43 Cell cycle arrest
The cell cycle may be arrested at two points (G1–S and G2–M) as a result of DNA damage (Figs 3.43.1 and 3.43.2). Mechanisms of cell cycle arrest involve inhibition of regulation of cyclin-dependent protein kinases (CDKs) by phosphorylation or CDK inhibitors. For example, the tumour suppressor gene product p53 is important in arresting the cell cycle at G1, thereby preventing the replication of damaged DNA, and it may stimulate DNA repair indirectly. Expression of p53 is normally low but is increased dramatically when cell DNA is damaged, leading to the suggestion that it is a ‘guardian of the genome’. p53 induces the expression of the CDK inhibitor p21, which inhibits G1–S CDK.