Mammalian cells respond to external stimuli by activation of a variety
of signal transduction pathways, which culminate in stereotypical res
ponses, such as proliferation, growth arrest, hypertrophy, differentia
tion, or apoptosis. In vertebrates the actions of many stimuli resulti
ng in proliferative or hypertrophic growth converge on a set of cellul
ar kinase cascades, which are collectively called the mitogen-activate
d protein (MAP) kinase cascades. These MAP kinases have been implicate
d in vascular smooth muscle cell proliferation and hypertrophy, respon
ses that are central to the pathophysiology of hypertension. In this r
eview, we will examine how proliferative and hypertrophic stimuli acti
vate these MAP kinase cascades, what are the consequences of that acti
vation on gene expression, and how do these signals drive the cell int
o one of the stereotypical responses noted above.