Diabetes mellitus is associated with spontaneous gastric mucosal injury and
enhanced susceptibility of the mucosa to damaging agents. Little informati
on is available about the biochemical changes that occur in the gastric muc
osa of diabetes mellitus. Evidence is accumulating that tyrosine kinases, p
articularly the EGF-receptor (EGFR), are involved in regulating a variety o
f structural and functional properties of the gastric mucosa. The primary o
bjectives of this investigation were to determine whether diabetes induces
morphological changes in the gastric mucosa, and if so, whether these chang
es are associated with alterations in EGFR tyrosine kinase. Diabetes-induce
d changes in gastric mucosal morphology were also examined. Diabetes was in
duced in 3- to 4-month-old male Fischer-344 rats by streptozotocin (STZ; 45
mg/kg; i.v.). Four weeks after induction of diabetes mellitus, the gastric
mucosa of overnight-fasted rats was found to be slightly atrophic. A reduc
tion in gastric mucosal thickness with deposition of fibrous tissue above t
he muscularis layer was observed in the stomach of overnight-fasted diabeti
c rats. These changes were associated with a marked stimulation in tyrosine
kinase activity and protein expression of EGFR. The relative concentration
s of several precursor forms of TGF-alpha in both membrane and cytosolic fr
actions from the gastric mucosa of overnight-fasted diabetic rats were also
found to be significantly above the corresponding controls. This suggests
that endogenous TGF-alpha may play a critical role in regulating mucosal EG
FR tyrosine kinase through a juxtacrine/paracrine mechanism.