Intestinal response to growth factors administered alone or in combination with human Gly2glucagon-like peptide 2

The control of intestinal epithelial growth is regulated by interactions of growth factors in various cellular compartments of the small and large bowel. Little information is available on the intestinal growth response to combinations of growth factors. We studied the intestinotrophic properties of a dipeptidyl peptidase IV resistant glucagon-like peptide 2 (GLP-2) analog, human Gly2GLP-2 (hGly2GLP-2), as well as of epidermal growth factor (EGF), long Arg3insulin-like growth factor I (LR3IGF-I), Gly1IGF-II, and human growth hormone (hGH), administered by subcutaneous injection alone or in combination in mice. At the doses tested, hGly2GLP-2 was the most potent agent for increasing small and large bowel mass. Mice treated with hGly2GLP-2 and either GH or IGF-I exhibited greater increases in histological parameters of small intestinal growth than did mice treated with hGly2GLP-2 alone. Administration of all five growth factors together induced significant increases in crypt plus villus height and in small and large bowel length and weight. The results of these experiments define regional differences in both the cellular targets and relative activities of intestinotrophic molecules and raise the possibility that selective growth factor combinations may be useful for enhancement of intestinal adaptation in vivo.