Proliferating cell nuclear antigen (PCNA) protein is one of the central mol
ecules responsible for decisions of life and death of the cell. The PCNA ge
ne is induced by p53, while PCNA protein interacts with p53-controlled prot
eins Gadd45, MyD118, CR6 and, most importantly, p21, in the process of deci
ding cell fate. If PCNA protein is present in abundance in the cell in the
absence of p53, DNA replication occurs. On the other hand, if PCNA protein
levels are high in the cell in the presence of p53, DNA repair takes place.
If PCNA is rendered non-functional or is absent or present in low quantiti
es in the cell, apoptosis occurs. The evolution from prokaryotes to eukaryo
tes involved a change of function of PCNA from a 'simple' sliding clamp pro
tein of the DNA polymerase complex to an executive molecule controlling cri
tical cellular decision pathways. The evolution of multicellular organisms
led to the development of multicellular processes such as differentiation,
senescence and apoptosis. PCNA, already an essential molecule in the life o
f single cellular organisms, then became a protein critical for the surviva
l of multicellular organisms.