Tissue recombinants (TRs) composed of mouse urogenital mesenchyme (mUGM) plus an immortalized nontumorigenic human prostatic epithelial cell line (BPH-1) were grown under the kidney capsule of male athymic nude mice under different hormonal conditions. The objectives were to determine temporal plasma concentrations of testosterone (T) and estradiol-17b (E 2 ) that elicit progression of nontumorigenic human prostatic epithelial cells in vivo. Second, to determine whether mUGM1BPH-1 TRs in [T1E 2 ]-treated hosts could progress to metastases. Control mouse hosts received no exogenous hormonal support, whereas treated mice received Silastic implants containing T and E 2 for 1-4 months. Plasma from hormonally treated mice contained significantly higher (p < 0.01) concentrations of T at 1 month (11.7 vs. 0.9 ng/ml). Plasma levels of E 2 in steroid implanted mice were significantly higher (p < 0.05) at 2 months (104.5 vs. 25.6 ng/l) and 4 months (122.8 vs. 19.2 pg/ml). Wet weights of mUGM1BPH-1 TRs from [T1E 2 ]-implanted mice were significantly larger (p < 0.001) than those from untreated hosts. Untreated mUGM1BPH-1 TRs contained a well organized differentiated epithelium surrounded by smooth muscle stroma similar to developing prostate. In [T1E 2 ]-implanted mice, mUGM1BPH-1 TRs formed carcinomas that contained a fibrous connective tissue stroma permeating the tumor; smooth muscle when present was associated with vasculature. Renal lymph nodes collected from [T1E 2 ]-treated mice, but not untreated mice, contained metastatic carcinoma cells. Moreover, metastases could be observed at distant sites including lung and liver. Epithelial cells isolated from untreated mUGM1BPH-1 TRs exhibited benign histology and formed small nontumorigenic grafts when subsequently transplanted into athymic nude mice. In contrast, epithelial cells isolated from mUGM1BPH-1 tumors of [T1E 2 ]-treated hosts formed large tumors that grew independent of stromal and hormonal support and developed lymph node metastases. We conclude that [T1E 2 ]-treatment promotes prostatic cancer progression in mUGM 1 BPH-1 TRs. Use of mUGM in this system will allow future studies to utilize the power of mouse genetics to identify paracrine factors involved in human prostatic carcinogenesis. ' 2005 Wiley-Liss, Inc.Key words: prostate; hormonal carcinogenesis; apoptosis; stromalepithelial interactions Prostate cancer (PRCA) has been detected in over 230,000 men in the United States in 2004. Many of these patients will undergo treatment to halt or slow PRCA progression. Many more will be diagnosed with advanced PRCA for which there is no cure. Moreover, this year more than 30,000 men will die of this disease. Goals of early detection, surgery, hormone therapy and chemoprevention are to decrease morbidity and mortality and increase life span. To achieve these goals, useful models of human PRCA progression must be developed.Sex steroids are known to play important roles in prostatic carcinogenesis. In men and dogs, levels of serum androgens decrease with age, where...