In recent years there have been a number of developments in polycystic kidn
ey disease (PKD) research. The genes associated with the predominant forms
of autosomal dominant PKD have been cloned, and the gene associated with a
mouse model for autosomal recessive PKD has been identified and characteriz
ed. Other studies have yielded new information regarding the role of the ep
idermal growth factor receptor gene in promoting renal cyst formation. In t
his review article we summarize recent pulished data on the molecular genet
ics of autosomal dominant and autosomal recessive PKD and provide a working
model of how multiple genes participate in the PKD disease pathway.