Development of the permanent, metanephric kidney begins at approximately embryonic day 11 (E11) in mice, E12 in rats, and during the fourth through fifth gestational weeks in humans. During these stages, the ureteric bud projects from the mesonephric duct and enters the metanephric anlage, whereupon buds branch repeatedly and ultimately form the collecting duct system of the mature kidney (and urothelium, including the renal pelvis, ureters, and bladder trigone). At the inception of nephrogenesis, metanephric mesenchymal cells are attracted to and condense around each tip of an advancing ureteric bud branch. Shortly after condensation, the mesenchyme then converts to polarized epithelia, which proceeds through an orderly sequence of nephric structures (termed vesicle, comma-and s-shaped, developing capillary loop, and glomerular stages) that eventually constitute the mature nephron. These nephrogenic processes of ureteric bud growth and branching, mesenchymal cell induction and aggregation, conversion to epithelia, and glomerular differentiation and tubule elongation occur repeatedly until there is a full complement of nephrons. Nephrogenesis concludes approximately 1 wk after birth in rodents and during the 34th gestational week in humans.Considerable progress has been made in understanding many of the molecular details that underlie the induction of nephrogenesis, and only a few of them can be mentioned here. For example, the "paired box" transcription factor-2 (Pax2) first appears during the caudal descent of the nephric duct, then expresses in uninduced and induced metanephric mesenchyme, where it stimulates expression of glial cell-derived neurotrophic factor, 1 and also expresses in ureteric bud epithelia, where it suppresses apoptosis. Pax2 also increases expression of Wnt-4, a secreted glycoprotein that activates the -catenin signaling pathway regulating cell growth. 2 The transcription factor WT1 is expressed in uninduced mesenchyme but is sharply upregulated as cells condense around ureteric bud branches. Wnt-4 is also upregulated in condensing mesenchyme and, together with WT1, expresses through the vesicle and comma-and S-shaped stages, suggesting both of these proteins are key mediators of epithelial differentiation. One of the gene products directly regulated by WT1 is Pax2, which becomes downregulated during s-shaped stages of nephron development. 3 Similarly, reciprocal expression of the receptor tyrosine kinase Ret and its ligand, glial cell-derived neurotrophic factor, by ureteric bud epithelia and metanephric mesenchyme, respectively, induces and maintains ureteric bud branching morphogenesis. 1 As the condensed metanephric mesenchymal cells serially convert to epithelia, the expression of a host of mesenchymal proteins (e.g., neural cell adhesion molecule, vimentin, types I and III collagen) are suppressed, whereas proteins that typify epithelia (E-cadherin, cytokeratin, type IV collagen, and laminin) all upregulate.Although much has been learned about the induction of nephrogenesis, conside...