Macrophage-stimulating protein (MSP)2 is the only known ligand for RON (recepteur d'origine nantais). MSP is an 80 kDa heterodimer consisting of a 53 kDa ␣ chain and a 30-kDa  chain linked by a disulfide bond. The  chain of MSP binds to RON. MSP belongs to the plasminogen-prothrombin gene family (1, 2). MSP gene knock-out in mice is not lethal, indicating that MSP is not required for embryonic development and growth (3). Besides macrophages, MSP is expressed in a variety of epithelial cells. RON is initially synthesized as a single chain precursor, 170-kDa pro-RON, which is subsequently cleaved into 40-kDa ␣ chain and 150-kDa  chain. The ␣ chain is completely extracellular, whereas the  chain traverses the cell membrane and contains the intracellular tyrosine kinase (1). The C-terminal of RON regulates its kinase activity (4). RON forms either homodimers or heterodimers with other receptors such as c-Met and epidermal growth factor receptor (5-7). In addition to macrophages, RON is also expressed in multiple epithelial cells both malignant and nonmalignant. Homozygous deletion of RON was embryonically lethal. However, RON heterozygous mice mature normally except for an inappropriate inflammatory response (8, 9). The RON protein is regulated through c-Cbl ubiquitin ligase binding to phosphorylated RON leading to endocytosis and the subsequent degradation of RON (10).Abnormal expression of RON was reported in various cancers of epithelial origin. However, fibroblasts do not express RON. RON is moderately expressed in normal colorectal mucosa but significantly elevated in a majority of primary human colorectal adenocarcinoma samples (11). RON protein accumulation was reported to induce autophosphorylation of RON tyrosine kinase receptor and transduces signals that regulate tumorigenic activities of colon cancer cells (12). In nonsmall cell lung cancer cell lines, RON overexpression was reported in a majority of the cell lines examined. In addition, these cell lines expressed high levels of MSP ligand (13). The combination of RON overexpression and activation by MSP leads to increased invasion and resistance to apoptosis. These tumors supported by either autocrine or paracrine effects may acquire a survival advantage because of increased activation of the RON receptor by the local secretion of MSP.Altered RON expression was noticed in bladder and ovarian cancers. RON expression was positively associated with tumor size, stage, and grade in bladder carcinomas (14). The majority of ovarian carcinoma samples showed up-regulation in RON expression with a mix of cytoplasmic and membrane staining (5). Co-expression of MSP with RON was observed in ovarian carcinomas, providing a selective growth advantage and subsequent tumor progression. RON overexpression and not mutations is associated with head and neck squamous cell carcinomas (15). Normal breast cells and benign lesions (adenomas and papillomas) express relatively low levels of RON. However, RON is highly expressed in tumor specimens (1). Further, increased RON e...