The cellular response to ionizing radiation provides a conceptual framework
for understanding how a yeast checkpoint system, designed to make binary d
ecisions between arrest and cycling, evolved in a way as to allow reversibl
e arrest, senescence or apoptosis in mammals. We propose that the diversity
of responses to ionizing radiation in mammalian cells is possible because
of the addition of a new regulatory control module involving the tumour-sup
pressor gene p53. We review the complex mechanisms controlling p53 activity
and discuss how the p53 regulatory module enables cells to grow, arrest or
die by integrating DNA damage checkpoint signals with the response to norm
al mitogenic signalling and the aberrant signalling engendered by oncogene
activation.