ICANCERRESEARCH 55, 1452—1457, April1, 19951 Perspectives in Cancer Research Transforming Growth Factor fi and Cell Cycle Regulation' Mark G. Alexandrow and Harold L. Moses2 Department of Cell Biology and The Vanderbilt Cancer Center, Nashville, TN 37232-2175 In many cases tumor cells develop when normal progenitor cells lose control of signaling pathways that regulate responses to soluble growth factors. These signaling pathways consist of the molecular machinery that regulates cell cycle progression primarily during the first gap phase (G1) of the cell cycle. Whereas growth factors such as epidermal growth factor and platelet-derived growth factor stimulate these signaling pathways (1), other soluble growth-regulatory factors lead to inhibition of cell growth presumably through mechanisms that target the same cell cycle-regulated events. Of key interest in the field of growth-inhibitory peptides are the autocrine/paracrine effectors of the type 13 transforming growth factors, TGF@31,3 TGF(32, and TGF@33,the most commonly studied being TGF(31. TGF@1 has been shown to be a potent inhibitor of the proliferation of most normal cell types in culture as well as in vivo (2—5).Because many tumorigenic cell lines have lost responsiveness to the negative growth-regulatory effects of TGF@1 (6—8),it is anticipated that an understanding of the molecular mechanisms by which TGFj31 arrests cell growth will also provide information relevant to molecular events important in neoplastic transformation. The intracellular inhibitory effects produced by TGF@1 are initiated following ligand binding to oligomeric complexes of high affinity TGFI3 cell surface receptors (9, 10). The recent cloning of the three types of high affinity TGFj3 cell surface receptors (1 1—13),designated types I, II, and III, has helped to provide insights into the mechanisms by which these receptors generate the cascade of inhibitory effects on cells. The type I and type II receptors appear to interact with each other directly (13); while functionally, the type I receptor requires the type II receptor to bind specific ligands (14—16) and the type II receptor requires the type I receptor in order to signal (17). The type III TGFf3 receptor ((3-glycan) is proposed to be involved in regulating access of ligand, particularly TGFI32, to the TGF(3 receptors but has not been shown to be directly involved in generating the intracellular signal transduction (1 1, 18—20).Both the type I and type II TGF(3 receptors contain a cytoplasmic region that shows homology to serine/ threonine kinases (10, 21, 22), and recent evidence suggests that phosphorylation of the type I receptor by the kinase activity of the type II receptor may initiate signaling from the heteromeric complex (23). Because the structure and function of the TGF@3receptors have TGF@31appears to be able to target factors that act early in G1 as well as factors acting late in G1, it becomes difficult to determine with certainty which of these putative targets are directly involved in TGF@1-negative signaling and the resultant cell cycle arrest. There fore, it is important to understand not only when in G@TGF@1 is capable of inhibiting proliferation but also the probable point(s) in G1 at which the cells finally arrest in response to TGFj31. With these kinetic concepts in perspective one can begin to delineate which events are directly involved in the suppression of cell growth by TGF@31and which events are simply consequential to the inability of the cells to progress through G1 from the TGF@1 arrest point. Cell CycleKineticsof TGF@31 Inhibition Studies from several laboratories have shown that TGF(31 can inhibit the ability of cells to enter S phase when the inhibitory peptide is added to cultures at both early and late points during the prerepli cative G@period (24, 27, 32, 33). While one of these reports demon strates that a human keratinocyte cell line, HaCaT, loses sensitivity to TGF@31approximately 6 h prior to the G1-S transition (33), the others have shown that TGFf31 is able to inhibit mouse keratinocytes (BALB/MK) and mink lung epithelial cells (MvlLu) from entering S phase when added throughout the entire G@period up to the G1-S transition. In addition, one report has shown that TGF@31may be more potent at inhibiting the progression of MvlLu cells into S phase when it is added to synchronized cultures in the latter hours of G@just prior to the G1-S transition (32). This report also demonstrated that removal of TGF@31from arrested cells followed by analysis of the kinetics of entry into S phase showed that the cells might actually be arrested at a point in G@approximately 1—2h prior to S phase (32). However, since the latter TGFf31 release experiments were reliant upon the effective removal of TGF@31from the cultures, which is difficult to achieve (34), and since it has been reported that the half-life of TGFI31 effects may be a prolonged period of time rather than 1—2 h (35), we hypothesize that the kinetic effects of TGF(31 on epithelial cells are more complex than has been suggested previously. In retrospect, when interpreting results of experiments relating TGFf31 and cell cycle progression, it is important to distinguish between the ability of TGF@31to simply inhibit proliferation when added to cultures in early been the focus of several recent reviews (9, 10, 21), the reader is or late G1 and the ability of TGF@31to cease cell cycle progression at directed to these sources for further discussion of the mechanisms by any particular point in G1 irrespective of the time that TGF@31was which these receptors function in TGFI3 signal transduction. added to the cultures. Several biochemical targets of TGFf31-induced inhibitory signals Because cells are sensitive to TGF(31 both early and late in G1, we have been suggested (24—31).Among these are down-regulation of hypothesize that TGF@31addition early in G1 may arrest cells through transcription, decreased phosphorylation of target proteins, and mac mechanisms that are different than those mechanisms by which tivation of cell cycle-regulated enzymes. The cell cycle kinetics of the TGF@31arrests cells when the inhibitory factor is added late in G1. implicated targets of TGF@31suggests that each target normally func Indeed, the proto-oncogene c-myc has been shown to be an immediate tions temporally in a certain defined period of time during G1. Since target ofTGF@1-induced signals (see below; Refs. 29—31)and kinetic evidence would suggest that c-myc functions, at least in part, in the Received 12/8/94; accepted 2/2/95. early half of G1 as a progression factor (36). Abrogation of c-nzyc 1 This work was supported by National Cancer Institute Grants CA42572 and expression by TGF(31 early in G1 may actually lead to cell cycle arrest CA48799. M. G. A. was supported in pail by NIH Training Grant DK07563 and United States Army Breast Cancer Training Grant DAMD17-94-J-4024. during this period of time. More specifically, progression of the cell 2 To whom requests for reprints should be addressed. cycle may cease early in G1 due to the absence of c-myc-induced 3 The abbreviations used are: TGF, transforming growth factor; Cdk, cyclin-dependent events required for G@progression. In the presence of TGF(31, some kinase. 1452 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1995 American Association for Cancer Research. Torn ANDCELLCYCLEREGULATION 01 events may occur normally and appear unaffected by to progress to the period in G1 when these cyclins normally become expressed. In addition, it remains to be shown whether TGF@31treat ment in late G1 produces the same suppressive effect on cyclin expression as it does when TGF@31is present throughout the entire G@ period. Data showing down-regulation of cyclins A and/or E at the transcriptional or post-transcriptional levels after TGF(31 treatment late in G1 would suggest a more direct role for these cyclins in the TGFf31 signaling pathway. The product of the retinoblastoma susceptibility gene (pRB) has been implicated as a target of TGF(31-induced negative signals and the activity of pRB or other pRB-related proteins in cells has been shown to be required for TGFf31 to efficiently suppress cell growth (24, 27). Although the kinetics of the effects of TGF@1 appears to be slow, it has been shown that MvlLu cells treated with TGFg31 contained more hypophosphorylated pRB than untreated cells (27). Since hypophosphorylated pRB has been shown to be the growth suppressive form of the protein (see Ref. 42 for a review), it has been suggested that TGFf31-induced accumulation of hypophosphorylated suppression of the c-myc pathway, while other pathways may display inhibitory effects caused by the loss of c-myc expression or simply by the inability of the cells to progress to the latter part of G@. The ability of TGF(31 to inhibit MvlLu and BALB/MK cells from entering S phase when the inhibitory factor is added to cultures in late G1 (24, 32) presents an interesting situation with important implica tions for TGFf31 signaling. It has been shown that cells pass through a restriction point in late G1 termed the R point after which time the cells are committed to progress into S phase (37, 38). After the R point at least some cell types can progress into S phase in the presence of low doses of cycloheximide implying that they no longer require the translation of a labile protein necessary for G1-S transition (38). Additionally, in the last 1—2h of G@the cells no longer require the presence of serum to enter S phase (37) nor is entry into S phase affected by late G1 treatment of the cells with inhibitors of RNA transcription (39, 40). This latter observation implies that the cells no longer require de novo RNA synthesis in the last 2—3h of G1 for progression into S phase. With these ideas in mind, the observed ability of TGFI31 to potently inhibit cell cycle progression when added to