Epidermal growth factor (EGF) and its fetal form, transforming growth
factor alpha (TGF-alpha) are renal mitogens which induce epithelial hy
perplasia, proximal tubular cyst formation (TC), and accelerated dista
l nephron differentiation in metanephric organ culture. To delineate t
he intracellular mechanisms mediating these growth factor effects, we
studied the specific role of the epidermal growth factor receptor (EGF
-R), the common receptor for both ligands, as an activated tyrosine ki
nase in TC formation and nephrogenesis. Fetal murine metanephric expla
nts were incubated for 120 hours in control, and EGF (15 ng/ml)/TGF-al
pha (10 ng/ml) supplemented medium with and without EGF-R blocking mon
oclonal antibody (50 mg/ml), or tyrosine kinase inhibitor. EGF-R tyros
ine kinase inhibition was achieved by incubation with a synthetic tyrp
hostin (TP B42) (0.1 mu M) or genestein (5.5 mu g/ml). The following p
arameters were assessed: (a) segment-specific nephron development usin
g morphometry and immunohistology; (b) tubular epithelial hyperplasia
by protein content and BrdU uptake; and (c) TC formation by morphometr
ic cystic index. Both growth factors produced hyperplastic proximal TC
, significantly increased explant growth, and significantly increased
distal nephron differentiation. Inhibiting the ligand-EGF-R interactio
n with EGF-R blocking monoclonal antibody abolished all growth factor-
induced effects and resulted in increased amounts of undifferentiated
mesenchyme and decreased distal nephron differentiation. inhibition of
EGF-R tyrosine kinase activity with either Tyrphostin B42 or genestei
n blocked TC formation and produced nodular blastemal hyperplasia and
decreased distal nephron differentiation. Inhibition of EGF-R tyrosine
kinase activity may provide a target for pharmacological therapy in h
uman cystic disease, in which there are both qualitative and quantitat
ive abnormalities of EGF-R expression.