The integrity of the human genome is preserved by signal transduction pathways called checkpoints, which delay progression through the cell cycle when DNA damage is present. Three checkpoint proteins, hRad9, hRad1, and hHus1, form a proliferating cell nuclear antigen-like, heterotrimeric complex that has been proposed to function in the initial detection of DNA structural abnormalities. hRad9 is highly modified by phosphorylation, in a constitutive manner and in response to both DNA damage and cell cycle position. Here we present evidence that Cell cycle checkpoints are signal transduction pathways that maintain the proper order of cell cycle events (1). Several checkpoints preserve the integrity of DNA by sensing genetic anomalies and delaying progression through the cell cycle so that enough time is provided for these anomalies to be corrected. The contribution of checkpoints to human health is illustrated by a growing list of checkpoint genes that are mutated in cancer and cancer predisposition syndromes (2-8).The hRad9 protein is the human homologue of Schizosaccharomyces pombe Rad9, a member of the checkpoint Rad family of proteins. In fission yeast, the checkpoint rad genes (rad1 ϩ , rad3 ϩ , rad9 ϩ , rad17 ϩ , rad26 ϩ , and hus1 ϩ ) are required for the S phase (DNA replication) and G 2 (DNA damage) checkpoints (9 -13). Yeasts lacking these genes fail to inactivate Cdc2 and enter premature, lethal mitosis when challenged with agents that inhibit DNA synthesis or damage DNA (14, 15). Like its yeast counterpart, hRad9 forms a ring-shaped, heterotrimeric complex with the hRad1 and hHus1 proteins (16 -18). Each member of the hRad9-hRad1-hHus1 complex (also known as the 9-1-1 complex), shares sequence homology with PCNA, 1 a homotrimer that encircles DNA and tethers DNA polymerase ␦ during DNA synthesis (19). PCNA is loaded onto DNA by the pentameric protein complex replication factor C (RFC), which is composed of one large subunit and four smaller subunits (20). In a manner analogous to PCNA and RFC, 9-1-1 is loaded onto DNA by a complex between hRad17 and the four smallest subunits of RFC (21). Since DNA damage induces hRad17-dependent association of 9-1-1 with chromatin, the 9-1-1 complex is believed to be involved in the direct recognition of DNA lesions during the initial stages of the checkpoint response (22). Also involved in this recognition are two phosphatidylinositol 3-kinase-related kinases, ATM and ATR, that regulate several cell cycle transitions and are central components of the cell checkpoint machinery (23). Even though these kinases appear to respond to different types of DNA lesions, they share a long list of common checkpoint substrates, including hRad17 (24 -26) and hRad9 (27). In fission yeast, Rad3 (which shares homology with both ATR and ATM) requires Rad9, Rad1, Hus1, and Rad17 to phosphorylate certain substrates (28). Similarly, in human cells, phosphorylation of hRad17 by ATR requires hHus1 (22). These findings support a model in which the 9-1-1 complex recruits substrates for ATM or...