Epidermal growth factor (EGF) is present in milk from various mammalian spe
cies, but its physiologic function in neonatal development remains unclear.
Transforming growth factor-alpha (TGF-alpha) is a peptide structurally rel
ated to EGF, and its presence is detected in the developing small intestine
of rats. The purpose of the present study was to examine the effect of mil
k-borne EGF on endogenous production of EGF and TGF-alpha in the small inte
stine of suckling rats. Neonatal rats were fed via gastrostomy either growt
h factor-free rat milk substitute (RMS) or RMS supplemented with EGF (100 n
g/mL of RMS) from 8 to 12 d age. Artificially reared rats were then compare
d with their dam-fed littermates. Animals fed the EGF-deficient diet RMS ha
d markedly increased EGF and TGF-alpha mRNA levels in duodenum and ileum co
mpared with dam-fed controls and significantly elevated total intestinal co
ntent of TCF-alpha peptide. Intestinal EGF content and EGF serum levels wer
e significantly decreased in the RMS group compared with controls. The addi
tion of EGF to the RMS diet normalized. TCF-alpha mRNA levels in the duoden
um and ileum, EGF mRNA levels in the ileum, and total intestinal TGF-alpha
content and EGF serum levels to the levels measured in dam-fed littermates.
Motility studies showed that enteral administration of EGF did not affect
stomach emptying and intestinal transit. These studies indicate that exogen
ous milk-borne EGF modulates endogenous production of TGF-alpha in developi
ng small intestine. It is likely that neither TGF-alpha nor EGF are solely
responsible for small intestinal overgrowth of artificially reared neonatal
rats.