Factors operative in oesophageal mucosa growth are poorly characterized. Ep
idermal growth factor (EGF) has been shown to stimulate mucosal growth thro
ughout the gastrointestinal tract. The present study was performed to test
the hypothesis that polyamine biosynthesis is required for stimulation of e
pithelial growth by EGF in oesophageal mucosa. Using an in vitro explant mo
del, oesophageal mucosal growth was quantified in the presence or absence o
f EGF and alpha-difluoromethylornithine (DFMO), a specific inhibitor of pol
yamine synthesis. Administration of 50 nmol/L EGF significantly increased t
he rate of epithelial growth in oesophageal explants. Treatment with DFMO f
or 3 and 7 days not only depleted the tissue polyamines putrescine, spermid
ine and spermine, but also significantly impaired mucosal growth. The inhib
itory effect of DFMO on mucosal growth was partially but significantly prev
ented when exogenous putrescine was given. Additionally, stimulation of epi
thelial growth by EGF was also blocked by depletion of cellular polyamines
in DFMO-treated oesophageal explants. These results indicate that EGF stimu
lates epithelial growth of oesophageal mucosa at least partly through a pro
cess involving polyamine biosynthesis.