Two genes, TSC1 and TSC2, have been shown to be responsible for tuberous sc
lerosis (TSC). The detection of loss of heterozygosity of TSC1 or TSC2 in h
amartomas, the growths characteristically occurring in TSC patients, sugges
ted a tumor suppressor function for their gene products hamartin and tuberi
n. Studies analyzing ectopically modulated expression of TSC2 in human and
rodent cells together with the finding that a homolog of TSC2 regulates the
Drosophila cell cycle suggest that TSC is a disease of proliferation/cell
cycle control. We discuss this question including very recent data obtained
from analyzing mice expressing a modulated TSC2 transgene, and from studyi
ng the effects of deregulated TSC1 expression. Elucidation of the cellular
functions of these proteins will form the basis of a better understanding o
f how mutations in these genes cause the disease and for the development of
new therapeutic strategies. (C) 2001 Elsevier Science B.V. All rights rese
rved.