Background & Aims: Mice lacking epidermal growth factor (EGF), transforming
growth factor alpha, and amphiregulin were used to identify roles for thes
e EGF receptor (EGFR) ligands in gastrointestinal development and mucosal i
ntegrity. Methods: Gastrointestinal tract development was examined in knock
out mice and correlated with expression of EGF-R protein and EGF family mem
bers throughout the gut. Crossfostering experiments addressed roles of mate
rnal- and neonatal-derived ligands in pup growth and intestinal development
. Cysteamine-induced ulceration in EGF(-/-) mice was used to examine its ro
le in mucosal cytoprotection. Results: Neonatal mice lacking all 3 ligands
were growth retarded, even when reared by wild-type dams; conversely, lack
of maternal ligands transiently impaired wild-type pup growth. Triple null
neonates displayed spontaneous duodenal lesions, and ileal villi were trunc
ated and fragile with reduced cellular proliferation in the crypts. However
, maturation of digestive enzymes was unaffected. Adult EGF(-/-) mice displ
ayed more severe lesions in response to cysteamine treatment compared with
wild-type counterparts, although triple null mice were not more susceptible
to dextran sulfate sodium-induced colitis, suggesting a differential role
for these ligands in the injury response. Conclusions: EGF-R ligands are re
quired for development and mucosal maintenance in mouse small intestine. Bo
th maternal and neonatal sources of growth factors are required for optimal
pup growth.