“…p16ink4a binds directly to CDK4 and CDK6 and displaces cyclin D1 from the complex (Serrano et al, 1993;Koh et al, 1995;Russo et al, 1998;Jeffrey et al, 2000). Through this ability to antagonize cyclin D1 function, p16ink4a blocks cell cycle progression, and the antiproliferative action of p16ink4a is dependent both on the presence of CDK4/6 activity and RB (Koh et al, 1995;Lukas et al, 1995b). Clinical analyses support a model wherein p16ink4a, cyclin D1 and RB fall in a common pathway (Figure 1), as loss of p16ink4a, loss of RB, or excessive activation of CDK4/cyclin D1 are mutually exclusive events in human cancers (Otterson et al, 1994;Kelley et al, 1995;Palmero and Peters, 1996).…”