We have reported that normal human salivary gland-derived epithelial cells exclusively express keratinocyte growth factor receptor (KGFR). In the process of malignant transformation of human salivary gland tumors, KGFR gene expression disappeared concomitantly with the de novo expression of the fibroblast growth factor receptor 1 (FGFR1) and FGFR4 genes. In the present study, we introduced wild-type KGFR cDNA or chimeric KGFRÍ FGFR1 cDNA, which encoded the extracellular domain of KGFR and the intracellular domain of FGFR1, into the HSY human salivary adenocarcinoma cell line. The KGFR tyrosine kinase suppressed the activity of FGF receptor substrate 2 (FRS2) and inhibited the growth of HSY by inducing differentiation and apoptosis in vitro and in vivo. Our results provided significant insight into the mechanism of KGFR tumor suppression and suggest that KGFR gene therapy might be a viable method of inhibiting human salivary adenocarcinoma growth. K eratinocyte growth factor (KGFÍFGF7) is a member of the fibroblast growth factor (FGF) family (1). Its activity is largely restricted to epithelial cells, which express the KGF receptor (KGFR), a transmembrane tyrosine kinase encoded by the IIIb splice variant of FGFR2 (FGFR2-IIIb) (2, 3). KGFR binds KGF and FGF-1 with high affinity. In contrast, FGFR2-IIIc, another splice variant of FGFR2, binds FGF-1 and FGF-2, but not KGF (3, 4). Analysis of KGF and KGFR expression during embryonic development, including that of mammary glands, has provided evidence that KGF is an important mesenchymal mediator of epithelial growth and differentiation. In normal human skin, KGFR immunostaining localizes to the suprabasal layers (5, 6). The lack of KGFR in basal cell progenitors in skin suggests that KGFR might regulate keratinocyte differentiation (7).Malignant salivary tumors are highly aggressive neoplasms that readily invade adjacent tissues and metastasize to distant organs at early stages of the disease. Malignant salivary tumors exhibit enhanced expression of both FGF-1 and FGF-2 compared with normal salivary gland (8). FGF-1 and FGF-2 can act in an autocrine manner to stimulate the proliferation of salivary adenocarcinoma cells (8,9). Normal salivary gland epithelial cells and benign salivary gland tumors exclusively express the KGFR gene. During the malignant transformation of salivary gland epithelial cells, the expression of the KGFR gene is abolished, whereas the FGFR1-IIIc and FGFR4 genes are activated (10). The exclusive expression of the KGFR gene in both normal and premalignant salivary epithelial cells correlates well with the slow-growing and differentiated phenotype of premalignant tumors. In contrast, the loss of the KGFR gene and the expression of both the FGFR1 gene and its specific ligand FGF-2 in malignant tumor cells are associated with the emergence of the malignant phenotype. Thus, the loss of normal KGFR gene function may promote tumorigenicity, whereas KGFR may function to suppress human salivary adenocarcinomas.The Ras-MAP kinase signaling pathway plays...