1. Signal transduction pathways activated during growth of human breas
t cancer cells in tissue culture are reviewed. 2. Steroid hormones and
growth factors stimulate similar mitogenic pathways and frequently mo
dulate each other's activity. 3. A response common to estrogen, proges
tins and most polypeptide mitogens is induction of the nuclear transcr
iption factors myc, fos and jun in early G1 phase of the cell cycle. 4
. Some growth factors also stimulate cyclin D1, a regulatory protein r
esponsible for the activation of cell cycle-dependent kinases in G1. 5
. In addition, insulin, IGF-I and EGF activate tyrosine kinase recepto
rs. 6. Several tyrosine phosphorylated proteins occur in human breast
cancer cells, and include the EGF and estrogen receptors. 7. Cyclic AM
P plays a critical role in breast cancer cell proliferation through th
e activation of protein kinase A, and it also modulates the activity o
f estrogen and progesterone receptors. 8. EGF is the only breast cell
mitogen known to raise intracellular free calcium levels. 9. Calcium m
ay play a dual role in breast cancer cell proliferation, activating bo
th calmodulin-dependent processs and regulating cell membrane potentia
l through the activation of potassium channels. 10. Potassium channel
activity and cell proliferation are linked in breast cancer cells, the
cell membrane potential shifting between a depolarized state in G1/G0
cells and a hyperpolarized state during S phase. 11. Activation of an
ATP-sensitive potassium channel is required for breast cancer cells t
o undergo the G1/G0-S transition.