CDC6 and MCM5 play essential roles in eukaryotic DNA replication. Several studies have highlighted the potential of these proteins as molecular markers of dysplastic and malignant cells in histopathological diagnosis. The mode of expression of CDC6 and MCM5 mRNA and their significance in normal, dysplastic and malignant cervical cells remains to be elucidated. Using a quantitative real-time RT PCR assay, we compared CDC6 and MCM5 mRNA expression in normal cervical epithelium, cervical intraepithelial neoplasia and invasive squamous cell carcinoma of the cervix. Our study cohort comprised 20 normal cervical biopsies, 20 CIN3 and eight invasive squamous cell carcinomas. All samples were formalin fixed and paraffin embedded. Total RNA was extracted and analysed for expression of GAPDH, CDC6 and MCM5 using real-time quantitative TaqMan RT-PCR. A linear increase in MCM5 and CDC6 mRNA expression is observed in normal cervix, CIN3 and invasive cervical carcinoma. The overall difference in MCM5 mRNA expression in the normal cervix, CIN3 and invasive cohort groups is highly statistically significant (P ¼ 0.001). An increase in CDC6 mRNA expression in CIN3 and invasive cervical squamous cell carcinoma was observed; however, the overall difference between cohort groups was not found to be statistically significant (P ¼ 0.104). Increased transcription of MCM5 and CDC6 occurs as a consequence of cervical neoplastic progression. This pattern of increased mRNA expression in CIN3 and invasive cervical carcinoma directly correlates with findings at the phenotypic protein expression level. This study further confirms the importance of MCM5 and CDC6 in malignant transformation and in the pathogenesis of cervical dysplasia. In all eukaryotes, a conserved mechanism of DNA replication exists, which ensures that DNA replication occurs only once in a single cell cycle. 1 This mechanism is often termed the 'licensing' of DNA replication. 2 DNA replication requires the regulated assembly of pre-replicative complexes (pre-RC) onto DNA during the G1 phase of the cell cycle. Pre-RCs render the chromatin competent or 'licensed' to replicate. Among the proteins known to assemble to form the pre-RC are cell division cycle protein 6 (CDC6) and mini chromosome maintenance (MCM) proteins. 3,4 Biological analysis of CDC6 suggests that it functions as a clamp loader in which ATP binding and hydrolysis induce conformational changes, which result in the recruitment or loading of MCMs onto DNA. 3 Once the MCMs are recruited to the pre-RC, CDC6 protein is then phosphorylated by Cyclin A/CDK2 in S phase of the cell cycle. This results in the translocation of CDC6 from its chromatin sites to the cytoplasm where it is degraded by the anaphase promoting complex (APC)/cyclosome. 5-8 Relocalisation of CDC6 to the cytoplasm prevents reinitiation of replication. In addition to conferring replication competence, studies also suggest that the level/ modification of CDC6 in G2 phase functions as a checkpoint control, which ensures that the S phase nucleus has com...