The p53-regulated gene product p21(WAF1/CIP1) is the prototype of a fa
mily of small proteins that negatively regulate the cell cycle. To lea
rn more about p21(WAF1/CIP1) regulation in vivo, monoclonal antibodies
were developed for immunohistochemistry. These revealed that p21(WAF1
/CIP1) expression followed radiation-induced DNA damage in human skin
in a pattern consistent with its regulation by p53. A detailed compari
son of the human, rat, and mouse p21(WAF1/CIP1) promoter sequences rev
ealed that this induction was probably mediated by conserved p53-bindi
ng sites upstream of the transcription start site. In unirradiated tis
sues, p21(WAF1/CIP1) expression was apparently independent of p53 and
was observed in a variety of cell types. Moreover, there was a strikin
g compartmentalization of p21(WAF1/CIP1) expression throughout the gas
trointestinal tract that correlated with proliferation rather than dif
ferentiation. As epithelial cells migrated up the crypts, the Ki67-exp
ressing proliferating compartment near the crypt base ended abruptly,
with the coincident appearance of a nonproliferating compartment expre
ssing p21(WAF1/CIP1). In colored neoplasms, this distinct compartmenta
lization was largely abrogated. Cell cycle inhibitors are thus subject
to precise topological control, and escape from this regulation may b
e a critical feature of neoplastic transformation.