Glucocorticoids exert antiproliferative effects on a number of cell types, including the HeLa cervical carcinoma cell line, However, the mechanism responsible for the antiproliferative effect is poorly understood. In this report we have investigated the role of the recently identified cyclin-dependent kinase inhibitor (CDI) p57(Kip2) in the antiproliferative effect conferred by glucocorticoids, When HeLa cells were treated with the synthetic glucocorticoid dexamethasone (DEX), the doubling time of exponentially growing cells increased 2-fold. Within 11 h of DEX treatment, this was accompanied by an accumulation of cells in the G(1) phase of the cell cycle with a corresponding decreased proportion of cells in the S phase and decreased CDK2 activity. DEX treatment of the HeLa cells dramatically induced the protein and mRNA expression of the CDI p57(Kip2), This induction was seen within 4 h of DEX treatment, preceding a major DEX-induced accumulation of cells in the G(1) phase. DEX-induced mRNA expression of p57(Kip2) did not require de novo protein synthesis, and the transcription of the p57(Kip2) gene was increased as determined by a run-on transcription assay. Furthermore, DEX induction of p57(Kip2) was not a consequence of the cell cycle arrest, since other growth inhibition signals did not result in strong p57(Kip2) induction. Overexpression of p57(Kip2) using HeLa cells stably transfected with a tetracycline-inducible vector showed that p57(Kip2) is sufficient to reconstitute an antiproliferative effect similar to that seen in DEX-treated cells. Selective p57(Kip2) expression by the tetracycline analog doxycycline to levels comparable to those observed on DEX induction resulted in a 1.7-fold increase in the doubling time and a shift of HeLa cells to the G(1) phase as well as a decrease in CDK2 activity. Taken together, these results suggest that glucocorticoid treatment directly induces transcription of the p57(Kip2) gene and that the p57(Kip2) protein is involved in the glucocorticoid-induced antiproliferative effect.