Identification of cell cycle regulators-tumor suppressor ''pocket'' pr
oteins, cyclins, cyclin-dependent protein kinases (cdks), and an emerg
ing family of cdk inhibitors-has fueled fundamental research into mech
anisms that regulate cell proliferation, as well as clinical investiga
tion in the settings, especially, of cancer and restenosis. The failur
e of ventricular myocytes to regenerate through cell proliferation fol
lowing infarction might arguably best be viewed as the ultimate proble
m in growth control, though until recently, only sporadic studies were
available that addressed the identity or function of proteins governi
ng the cell cycle in ventricular muscle. From this perspective, it may
be less fruitful to debate whether mitoses never occur in adult ventr
icular muscle or merely do so with such rarity as to be inconsequentia
l, than to define the repertoire of molecules that hold the cardiac ce
ll cycle in check. To substantiate their operation in cardiac cells is
the prerequisite step toward establishing what role such pathways mig
ht play in cardiac myogenesis, organogenesis, and pathophysiology.