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Journal of Parenteral and Enteral Nutrition
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Epidermal Growth Factor and Human Growth Hormone Induce Two Sodium-Dependent Arginine Transport Systems After Massive Enterectomy

Pasquale Iannoli, MD

Department of Surgery, University of Rochester Medical Center, Rochester, New York

Jen-nie H. Miller, MS

Department of Surgery, University of Rochester Medical Center, Rochester, New York

Harry C. Sax, MD

Department of Surgery, University of Rochester Medical Center, Rochester, New York

Background: A combination of epidermal growth factor (EGF) and human growth hormone (hGH) after massive enterectomy induces a 400% increase in arginine transport in the remnant distal small intestine. The kinetic mechanism (s) responsible for enhanced arginine transport under these conditions is unknown. Methods: New Zealand White rabbits underwent 70% midjejunoileal resection. After a 1-week recovery period, animals received hGH (0.2 mg/kg/d IM), EGF (1.5 µg/kg/h SC), hGH + EGF, or vehicle (equal volume) for 7 days. Transport of tritiated arginine into brush border membrane vesicles prepared from distal remnant small intestinal mucosa was quantified in the presence and absence of a sodium gradient over a range of arginine concentrations (25 to 5000 µmol/L). Results: Eadie-Hofstee transformation of the kinetic data demonstrates two sodium-dependent arginine transport systems, comprising a high-capacity, low-affinity system and a low-capacity, high-affinity system. A combination of EGF and hGH significantly upregulates both the high-capacity (685%) and low-capacity (350%) maximum transport velocity (Vmax). Additionally, EGF alone significantly upregulates Vmax by 200% in the low-capacity system. There were no significant changes in transport affinity (Km) in either system. Conclusions: There are two quiescent sodium-dependent arginine transport systems in the distal small intestine. A combination of EGF and hGH after massive enterectomy increase arginine transport by Vmax upregulation in both the high-capacity/low-affinity and lowcapacity/high-affinity systems. (Journal of Parenteral and Enteral Nutrition 22:326-330, 1998)

Journal of Parenteral and Enteral Nutrition, Vol. 22, No. 5, 326-330 (1998)
DOI: 10.1177/0148607198022005326


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