Adult hematopoietic stem cells (HSCs) exist in a relatively quiescent state in the bone marrow (BM) microenvironment to fulfill longterm self-renewal and multilineage differentiation functions, an event that is tightly regulated by extrinsic and intrinsic cues. However, the mechanism coordinating the quiescent state of HSCs and their retention in the BM microenvironment remains poorly understood. In a conditional-knockout mouse model, we show that Cdc42 ؊/؊ HSCs enter the active cell cycle, resulting in significantly increased number and frequency of the stem/progenitor cells in the BM. Cdc42 deficiency also causes impaired adhesion, homing, lodging, and retention of HSCs, leading to massive egress of HSCs from BM to distal organs and peripheral blood and to an engraftment failure. These effects are intrinsic to the HSCs and are associated with deregulated c-Myc, p21 Cip1 , 1-integrin, and Ncadherin expressions and defective actin organization. Thus, Cdc42 is a critical coordinator of HSC quiescence maintenance and interaction with the BM niche.bone marrow microenvironment ͉ cell cycle ͉ adhesion A dult hematopoietic stem cells (HSCs) exist in a relatively quiescent state in the bone marrow (BM) microenvironment to execute long-term self-renewal and multilineage differentiation functions (1-3). The maintenance of HSC quiescence involves both extrinsic and intrinsic mechanisms. A number of genes that encode cell cycle or transcriptional regulators, including p21 Cip1 , p27 Kip1 , -catenin/axin, cyclin D1, and c-Myc (4, 5), have been shown to regulate the intrinsic programs of HSCs in this process. In addition, interactions of HSCs with the BM microenvironment in specific anatomical and functional areas, referred to as niches, in the maintenance of HSC quiescence have also gained increasing recognition (6). One hypothesis is that the intrinsic and extrinsic cues, such as bone morphogenic proteins, Ca 2ϩ , Notch ligands, and/or Ang-1/Tie2 (7-10), in the BM microenvironment may coordinately regulate the HSC quiescent state.Despite of the identification of these molecular factors in HSCs and in BM that may collectively contribute to the maintenance of quiescence (7), the mechanism coordinating HSC cell cycle regulation and niche interaction remains unclear. Cdc42 is a ubiquitously expressed member of the Rho GTPase family involved in the regulation of multiple cell functions, including actin polymerization, cell-to-cell or cell-to-extracellular matrix adhesion, and gene transcription (11). Although its function has been extensively studied in various cell systems by expression of dominant negative or constitutively active mutants (12), the physiological roles of Cdc42 in most primary cell lineages, particularly in HSCs, remain unclear. Previously, in a gain-of-Cdc42 activity, Cdc42GAP Ϫ/Ϫ mouse model, we have found that constitutively increased Cdc42-GTP species cause increased hematopoietic progenitor apoptosis, disorganized actin structure, and defective engraftment without affecting the cell cycle status (13). T...