Farnesyltransferase inhibitors (FTIs) are a novel class of cancer ther
apeutics whose development was based on the discovery that the functio
n of oncogenic Ras depends upon its posttranslational farnesylation. S
ignificantly, experiments in animal models have shown that FTIs have p
romise as nontoxic cancer therapeutics. However, cell biological studi
es have suggested that FTIs may act at a level beyond that of suppress
ing Ras function, so the exact mechanism of action has emerged as a qu
estion of major interest. Here, we review evidence that proteins other
than Ras are important targets for inhibition, summarize findings sug
gesting a role for farnesylated Rho proteins prompted by studies on Rh
oB, and suggest a new model for how FTIs exert their biological effect
s. The 'FIT-Rho hypothesis' proposes that FTIs act in part by altering
Rho-dependent cell adhesion signals which are linked to pathways cont
rolling cell cycle and cell survival and which are subverted or defect
ive in neoplastic cells. This model offers a novel framework for addre
ssing the questions about FTI biology, including the basis for Lack of
toxicity to normal cells, cytotoxic verses cytostatic effects on tumo
r cells, and the persistence and drug resistance of malignant cells in
FTI-treated animals.