cultures in late G1, a time when cells no longer require production of RNA and translation of certain protein factors, suggests that TGF@31may be inhibiting initiation of S phase through post transcriptional and likely post-translational mechanisms. In this re pRB in the cells is one mechanism that prevents progression into S phase (24, 27). It was hypothesized from these findings that TGF131 might be inactivating kinases which normally phosphorylate pRB. In support spect, potential targets of TGF(31 in late G1 are likely to be the Cdks and factors which regulate these enzymes and their associated cyclins. However, this model does not disqualify the hypothesis that TGFj31 addition early in G@is arresting cell growth mechanistically through down-regulation of transcription of necessary progression factors such as c-myc. Since cells require de novo RNA synthesis early in G@(39, 40), inhibition of any particular RNA species that is required for cell cycle progression might be sufficient to cause cell cycle arrest at a point in time in the early part of G@when activity of this transcribed factor is necessary. Cydins and Cdks as Targets of TGF@31Signals Recent evidence has shown that certain G1 cyclins and cyclin dependent kinases may be targets of the negative signaling pathways induced by TGFfi1 (25, 26, 28, 33). Treatment of a human keratino cyte line (HaCaT) with TGFf31 in the early part of G@results in the lack of transcriptional induction of both cyclin A and cyclin E in late G1 (33). The same effect of TGFj31 on cydlin A and cyclin E mRNA expression has been shown in MvlLu cells (28); however, there is one report showing that, although cyclin A mRNA is suppressed, TGFf31 treatment addition, cyclin E treatment of this hypothesis, it has since been shown that the activity and rate of translation of two cell cycle-regulated kinases, Cdk2 and Cdk4, respectively, are affected by TGF(31 treatment of MvlLu cells fails to suppress cyclin E mRNA in these cells (41). In BALBIMK cells also show that cyclin A mRNA, but not mRNA, fails to increase in late G1 after early G1 TGF(31 (41). In the HaCaT cells, the down-regulation of cyclin A and E mRNA is followed by a concomitant loss of the protein levels of both cyclins (33), while in the MvlLu cells only cyclin A protein, and not cyclin E protein, appears to be down-regulated following TGF@31treatment (28). The findings described in these reports suggest that there may be important differences between cell types in the mechanisms by which TGF@31is able to inhibit proliferation. Although it is apparent that there are inconsistent data from differ ent cell types, the observations described above have led to the hypothesis that TGF$31-induced prevention of cyclin expression may be causally involved in blocking progression into S phase. It is likely that loss of cyclin expression is one of the events which leads to cell cycle arrest, but what is unknown about the effects of TGF@31on cyclin expression is whether this inhibition is the cause of the growth arrest or simply a consequence of TGF@31-induced failure of the cells (25, 26). As discussed above, it has been reported that, although TGF(31 prevents induction of cyclin E mRNA in some MvlLu strains, there is no effect of TGF(31 on the total levels of cyclin E protein produced in the cells (28). One of the cyclin-dependent kinases which associates with the cyclin E protein, Cdk2, was also found to be unaffected in expression at any level by TGF@31in these MvlLu cells (25, 28), but the normal association of Cdk2 and cyclin E in late G1 did not occur and the late-G1 enzymatic activity of cyclin E/Cdk2 was inhibited in cells treated with TGFf31 in the early part of G@(25, 28). In addition, Cdk2 appeared to be dephosphorylated on threonine-160 (25), phos phorylation of which is presumably required for enzymatic activity of the cyclin E/Cdk2 complex (43). However, because of the design of these experiments, it still remains to be shown whether treatment with TGFf31 in late G1 results in an immediate inactivation of Cdk2 activity. Acute inactivation of Cdk2 in late G1 might be sufficient to explain the ability of TGFf31 to block entry into S phase since active Cdk2 complexes with both cyclin E and cyclin required for the G1-S transition and progression A are presumably through S phase, respectively. Cdk4 has been postulated to be another target of TGF@31in that it, like c-myc, has been shown to be rapidly down-regulated in expres sion by TGFJ31 treatment of MvlLu cells (26). This regulation of Cdk4 expression by TGFj31 appears to be at the level of translation of the protein and the effects on Cdk4 production occur after treatment with TGFf31 throughout the entire prereplicative G1 period (26). Further evidence supporting that Cdk4 may indeed be an important target of TGF@1-induced negative signals was derived from experi ments showing that ectopically expressed Cdk4, but not Cdk2, could block the ability of TGFf31 to inhibit the proliferation of MvlLu cells (26). However, the importance of Cdk4 regulation by TGF@31in the growth-inhibitory pathway requires further analysis. Although inhibi tion of Cdk4 translation by TGFf31 may be one of the mechanisms by which TGFf31 arrests cell growth or holds cells in an arrested state, it is not sufficient to explain the mechanism by which TGFf31 can inhibit entry into S phase when TGFf31 is added in late G1. The induction of the D-type cyclins, the only known regulatory cyclin subunits for Cdk4, occurs in mid-G1 and presumably leads to activa tion of the catalytic activity of Cdk4 during this period of time (44). 