Fancd2-/and WT MEFs, but clearly lower in these cells than in Fanca-/or Fancc-/-MEFs (Figure 1F and data not shown). Together, our previous data robustly demonstrate that loss of function of key components of the FANC core complex is associated with high expression of MiTF at both the RNA and protein levels. SMAD and p38 signaling pathways are necessary but not sufficient to activate MiTF expression in FA MEFs. The increase in Mitf expression in FANC pathway-deficient MEFs with increasing time in the same culture medium (Figure 1, D and E) could be induced by cellto-cell contacts or in an autocrine manner by cell-secreted factor or factors. Consistent with the latter hypothesis, we observed that Mitf expression is robustly induced at both the protein and RNA levels by 24 hours after replating FANC pathway-deficient MEFs in a "conditioned" medium in which the same cells previously grew for 72 hours (Figure 2, A and B, and data not shown). Notably, WT-derived 72-hour-old conditioned medium was unable to significantly induce Mitf in Fanca-/or Fancc-/-MEFs. Similarly, Fanca-/-or Fancc-/-derived conditioned medium was unable to induce Mitf in WT MEFs (Figure 2, A and B, and data not shown). Thus, it is conceivable that Mitf is induced in response to the accumulation in the culture medium of factor or factors secreted by the Fanc-deficient cells themselves. FA cells appear able to secrete and respond to such factor(s), whereas WT cells are poor secretors and nonresponders. Next, we performed ELISA to determine the presence, if any, of known extracellular factors in the culture medium of MEFs. To better perform our analysis, 2 days after dilution, the complete culture medium was washed out, and the cells were fed 2 more days with medium without serum (a longer incubation affects cell morphology, indicating the presence of stress and survival). The serumfree medium was collected and filtered to eliminate detached cells and cellular debris to perform ELISA. We failed to detect TNF-α or IL-1β in FA-derived conditioned medium, but revealed 4 to 6 times higher concentrations of 2 TGF family members (43, 44), TGF-β and activin A (Figure 2, C and D). Finally, the conditioned medium was analyzed by mass spectrometry. Again, we identified high levels of both TGF-β and activin A in the culture medium isolated from FANC pathway-deficient MEFs, but did not distinguish other growth factors differentially expressed between WT and FA MEFs (data not shown). Thus, 2 alternative approaches validated that cultured FANC pathway-deficient MEFs secrete TGF-β and activin A. TGF-β and activin A determine cell fate and hematopoiesis by signaling mainly through the Smad and p38 pathways (8, 43-46), which were previously described as chronically activated in FA cells (24, 32). In Fanca-/or Fancc-/-MEFs maintained for 24 hours in 72-hour-old conditioned medium, we observed a modest but reproducible increase in Smad2/3 phosphorylation and extremely strong phosphorylation of p38 (Figure 2E). The culture of WT MEFs in conditioned medium (both from FA...