The effect of EGF and gefitinib on two EGFR-positive human bladder cancer cell lines has been investigated using array-based gene expression profiling. The most prominent transcript, increased up to 6.7-fold by EGF compared with controls in RT112 cells, was human early growth response protein 1 (hEGR1). This induction was prevented by gefitinib. The hEGR1 mRNA in EGF-treated samples was reduced in the presence of gefitinib, as was hEGR1 protein in cell lysates. In the RT4 cells, hEGR1 expression was halved in the presence of EGF and gefitinib in combination. In bladder tumour samples, there was a significant correlation between hEGR1 mRNA detected by RT-PCR and EGFR detected by ligand binding, (P ¼ 0.042). The induction by EGF of the hEGR1 gene, mRNA and protein in RT112 cells, and its inhibition by gefitinib, together with the detection of hEGR1 mRNA in bladder tumours, suggests that hEGR1 may be important in the EGFR growth-signalling pathway in bladder cancer and should be further investigated for its prognostic significance and as a potential therapeutic target. Growth factors and their receptors are important in tumour development and progression. Several studies have shown that the presence of epidermal growth factor receptor (EGFR) in bladder cancer is associated with high tumour stage and grade and is a strong independent predictor of tumour stage progression and poor long-term survival (Neal et al, 1985(Neal et al, , 1990Lipponen and Eskelinen, 1994;Mellon et al, 1995). Bladder cancer is the fifth most common cancer in men, with an annual incidence of 24.7 per 100 000 population in the UK. 90% of bladder tumours are transitional cell carcinoma (TCC) and can be broadly divided into superficial (Ta and T1) or muscle invasive (T2, T3 and T4) forms. Approximately 50 -70% of superficial tumours recur, following removal at cystoscopy, of which 10 -20% will become invasive. At present there is no reliable method to predict which superficial tumours will show invasive progression or metastasize.EGFR is a member of the erbB family of cell surface receptors, which comprises four homologous receptors: EGFR (erbB-1/ HER1); erbB-2 (HER2/neu); erbB-3 (HER3) and erbB-4 (HER4). These receptors are composed of an extracellular ligand-binding domain, a transmembrane domain and an intracellular protein kinase domain. Ligand binding activates the EGFR by inducing homo-or hetero-dimerisation with other members of the erbB family, resulting in autophosphorylation of both intracellular tyrosine kinase domains. This initiates a cascade of intracellular signalling events that promote growth and the expression of genes involved in malignant progression (Olayioye et al, 2000). EGFR signalling is critical not only for cell proliferation but also in other processes crucial to cancer progression, and EGFR has therefore been explored as a target for anticancer therapies. One approach for the therapeutic blockade of EGFR signalling has been the discovery and development of low molecular weight compounds that inhibit the ligand-binding...