1453 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1995 American Association for Cancer Research. TGFB AND CELL CYCLE REGULATION In addition, it has recently been shown that Cdk4 activity peaks by the time cells reach late G1 (44). For these reasons, the ability of TGF@1 to inhibit the translation of Cdk4 after cyclin D/Cdk4 has already become active may only be serving to prevent further translation and activation of Cdk4 in arrested cells. In this manner, inhibition of Cdk4 translation may not actually cause the growth arrest but may instead comprise a mechanism by which TGFf31 blocks further cell cycle stimulation. Mediation of TGF@1 Effects by Cdk Inhibitors The interest in Cdks and cyclins as targets of negative regulatory signals that are initiated by factors such as TGFf31 has led to the fortuitous discovery of several small proteins which appear to nega tively regulate Cdk activity in vitro and in vivo (45—51).The hypoth esis which directed research efforts at cloning and purifying these Cdk inhibitors was that inhibitory growth factors, such as TGF@31,or DNA damage-inducible factors, such as the p53 tumor suppressor protein, might be inactivating Cdks mechanistically through activation of latent Cdk inhibitors or through increased expression of the inhibitors. The first of these Cdk inhibitors to receive attention was the p21Waf1@@@ gene product. Cloned by virtue of its ability to interact with and inhibit Cdk2 as well as increase in expression in response to p53 induction, p2lWa@@C@ appearsto be able to inhibit all cyclin dependent kinases, including Cdc2, and has been shown to be a downstream transcriptional target of p.53 (45—47,52). Although a direct role for p21 in the TGF@1 signaling pathway has not been definitively shown, initial studies suggest that p21 may participate in TGF@31-induced cell cycle arrest in certain cell types.4 Two other Cdk inhibitors, p16INK4A and p15INK4B, which have recently been identi fled as the products of the multiple tumor suppressor 1 (MTSJ) and 2 (MTS2) genes, respectively, appear to selectively inhibit Cdk4 and/or Cdk6 (51, 53, 54). The possibility that Cdk4 may be a target of TGF@1 signaling, as discussed above, suggests that p16INK4A or pl5tN@@4B may also play a role in TGFf31-induced cell cycle arrest. Additional evidence for the involvment of pl5I@4B in TGFf31 sig naling derives from data showing that TGF@31treatment of HaCaT cells leads to an increased abundance of p15INK4BmRNA and and an increased association of the inhibitor with Cdk4 and Cdk6 within a few hours of exposure of the cells to TGF@31(54). Another potential mediator of TGFf31-induced inhibitory pathways is the p27K@@@ protein (48—50).Two groups have reported that this protein is able to inhibit the formation of active cyclin E/Cdk2 complexes (28, 48), and one group showed evidence that it might also be able to inactivate cyclin E/Cdk2 complexes that are already enzy matically active (28). The p27'@'I― protein appears to be present in asynchronous cells and in cells that are in G0, and it has been suggested that this inhibitor protein may be present in a latent state throughout the cell cycle (28, 48). Both contact-inhibited and TGFf31inhibited MvlLu cells show increased inhibitory activity of p27@'1 toward Cdk2 and the inhibitory activity of p27K@@)l increases the longer the cells are in the growth-arrested state (48). The mechanism by which p27'@ inhibits Cdk2 is not completely understood. Although Cdk2 has been shown to be in a dephosphoryl ated state on threonine-160 in TGF@1-arrested cells (25), which could implicate a role for a protein phosphatase in the inactivation of Cdk2, it appears that p27'@ is not a phosphatase and is thus unlikely to be related to the recently cloned dual specificity phosphatase Cdii shown to interact with Cdc2, Cdk2, and Cdk3 (48, 55). It is also unlikely that p27K@@inactivates the kinase, Cdk-activating kinase, that phospho rylates Cdk2 on threonine-160 (48); however, the data would suggest 4 J. M. Nigro and H. L. Moses, unpublished data. that p27@1 is able to block, perhaps by a simple steric hindrance, the ability of Cdk-activating kinase to phosphorylate and activate Cdk2 (48). Studies of the p27'@―@1 inhibitor have also shown that the cyclin D2/Cdk4 complex is able to bind the