HER3 is a member of the epidermal growth factor receptor (EGFR) family and is expressed in several types of cancer. Both the cytoplasmic and nuclear appearances of the receptor have been reported. Here, we investigate the expression and subcellular distribution of HER3 in uveal melanoma (UM) cells and tissues and its potential impact on clinical outcome of patients. Paraffin-embedded samples from 128 consecutive UM patients, enucleated without alternative treatment on UM diagnosis, were evaluated for HER3 using immunohistochemistry. Immunoreactivity was scored for frequency, intensity of positive cells, and subcellular distribution. The results were correlated with the established clinicopathological parameters using univariate and multivariate statistical analyses. HER3 expression was shown in 70% of the cases (89/128). This contrasts with the other EGFR family receptors (EGFR, HER2 and HER4) that are infrequently expressed in UM. Surprisingly, HER3 was found to be localized solely in the cell nuclei in 56 cases. The remaining 33 HER3 positive cases showed diffuse distribution (cytoplasmic 6 nuclear). Nuclear HER3 was independently correlated with a more favorable overall survival (p 5 0.043 and hazard ratio 5 0.618) compared to cases with diffuse and/or no HER3. Nuclear localization of HER3 was also confirmed in fresh UM material and in UM cell lines. In conclusion, HER3 is frequently localized solely in the cell nuclei in UM and as such it predicts a more favorable overall survival.Uveal melanoma (UM) is the most common intraocular malignancy in adults. Roughly seven individuals per million are affected in Caucasian populations. 1 Its relatively low incidence is offset by a high mortality rate as $50% of the affected patients ultimately succumb to fatal metastases. 2,3 Patient survival has remained poor, presumably due to silent hematogenous systemic micrometastases occurring before the diagnosis of clinically evident ocular disease. The metastases have a characteristic hepatic tropism, and once the metastases have established themselves and are of detectable size, death occurs nearly uniformly 6-12 months later. 3,4 Several growth factor receptors are expressed in this malignancy, for example, c-Met, c-Kit and the insulin-like growth factor receptor (IGF-1R) and may promote a metastatic phenotype. [5][6][7][8][9] Recently, the role of the receptor tyrosine kinase HER3 has become a topic of interest. HER3, also known as ErbB3, belongs to the epidermal growth factor receptor (EGFR) family, which also includes EGFR (HER1), HER2 and HER4. 10,11 Unlike its family members, HER3 does not possess an active kinase domain and is therefore unable, in a homodimeric state, to convey signals into the cell via protein phosphorylation. 10 Instead, it relies on heterodimerization with other members of the EGFR family, which can thereby emit signaling responsible for cell proliferation and differentiation.Nuclear localization of the receptors in the EGFR family has been shown in several cancers to mark an especially aggressiv...