We generated a line of transgenic mice using a yeast artificial chromosome containing the Ret mutation responsible for the multiple endocrine neoplasia type 2B syndrome (MEN 2B). The resulting animals did not develop any of the expected neoplasms associated with MEN 2B. Transgenic animals were then bred with animals lacking murine Ret (Ret M ) to further evaluate the function of human mutated Ret (Ret H 2B ) in the murine context. Whereas mice lacking Ret M exhibit intestinal aganglionosis and the absence of kidneys with other genitourinary anomalies, expression of the Ret H 2B transgene in Ret M -deficient mice allowed significant renal development with a partial rescue of the enteric nervous system. These Ret H 2B -positive/Ret M -deficient mice exhibit normal Ret expression and survive longer than Ret M -deficient mice, but still die at 3 to 5 days of age with evidence of enterocolitis. We conclude that the normal expression of a human Ret proto-oncogene with the MEN 2B mutation does not cause any features of MEN 2B in The Ret proto-oncogene encodes a receptor tyrosine kinase that regulates the growth and development within the neurological and excretory systems.1-3 The gene was discovered using the NIH3T3 transfection assay and the name Ret derives from this discovery (rearranged during transfection). 4 More recently, it was discovered that certain germ line mutations in the Ret proto-oncogene are associated with the multiple endocrine neoplasia (MEN) syndromes types 2A and 2B and familial medullary thyroid carcinoma (FMTC).5-9 These syndromes are inherited in an autosomal dominant manner. Patients with MEN 2A develop medullary thyroid carcinomas (MTCs), pheochromocytomas, and hyperparathyroidism; similarly, those with MEN 2B also develop MTCs and pheochromocytomas, but additionally develop mucosal neuromas of the lips, oral mucosa, and alimentary tract. Finally, FMTC is characterized only by the development of medullary thyroid carcinoma. 10 -12 To study the normal function of murine Ret (designated Ret M ), transgenic mice were created that lacked either Ret, the co-receptor GFR-␣1, or glial cell line-derived neurotrophic factor (GDNF), the cognate ligand for the receptor complex. [13][14][15][16][17][18] The Ret, GFR-␣1, and GDNF 18 The absence of intestinal ganglion cells is reminiscent of Hirschsprung's disease in humans, in which there is the congenital absence of enteric ganglia in the distal gut. Indeed, inactivating Ret mutations are also the most common defined cause of Hirschsprung's disease in humans. The importance of Ret in the development of the nervous system was further demonstrated when the other Ret ligands persephin, artemin, and neuturin were characterized and demonstrated to interact with Ret to support the growth of neurons in the peripheral, central, and enteric nervous systems (ENSs). 19 -23 Recently, to study the dominant transforming activity of the MEN 2B mutation of Ret, investigators created a transgenic mouse line containing the equivalent codon 918 Met to Thr mutation i...