Salivary epidermal growth factor (sEGF) levels are increased in male mice a
fter small bowel resection (SBR) and may be important during intestinal ada
ptation. Since males have greater sEGF than females, the influence of sex o
n postresection adaptation was tested. Females had lower sEGF; however, sEG
F substantially increased in both sexes after a massive (50%) SBR. Adaptive
increases in DNA and protein content, villus height, and crypt depth, as w
ell as crypt cell proliferation rates in the remnant ileum, were not differ
ent between males and females. Although significant postresection increases
in sEGF were identified, EGF mRNA and protein did not change within the su
bmandibular gland. Glandular kallikrein-13 and ileal EGF receptor expressio
n were greater after SBR in female mice. Intestinal adaptation is equivalen
t in female and male mice after SBR. Despite lower sEGF, females demonstrat
ed increased expression of a kallikrein responsible for sEGF precursor clea
vage as well as amplified ileal EGF receptor expression. These results endo
rse an important differential response between sexes regarding sEGF mobiliz
ation and intestinal receptor availability during adaptation.