inhibitor directly in vitro (48). Binding of p27'@ to the cyclin D2/Cdk4 complex appears to seques ter the inhibitor away from the cyclin E/Cdk2 complexes and enables this latter complex to become active (48). Although these experiments were all performed in vitro, they would suggest that the cyclin D2/Cdk4 complex may be acting upstream of the cyclin E/Cdk2 complex by modulating the levels of free p27@'1 which can interact with and inhibit the cyclin E/Cdk2 complex. It is clear that these Cdk inhibitors are important for cell cycle progression and there is the potential that one or more of these inhibitors may play an important role in the mechanisms leading to TGFf31-induced cell cycle arrest. However, because it still remains to be shown whether TGFf31 treatment of cells actually results in an immediate activation or induction of any of the Cdk inhibitors, it is possible that these inhibitors may simply be increasing in activity as a consequence of the state of being growth arrested by TGF@31or contact inhibition and may, in reality, not be directly responsible for the cell cycle arrest. Another plausible hypothesis is that these inhib itors could be acting to hold TGF@31-arrested cells in an inhibited state through suppression of the activities of one or more of the Cdk enzyme complexes. The latter hypothesis could also suggest that, after the growth-inhibitory signals have been removed, the Cdks might remain inactivated until upstream cell cycle-regulated events have occurred properly. Considering each of these possibilities, it is evident that further research is necessary to clarify the roles these Cdk inhibitors play in the cell cycle and the response to inhibitory factors such as TGF@31. Role of c-myc TGFf31 treatment of several different cell lines results in the rapid down-regulation of c-myc RNA and protein levels, and in at least one case this effect has been shown to occur at the level of transcriptional initiation (29—31,56—60). Because c-myc expression is required for cell growth, and more specifically entry into S phase (29, 30, 61), it has been suggested that one mechanism by which TGF@31inhibits cell cycle progression is through suppression of the c-myc gene product. Additional support for this hypothesis comes from recent studies which showed that in at least two different cell types overexpression of c-Myc protein can block the ability of TGFf31 to inhibit entry into S phase (62, 63). However, a model which incorporates the function of c-myc as a target of TGFf31 is probably more complex than initially suggested. Although the actual function of c-myc in the cell cycle remains elusive, it is believed that c-myc function is required in the early half of G@because c-myc RNA and protein levels peak during this period of time (36). With this idea it can be suggested that treatment of cells with TGFf31 in the early part of G@and subsequent down-regulation of c-myc would likely prevent cell cycle progression toward the latter part of G1 due to the absence of events that are normally regulated by c-myc and required for cell growth. In support of this hypothesis are reports that c-myc may, at least indirectly, regulate the expression of G1 cyclins including cyclin E, cyclin A, and cyclin Dl (64—66).In this way it is likely that a consequence of the failure of cells to progress to the latter part of G1 when TGF@1 is added early would be the absence of induction of cyclins A and/or E, an observation recently shown in three different cell types (28, 33, 41). The potential ability of c-myc to normally down-regulate cyclin Dl expression (65) presents another hypothesis. Since overexpression of cyclin Dl has 1454 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1995 American Association for Cancer Research. TGFB AND CELL CYCLE REGULATION been shown to block some cell types from entering S phase (65, 67), loss of c-myc expression due to TGF@31would likely allow endoge noun cyclin Dl to be expressed at higher than normal levels which might be sufficient to block progression into S phase. Directly related to the above ideas is the prediction that early G@ treatment with TGF@1 might also be able to prevent activation of the cyclin E/Cdk2 complex or other Cdk complexes in late G1 due indirectly to the effects of TGF@1 on c-myc and cyclin expression. Signals The involvementof c-myc in the mechanismsby which TGF(31 inhibits entry into S phase when the inhibitory factor is added in late G1 is at present unclear. Although controversial, there is evidence suggesting that the c-Myc protein may have a function in late G1 and perhaps at the G1-S transition (30, 68, 69). The early G@induction is not followed by a reduction to basal or below basal levels as is seen with other immediate early genes such as c-fos, but rather is followed by a suprabasal level of expression throughout G@and into S phase (70, 71). The necessity of this suprabasal expression in the latter part Fig. 1. Schematic