Of the nine known PAX genes, only two (PAX2 and PAX8) are expressed in
the developing kidney. Genetic evidence in mice and humans indicates
that PAX2 plays a critical role in normal renal development and may si
t atop a molecular cascade which unfolds during the transition from un
differentiated mesenchyme to the early stages of nephrogenesis. Less i
s known about the role of PAX8 in kidney development; although PAXs is
expressed in the S-shaped body and early proximal tubule, preliminary
data suggest that renal morphogenesis is unaffected by its absence. I
n this review, we discuss the basic aspects of PAX gene structure and
function and how mutations of PAX2 might interfere with structure of t
he developing nephron.