of the CKI p27Kip1 are high and drop following growth factor stimulation. The degradation of p27Kip1 appears to be an important control point for entry into the cell cycle and may be a key regulator of cyclinE/Cdk2 activity [1••]. Studies with inducible dominant negative Ras constructs demonstrate that the downregulation of p27Kip1 that occurs late in G1 phase requires Ras [23]. At this time point ERK MAP kinase signalling is low and the degradation of p27Kip1 appears to be mediated by the PI3-kinase pathway. Phosphorylation of p27Kip1 at Thr187 by cyclinE/Cdk2 leads to its degradation. Since PI3-kinase activity stabilises cyclin D1 expression, this may permit cyclinD1/Cdk4 complexes to titrate out p27Kip1 resulting in cyclinE/Cdk2 activity and phosphorylation of p27Kip1. Recent results show that p27Kip1 phosphorylated at Thr187 is recognised by the F-box protein p45Skp2 and this leads to ubiquitin-dependent proteolysis [24•,25•]. The level of p45Skp2 is low in quiescent cells and is induced following growth factor stimulation, perhaps this is through a PI3-kinasedependent step. Another point at which PI3-kinase activity may be required for p27Kip1 degradation is in the induction of cyclin E. Cyclin E is an E2F-responsive gene, and PI3-kinase may elevate cyclin E expression through PKB mediated activation of E2F-dependent transcription [26]. In interleukin-2 stimulated T cells, PI3-kinase-mediated activation of E2F transcription also involves a rapamycin-sensitive event [27], which may explain why p27Kip1 degradation in T cells is blocked by rapamycin treatment. In addition to the PI3-kinase pathway, other signalling pathways may contribute to p27Kip1 degradation. In vitro p27Kip1 can be phosphorylated by ERK MAP kinases, although the site(s) of phosphorylation has not been identified. It has been argued that the ERK MAP kinases are involved in the degradation of p27Kip1 [28]. This requirement for ERK MAP kinase signalling in p27Kip1 degradation could be ascribed merely to a requirement of the cyclinD/Cdk4/6 pathway for subsequent cyclinE/Cdk2 activity. However, support for a direct role for ERK MAP kinase activity is provided by experiments in which activation of ERK in a MEK1inducible cell line leads to p27Kip1 degradation many hours before any cyclinE/Cdk2 activity is measurable [16]. Thus the ERK MAP kinase pathway may play a direct role in p27Kip1 degradation. Such a role could be especially important in cells where the ERK MAP kinase pathway is constitutively active as a consequence of oncogenic Ras expression. Interestingly the small GTPase p21RhoA has been shown to be involved in growth factor stimulated degradation of p27Kip1 as blocking Rho inhibits growth factor mediated degradation of p27Kip1 [29]. Rho signalling may be involved in the activation of cyclinE/Cdk2 as expression of constitutively active RhoA results in stimulation of cyclinE/Cdk2 activity in the absence of growth factors [30•]. These results indicate a RhoA signalling pathway leading to p27Kip1 degradation, but an alternative interpretation (see below) is that the blockade of Rho signalling results in elevated levels of p21Waf1, which inhibits cyclinE/Cdk2 activity and blocks p27Kip1 degradation. How do small GTPase signal transduction pathways regulate cell cycle entry? Marshall Although the levels of p27Kip1 are high in quiescent cells, p21Waf1 levels are low, but show modest increases following growth factor stimulation. Why the expression of a CKI should increase following growth factor stimulation might be explained by an important role for p21Waf1 and p27Kip1 as assembly factors for Cdk4 and Cdk6 with D-type cyclins and as providers of signals for nuclear import. As these Cdk complexes assemble they titrate out p21Waf1 and p27Kip1, and permit activation of cyclinE/Cdk2. In some systems growth factor stimulation of p21Waf1 levels is mediated by the ERK MAP kinase pathway [31]. Thus activation of the ERK MAP kinase pathway may be required to stimulate p21Waf1 expression to mediate assembly of the cyclinD1/Cdk4 complex. However, there may be another ERK MAP kinase dependent step in assembly of cyclinD1/Cdk4 complexes [32]. Signalling events that lead to high levels of p21Waf1 cause cell cycle arrest. Elevated levels of p21Waf1 can result from sustained high level activation of the ERK MAP kinase pathway [33] or as a consequence of ERK MAP kinase activity under conditions of low p21Rho signalling [34•]. The requirement for Rho signalling may ensure that anchorage-dependent cells only respond to activation of