We have isolated the gene for a novel growth regulator, amphiregulin (AR), that is evolutionarily related to epidermal growth factor (EGF) and transforming growth factor a (TGF-a). AR is a bifunctional growth modulator: it interacts with the EGF/TGF-a receptor to promote the growth of normal epithelial cells and inhibits the growth of certain aggressive carcinoma cell lines. The 84-amino-acid mature protein is embedded within a 252-amino-acid transmembrane precursor, an organization similar to that of the TGF-a precursor. Human placenta and ovaries were found to express significant amounts of the 1.4-kilobase AR transcript, implicating AR in the regulation of normal cell growth. In addition, the AR gene was localized to chromosomal region 4q13-4q21, a common breakpoint for acute lymphoblastic leukemia.Cell growth and differentiation are regulated in part by the specific interaction of secreted growth factors and their membrane-bound receptors. Receptor-ligand interaction results in activation of intracellular signals leading to specific cellular responses. Epidermal growth factor (EGF), plateletderived growth factor, insulin, insulinlike growth factor 1, colony-stimulating factor 1, and fibroblast growth factor all transmit their growth-modulating signals by binding to and activating receptors with intrinsic tyrosine kinase activity (reviewed in reference 30). Characterization of the physiologic and chemical effects that result from the binding of EGF and transforming growth factor a (TGF-a) to the EGF receptor has served as a useful model for understanding receptor-ligand interactions, signal transduction, and the regulation of cell growth and oncogenesis (reviewed in reference 76).We have recently reported the purification and sequence analysis of a glycoprotein isolated from the conditioned media of 12-0-tetradecanoylphorbol-13-acetate (TPA)-treated MCF-7 cells (65,66). The protein was termed amphiregulin (AR) to reflect its bifunctional activities: it inhibits the growth of many human tumor cells, and it stimulates the proliferation of normal fibroblasts and keratinocytes. The secreted protein exists as a monomer of either 78 or 84 amino acids (aa), with the shorter form lacking the six N-terminal residues of the larger molecule. Sequence analysis reveals that AR has a region with striking homology to EGF (38%) and TGF-a (32%), yet it also has an N-terminal extension of 43 aa composed primarily of very basic, hydrophilic residues (Lys, Arg, and Asn). In addition, AR has functional homology with this class of growth factors; it partially competes for binding of EGF to the EGF receptor and can supplant the need for EGF or TGF-a to maintain keratinocytes in culture. AR differs from EGF and TGF-a in that it fails to promote anchorage-independent growth of normal rat kidney (NRK) fibroblasts in the presence of TGF-P and inhibits the growth of certain tumor cells that proliferate in response to EGF or TGF-a.In this report, we describe the isolation and characterization of cDNA and genomic clones for human AR, t...