c-ErbB2 (also referred to as Neu or HER2), a transmembrane glycoprotein wit
h intrinsic tyrosine kinase activity, is structurally related to epidermal
growth factor receptor (EGFR) and forms active heterodimers with EGFR as we
ll as other members of the EGFR family. c-ErbB2 is reported to mediate diff
erentiation and proliferation in epithelial cells and is expressed in a tis
sue-specific and developmental stage-specific manner. Given the role of EGF
R in cystic renal epithelial hyperplasia and the immature phenotype of cyst
ic renal epithelial cells, the segment-specific expression pattern of c-Erb
B2 in human autosomal recessive polycystic kidney disease (ARPKD) was exami
ned in nine ARPKD kidney specimens ranging from gestational age 17 wk throu
gh postnatal age 4 wk. c-ErbB2 staining of human ARPKD samples showed incre
ased expression with increasing gestational age compared with normal human
fetal and postnatal kidneys. This increased c-ErbB2 expression was primaril
y localized to the apical surfaces of cystic collecting tubule cells, simil
ar to the pattern of EGFR expression, and paralleled collecting tubular cys
t formation and growth.