representation of the putative nuclear targets of TGF(31-induced inhibitory signals showing a potential common pathway in which these factors may act. of G@was demonstratedusing antisense oligonucleotidesdirected Seetextfor discussion. against c-myc mRNA to inhibit the translation of c-Myc protein in late G1, the result of which was failure of the cells to enter S phase (30). In addition, the c-Myc protein has been found in complexes contain lug DNA polymerase a and other enzymes required for DNA repli cation (68), and studies in Xenopus laevis embryogenesis have sug gested that c-myc may be involved in controlling the rate of DNA replication in the dividing blastocyst (69). Furthermore, these latter studies suggested that the function of c-myc in these early cell divi sions does not require the putative transcriptional regulatory function of c-myc. Although initial data from our laboratory indicate that overexpression of c-Myc protein in late G1 coincident with TGF@31 treatment in late G@is incapable ofblocking the induced growth arrest (63), the involvement of c-myc in the late G1 effects of TGF@31 requires further analysis. TGF@31could target the endogenous c-Myc protein late in G@at the post-translation level through altered phos phorylation of c-Myc or through effects on proteins complexed with function of cyclins and Cdks suggests another interesting hypothesis. Not only may TGFf31-induced inhibitory signals directly inhibit events which are required for the G1-S transit but they may also block opposing stimulatory signals. There is evidence that members of the E2F family of transcription factors may regulate the expression of c-myc during G@(72—74),and data also suggest that the functions of the E2F factors may be regulated by pRB or other related proteins (Ref. 75 and references therein). Since pRB has been shown to be a target of TGF@31-induced inhibitory signals (24, 27) and these effects on pRB are postulated to be derived from negative effects of TGF@1 on Cdk activity toward pRB (25, 26), it is possible that c-myc is regulated through a feedback mechanism (Fig. 1). In this manner, we hypothesize that the potential ability of c-myc to stimulate cyclin and Cdk activity might allow for positive feedback to c-myc through pRB and E2F factors. Abrogation of Cdk activity by TGF(31 would then be in G1 may not suffice for altered biochemical regulation of the predicted not only to inhibit late G1 progression but also to sustain cells in a growth-inhibited state by preventing further stimulation of endogenous c-Myc protein by TGF(31. late G1 events by c-myc. It is evident that the mechanisms by which TGF/31 arrests cell AMOdelforTGFfi1Inhibition growth are complex and may likely include effects on multiple path The complex cell cycle kinetics of the postulated targets of TGF(31- ways. Current studies suggest that TGF@31may be targeting proteins induced negative signals indicates that the mechanisms by which which are in a common signaling pathway (Fig. 1). With this in mind, TGF@1 inhibits cell growth may be through effects on multiple it becomes important that one determine how potential targets are independent and synergistic pathways that are required for cell cycle affected by TGFI31 and whether these targets are causally involved in progression. We predict that members of the cyclin-dependent kinase arresting growth or whether the effects on these targets are simply the family will be the ultimate targets of growth-inhibitory signals gen consequence of TGF@31-inducedfailure to progress through the cell crated by [email protected], negative regulation of the Cdks cycle. Overall, the study of the mechanisms of TGF@1-induced may likely be shown to occur through activation, or an increase in growth arrest has produced new avenues of investigation and has the expression, of Cdk inhibitors such as p16tN@C4@@@, p15INK4B, helped to explain how cells control G@progression. It is clear, how p2lWdl/QP1, or p27'°― (see above and Fig. 1). ever, that the dynamic inhibitory effects of TGFj31 on cell cycle Alternatively, we propose that the negative effects on Cdk activity progression are only partly understood and will require further could be derived from inhibition of the expression of genes in G1 analysis before a complete story can be told. which arc required to coordinate the events leading to activation of the References Cdks. An example of this type of control by TGF@1 is its effects on 1. Heldin, C-H., and Westermark, B. Growth factors: mechanism of action and relation the expression of c-myc. As discussed above, several reports suggest to oncogenes. Cell, 37: 9—20,1984. that c-myc may regulate, at least indirectly, the expression of cyclin E, 2. Moses, H. L., Yang, E. Y., and Pietenpol, J. A. TGF-@ stimulation and inhibition of cyclin A, and cyclin Dl (64—66). In this manner, c-myc might cell proliferation: new mechanistic insights. 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