during proliferation by phosphorylating numerous protein WAF1/Cip1/Sdi1 (p21) is the prototype of a family of targets. 1 The activity of the cyclin/CDK kinase complexes is proteins that inhibit cyclin-dependent kinases and regutightly controlled by several mechanisms, including synthesis late cell cycle progression in eukaryotic cells. In addiof the cyclin and CDK proteins, assembly of the subunits, tion to normal cell cycle progression, p21 is involved in phosphorylation of the CDK, and binding of CDK-inhibitory growth suppression mediated by p53 and transforming proteins (CKIs). 2 Properly coordinated activation of the growth factor b (TGFb), differentiation, and apoptosis.cyclin/CDK complexes leads to orderly progression through To gain insight into the possible involvement of p21 in the normal cell cycle, while aberrant regulation of these comliver cell growth, the expression and regulation of the plexes is associated with malignant transformation. 3 For exp21 gene was evaluated in rodent models of liver regenample, overexpression or amplification of cyclin D1, cyclin E, eration and specimens of human liver diseases. Little p21 mRNA was detected in normal liver tissue. After and CDK4 occurs in numerous human cancers, while deletion growth stimulation in vivo by 70% partial hepatectomy or mutation of the CKI genes p15 INK4B and p16 INK4A also ap-(PH), the p21 transcript was upregulated in a biphasic pears to contribute to carcinogenesis. 4,5 manner, with enhanced expression during G1 phase andThe CKIs play an important role in regulating CDK activfollowing S phase. The induction of p21 after PH was ity and cell cycle progression in response to a wide variety regulated primarily at the post-transcriptional level and of stimuli, including DNA damage, irradiation, nutritional was due to enhanced mRNA stability. Inhibition of pro-depletion, and antimitogenic factors such as TGFb. 6 At least tein synthesis with cycloheximide rapidly induced p21 seven mammalian CKIs have been identified. These include expression, primarily by post-transcriptional stabiliza-the related p15 INK4B , p16 INK4A , p18, and p19 proteins, which tion of the transcript. Hepatic p21 mRNA was also in-appear to specifically inhibit CDK4 and CDK6. 2 The p21, duced by dietary protein deprivation in normal mice. p27 KIP1 , and p57 KIP2 proteins comprise a distinct family of Expression of the p21 gene after PH was similar in p53-CKIs that can regulate CDK1, CDK2, CDK4, CDK6, and posdeficient (p53 0/0) and wild-type mice, but was p53-de-sibly other CDKs. 2,7,8 Of the CKIs, p21 has been most extenpendent following protein deprivation. Primary hepato-sively characterized, after its independent discovery by sevcytes in culture demonstrated increased p21 expression eral groups. 9 The p21 promoter contains p53 binding sites, after treatment with hepatocyte growth factor, TGFb, and p21 transcription can be induced by the p53 tumor-supand activin A. p21 mRNA was upregulated in human pressor protein; p21 is thought to be a key downstream mediliver diseases,...