“…Several lines of evidence support cytosolic or non-canonical roles for PCNA: I) Cytosolic PCNA is reported to regulate apoptosis by binding to procaspases in mature neutrophils (Witko-Sarsat et al, 2010), multiple myeloma (MM) cells (Müller et al, 2013), and neuroblastoma cells (Yin et al, 2015); II) Inhibition of the ability of APIM-containing proteins to interact with PCNA by treating cells with a cellpenetrating peptide containing the APIM sequence (APIM-peptide) strongly reduced the secretion of cytokines from human monocytes stimulated with Toll-like receptor ligands (Olaisen et al, 2015); III) Cytosolic PCNA in cancer cells inhibits activation of natural killer cells, thereby helping cancer cells to evade the immune system (Rosental et al, 2011); IV) Glycolytic enzymes associate with PCNA, and nuclear export of PCNA correlated with increased Warburg-effect in acute myeloid leukaemia (AML) cells (Naryzhny & Lee, 2010;Ohayon et al, 2016); V) Multiple proteins involved in PI3K/AKT and MAPK signaling were found in PCNA pull-downs (Olaisen et al, 2015), and targeting PCNA has been linked to downregulation of EGFR and PI3K/AKT pathways in bladder cancer cells and monocytes (Olaisen et al, 2015;Sogaard, Blindheim, et al, 2018); VI) Cytosolic PCNA participates in reactive oxygen species (ROS) regulation via interaction with a subunit of the NADPH oxidase complex, p47phox (Ohayon et al, 2019); VII) Combination treatments with APIM-peptide and receptor tyrosine kinase inhibitors against EGFR/HER2/VEGFR and cMET showed increased anticancer activity in absence of any DNA-damaging agent (Sogaard et al, 2019); and VIII) A functional conservation of PCNA as a scaffold protein in MAPK signaling has been shown between mammalians and yeast (Olaisen et al, 2018). These cytosolic scaffold functions of PCNA, as well as the verified APIM-PCNA interactions important in DNA damage repair and/or tolerance, are illustrated in Figure 1.…”