Tumor suppressor genes normally inhibit cell growth but can be inactivated through mutations, leading to cancer. The retinoblastoma (RB) gene was the first tumor suppressor gene discovered. According to Knudson's two-hit hypothesis, both copies of the RB gene must be inactivated for retinoblastoma to develop, either through two spontaneous mutations or one inherited mutation plus another acquired mutation. The RB protein regulates the cell cycle by binding to the E2F transcription factor and preventing cell cycle progression. RB can be inactivated through mutations in the gene, overexpression of cyclin-dependent kinases, or viral oncoproteins like HPV E7 binding RB instead of E2F. Cancers associated with