the ERK MAP kinase pathway when p21Rho is in the active GTP-bound state, for example, when cells are attached to the extracellular matrix [35]. Conclusions It is now clear that multiple signal transduction pathways from small GTPases impinge on the activation of the cell cycle machinery (see Figure 2). Thus, cell cycle progression can be viewed as an integrator of signalling pathways. This integration arises because activation of the cell cycle requires multiple events (e.g. D-type cyclin expression and p27Kip1 degradation) each of which may themselves require multiple signalling inputs. For example, cyclin D1 expression can be affected by the ERK MAP kinase, PI3-kinase, Rac and Ral signalling pathways. The regulation of cyclin D1 expression provides an important model, see Figure 2, for how signal pathway integration can occur, since some signals may regulate transcription, whereas others regulate protein stability or translation [21••]. How much redundancy there is between different signalling pathways remains to be determined. But it remains a reasonable hypothesis that a requirement for the activation of multiple signalling pathways may act as a checkpoint to ensure that cell proliferation only occurs when it is appropriate. References and recommended reading Papers of particular interest, published within the annual period of review, have been highlighted as: • of special interest •• of outstanding interest 1. •• Sherr CJ, Roberts JM: Cdk inhibitors: positive and negative regulators of G1-phase progression. Genes Dev 1999, 13:1501-1512. An excellent review of the role that CKIs play in regulating cyclin-dependent kinase activity. 2. Van Aelst L, D’Souza-Schorey C: Rho GTPases and signaling networks. Genes Dev 1997, 11:2295-2322. 735 3. Khosravi-Far R, Campbell S, Rossman KL, Der CJ: Increasing complexity of Ras signal transduction: involvement of Rho family proteins. Adv Cancer Res 1998, 72:57-107. 4. Dobrowoski S, Harter M, Stacey DW: Cellular Ras activity is required for passage through multiple points of the GO-G1 phase in BALB-c 3T3 cells. Mol Cell Biol 1994, 14:5441-5449. 5. Taylor SJ, Shalloway D: Cell cycle-dependent activation of Ras. Curr Biol 1996, 6:1621-1627. 6. • Hitomi M, Stacey DW: Cellular Ras and cyclin D1 are required during different cell cycle periods in cycling NIH3T3 cells. Mol Cell Biol 1999, 19:4623-4632. This paper makes the interesting observation that in cycling NIH3T3 cells Ras function is only required in the preceding cell cycle. 7. Peeper DS, Upton TM, Ladha MH, Neuman E, Zalvide J, Bernards R, DeCaprio JA, Ewen ME: Ras signalling linked to the cell-cycle machinery by the retinoblastoma protein. Nature 1997, 386:177-181. 8. Mittnacht S, Paterson H, Olson MF, Marshall CJ: Ras signalling is required for inactivation of the tumour suppressor pRb cell-cycle control protein. Curr Biol 1997, 7:219-221. 9. Leone G, DeGregori J, Sears R, Jakoi L, Nevins JR: Myc and Ras collaborate in inducing accumulation of active cyclin E/Cdk2 and E2F. Nature 1997, 387:422-426. 10. Lavoie JN, L’Allemain G, Brunet A, Muller R, Pouyssegur J: Cyclin D1 expression is regulated positively by the p42/p44-MAPK and negatively by the p38/HOG-MAPK pathway. J Biol Chem 1996, 271:20608-20616. 11. Weber JD, Raben DM, Phillips PJ, Baldassare JJ: Sustained activation of extracellular-signal-regulated kinase 1 (ERK1) is required for the continued expression of cyclin D1 in G1 phase. Biochem J 1997, 326:61-68. 12. Balmanno K, Cook SJ: Sustained MAP kinase activation is required for the expression of cyclin D1, p21Cip1 and a subset of AP-1 proteins in CCL39 cells. Oncogene 1999, 18:3085-3097. 13. Wisdom R, Johnson RS, Moore C: c-Jun regulates cell cycle • progression and apoptosis by distinct mechanisms. EMBO J 1999, 18:188-197. See annotation [14•]. 14. Schreiber M, Kolbus A, Piu F, Szabowski A, Mohle-Steinlein U, Tian J, • Karin M, Angel P, Wagner EF: Control of cell cycle progression by c-Jun is p53 dependent. Genes Dev 1999, 13:607-619. Both Schreiber et al. [14•] and Wisdom et al. [13•] use c-Jun null cells but come to opposite conclusions on whether c-Jun is required for cyclin D1 expression. Why? 15. Albanese C, Johnson J, Watanabe G, Eklund N, Vu D, Arnold A, Pestell RG: Transforming p21Ras mutants and c-Ets-2 activate the Cyclin D1 promoter through distinguishable regions. J Biol Chem 1995, 270:23589-23597. 16. Treinies I, Paterson HF, Hooper S, Wilson R, Marshall CJ: Activated MEK stimulates expression of AP1 components independently of phosphatidylinositol 3-kinase (PI3-kinase) but requires a PI3-kinase signal to stimulate DNA synthesis. Mol Cell Biol 1999, 19:321-329. 