Epidermal growth factor augments postpneumonectomy lung growth.
OBJECTIVE
Epidermal growth factor has been shown to play an important role in prenatal and postnatal lung development, but little is known about its effects on adult lung growth. We hypothesized that postpneumonectomy compensatory lung growth can be augmented by the administration of epidermal growth factor.


METHODS
Adult Sprague-Dawley rats were divided into 3 groups. Sham left thoracotomy was performed in the first group (group C), left pneumonectomy in the second group (group P), and left pneumonectomy with administration of epidermal growth factor (0.2 microgram/g body weight intraperitoneally, at 72-hour intervals) in the third group (group E). The right lung growth was studied in each group 1, 3, 5, 10, and 21 days after the operation. Lung weights (in grams) and volumes (in milliliters) were expressed as a ratio to the total body weight (in kilograms) (lung weight and volume indices). Epidermal growth factor receptor was quantitated by using Western blotting.


RESULTS
Using analysis of variance and contrast analysis, we noted a significant increase in lung weight index in group E versus group P rats at 3 days (3.08 vs 2.75; P =.034) and 21 days (4.62 vs 3.61; P =.006). Lung volume index was significantly increased in group E versus group P rats at 5 (16.98 vs 15.09), 10 (24.48 vs 18.81), and 21 (28.54 vs 21.01) days (P <.001). Epidermal growth factor receptor was noted to be up-regulated in the lungs of animals that received exogenous epidermal growth factor.


CONCLUSIONS
This study demonstrates that administration of exogenous epidermal growth factor has a significant effect on postpneumonectomy lung growth. This process may be mediated by an up-regulation of growth factor receptor expression in the contralateral lung.
Kaza
A K
AK
Thoracic and Cardiovascular Surgery Research Laboratory, University of Virginia Health Sciences Center, Charlottesville, VA, USA.
Laubach
V E
VE
Kern
J A
JA
Long
S M
SM
Fiser
S M
SM
Tepper
J A
JA
Nguyen
R P
RP
Shockey
K S
KS
Tribble
C G
CG
Kron
I L
IL
D000704:Analysis of Variance; D000818:Animals; D015153:Blotting, Western; D004815:Epidermal Growth Factor / Q000494:pharmacology*; D008168:Lung / Q000187:drug effects* / Q000254:growth & development*; D008297:Male; D011013:Pneumonectomy; D051381:Rats; D017207:Rats, Sprague-Dawley
D004815:Epidermal Growth Factor