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The transmission of an extracellular signal from the surface of the cell to the nucleus by a relay of protein-protein and protein-ligand interactions. Cells continuously sense and respond to their changing environmental conditions via specialized proteins such as the hormones, cytokines, or other molecular sensors. These signal molecules exhibit their effects by binding to cellular receptors after which their message (or signal) gets ¡°transduced¡± to the nucleus of the cell, where specific genes are activated in response to the alteration in the environmental conditions. The relaying of the signal from the cell surface to the nucleus is mediated by ¡°second messengers,¡± which can be intracellular proteins or small molecules such as cyclic AMP, inositol phosphate, or calcium ions. An example of a signal transduction pathway is the cell¡¯s response to glucose levels in the bloodstream. High levels are sensed by the binding of glucose to a cellular receptor, and a signal is transduced which eventually leads to the nucleus to activate certain genes including the insulin gene. Insulin is then synthesized, leaves the cell, and acts to lower glucose levels. Signal transduction is of critical importance to the pharmaceutical industry since many disease states are due to the aberrant responses of cells to external agents, or due to mutations to proteins that form the signal transduction machinery. Examples involve the growth factors and the intracellular proteins involved in signaling the genes for cell growth and division. Changes to any of these molecules can result in uncontrolled cell growth. Over 50% of human cancers have been identified as resulting from just two intracellular signaling pathways: the JAK/STAT and p53/ras pathways.