The G401 cell line derived from a rhabdoid tumor of the kidney secretes the heparin-binding growth factors midkine and pleiotrophin. Both proteins act as mitogens for diverse cells, but only midkine serves as an autocrine mitogen for G401 tumor cells. We show that midkine specifically binds a protein or complex of molecular mass greater than 200 kDa with high affinity (K d ؍ 0.07 ؎ 0.01 nM). Midkine, but not pleiotrophin, stimulates tyrosine phosphorylation of several cellular proteins with molecular mass of 100, 130, and 200؉ kDa. Upon midkine binding, the midkine-receptor complex associates with the Janus tyrosine kinases, JAK1 and JAK2. MK stimulates tyrosine phosphorylation of JAK1, JAK2, and STAT1␣. Our initial characterization of the midkine receptor suggests that midkine autocrine stimulation of tumor cell proliferation is mediated by a cell-surface receptor which in turn might activate the JAK/STAT pathway.Mesenchymal-epithelial interactions during development involve reciprocal inductive stimuli that are critically important in the regulation of cellular proliferation, differentiation, and tissue morphogenesis. The elucidation of the molecular basis for these events is a major goal relevant to advancing our understanding of basic developmental processes. Kidney organogenesis depends upon a set of molecular signaling events that form the basis for the induction of nephron formation in the metanephric mesenchyme by the ureteric bud (1, 2). Midkine (MK), 1 a recently identified growth factor, may play an important regulatory role at sites of mesenchymal-epithelial interaction during tooth development and during organogenesis of the kidney (3, 4).MK and pleiotrophin (PTN) are developmentally regulated heparin-binding proteins that regulate cell growth, survival, and differentiation (5-8). Both MK and PTN are products of retinoic acid-responsive genes (8). Expression of PTN is also regulated by platelet-derived growth factor (9). Mature MK and PTN are basic, cysteine-rich polypeptides of 123 and 136 amino acids, respectively, with approximately 50% homology to each other (5, 10, 11). MK and PTN are conserved between mammalian species, and both are distinct from other heparin binding growth factors such as basic and acidic fibroblast growth factors (6,10,12). MK is mitogenic to a number of cell lines and induces neurite outgrowth of embryonic brain cells, PC 12 cells, and dorsal root ganglion cells (12)(13)(14)(15). MK also promotes survival of retinal cells in vivo, astrocytes and mesencephalic neurons in culture (17-16). MK stimulates differentiation of P19 embryonic carcinoma cells into nerve cells, and this stimulation is inhibited by anti-MK antibodies (17). In addition, MK enhances plasminogen activator and plasmin activity in a dose-and time-dependent manner, implying a role for MK in tissue repair and angiogenesis (18 -20).MK is expressed in a characteristic pattern in the developing embryo and may play a role in neurogenesis, kidney organogenesis, and in mesodermal-epithelial interactions (3, 4, 19...