17. Takuwa N, Fukui Y, Takuwa Y: Cyclin D1 expression mediated by phosphatidylinositol 3-kinase through mTOR-p70(S6K)independent signalling in growth factor-stimulated NIH 3T3 fibroblasts. Mol Cell Biol 1999, 19:1346-1358. 18. Westwick JK, Lambert QT, Clark GJ, Symons M, Van AL, Pestell RG, Der CJ: Rac regulation of transformation, gene expression, and actin organization by multiple, PAK-independent pathways. Mo Cell Biol 1997, 17:1324-1335. 19. Gille H, Downward J: Multiple Ras effector pathways contribute to • G(1) cell cycle. J Biol Chem 1999, 274:22033-22040. Cyclin D1 reporter constructs are used to show that Ral, Raf and PI-3 kinase pathways may all influence cyclin D1 transcription. 20. Gjoerup O, Lukas J, Bartek J, Willumsen BM: Rac and Cdc42 are potent stimulators of E2F-dependent transcription capable of promoting retinoblastoma susceptibility gene product hyperphosphorylation. J Biol Chem 1998, 273:18812-18818. 736 Cell multiplication 21. Diehl JA, Cheng M, Roussel MF, Sherr CJ: Glycogen synthase •• kinase-3b regulates cyclin D1 proteolysis and subcellular localization. Genes Dev 1998, 12:3499-3511. Diehl et al. show that GSK-3β phosphorylates Cyclin D1 at Thr286 and targets it for degradation. PI3-kinase signalling through PKB inhibits GSK-3β and stabilises cyclin D1. 22. Muise-Helmericks RC, Grimes HL, Bellacosa A, Malstrom SE, Tsichlis PN, Rosen N: Cyclin D expression is controlled posttranscriptionally via a phosphatidylinositol 3-kinase/Aktdependent pathway. J Biol Chem 1998, 273:29864-29872. 23. Takuwa N, Takuwa Y: Ras activity late in G1 phase required for p27Kip1 downregulation, passage through the restriction point, and entry into S phase in growth factor-stimulated NIH 3T3 fibroblasts. Mol Cell Biol 1997, 17:5348-5358. 24. Sutterluty H, Chatelain E, Marti A, Wirbelauer C, Senften M, Muller U • et al.: p45SKP2 promotes p27Kip1 degradation and induces S phase in quiescent cells. Nat Cell Biol 1999, 1:207-214. See annotation [25•]. 25. Carrano A, Eytan E, Hershko A, Pagano M: SKP2 is required for • ubiquitin-mediated degradation of the Cdk inhibitor p27. Nat Cell Biol 1999, 1:193-199. Sutterluty et al. [24•] and Carrano et al. [25•] demonstrate the importance of p45Skp2 in mediating the ubiquitin-dependent degradation of p27Kip1. 26. Brennan P, Babbage JW, Burgering BM, Groner B, Reif K, Cantrell DA: Phosphatidylinositol 3-kinase couples the interleukin-2 receptor to the cell cycle regulator E2F. Immunity 1997, 7:679-689. 27. Brennan P, Babbage JW, Thomas G, Cantrell D: p70(s6k) integrates phosphatidylinositol 3-kinase and rapamycin-regulated signals for E2F regulation in T lymphocytes. Mol Cell Biol 1999, 19:4729-4738. 28. Kawada M, Yamagoe S, Murakami Y, Suzuki K, Mizuno S, Uehara Y: Induction of p27Kip1 degradation and anchorage independence by Ras through the MAP kinase signaling pathway. Oncogene 1997, 15:629-637. 29. Hirai A, Nakamura S, Noguchi Y, Yasuda T, Kitagawa M, Tatsuno I, Oeda T, Tahara K, Terano T, Narumia et al.: Geranylgeranylated Rho small GTPase(s) are essential for the degradation of p27Kip1 and facilitate the progression from G1 to S Phase in growthstimulated Rat FRTL-5 cells. J Biol Chem 1997, 272:13-16. 30. Hu W, Bellone CJ, Baldassare JJ: RhoA stimulates p27Kip1 • degradation through its regulation of cyclin E/Cdk2 activity. J Biol Chem 1999, 274:3396-3401. This paper, along with [29], indicates a role for p21RhoA in regulating p27Kip1 via activation of cyclin E/Cdk2. 31. Zezula J, Sexl V, Hutter C, Karel A, Schutz W, Freissmuth M: The cyclin-dependent kinase inhibitor p21cip1 mediates the growth inhibitory effect of phorbol esters in human venous endothelial cells. J Biol Chem 1997, 272:29967-29974. 32. Cheng M, Sexl V, Sherr CJ, Roussel MF: Assembly of cyclin D-dependent kinase and titration of p27Kip1 regulated by mitogen-activated protein kinase kinase (MEK1). Proc Natl Acad Sci USA 1998, 95:1091-1096. 33 Lloyd AC: Ras versus cyclin-dependent kinase inhibitors. Curr Opin Genet Dev 1998, 8:43-48. 34. Olson MF, Paterson HF, Marshall CJ: Signals from Ras and Rho • GTPases interact to regulate expression of p21Waf1/Cip1. Nature 1998, 394:295-299. This study shows how Rho and Ras dependent signalling interact by controlling expression of the CKI p21Waf1/cip1. 35. Ren XD, Kiosses WB, Schwartz MA: Regulation of the small GTPbinding protein Rho by cell adhesion and the cytoskeleton. EMBO J 1999, 18:578-585.
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