Objective To examine the expression of heregulin-alpha stained negatively for heregulin-alpha and erbB-3. Fourteen patients had bony metastases identified by (a new member of the epidermal growth factor family) and its receptor erbB-3 in human prostate cancer by bone scintigraphy and all received androgen ablation after undergoing transurethral resection of the prosimmunohistochemistry, and to analyse their implication for clinical outcome.tate. Immunoreactivity for heregulin-alpha and erbB-3 were absent in five cases, all of whom responded to Patients and method Using specific anti-peptide antibodies, tumour samples from 50 consecutive patients hormone manipulation and remained symptom-free at the time of review (mean follow up 3 years, range with newly diagnosed prostate cancer (18 well, 15 moderately and 17 poorly differentiated) and four 2-4). Despite hormone manipulation, the nine patients overexpressing heregulin-alpha and/or erbB-3 patients with benign prostatic hyperplasia (BPH) were immunostained for heregulin-alpha (an isoform of died during a mean follow up of 2.5 years (range 0.5-4). heregulin) and erbB-3 proteins. Representative areas from each case were used to assess immunoreactivity.Conclusion The overexpression of heregulin-alpha and erbB-3 in prostate cancer is detectable by immunoResults Heregulin-alpha was expressed (i.e. Á10% of tumour cells positive) in 36 (72%) and erbB-3 in 27 staining. Activation of the type 1 growth-factor receptor system by heregulin-alpha and/or the erbB-3 (54%) of the 50 cases. High levels of expression of heregulin-alpha (>90% of tumour cells stained) receptor appears to be associated with a less favourable prognosis in advanced disease. appeared to be related to high-grade tumours, but the association did not reach statistical significance. ThereKeywords Prostate cancer, heregulin-alpha, erbB-3, autocrine loop, outcome was no correlation between the levels of expression of erbB-3 and tumour grade. All four samples from BPH cancer cells [2][3][4][5]. The expression of TGFa was upregul-