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Original communication| Volume 106, ISSUE 1, P45-51, July 1989

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The effect of the route of delivery of urogastrone on intestinal regeneration

  • J.S. Thompson
    Correspondence
    Reprint requests: Jon S. Thompson, MD, Department of Surgery, University of Nebraska Medical Center, 42nd and Dewey Ave., Omaha, NE 68105.
    Affiliations
    From the Omaha Veterans Administration Medical Center and the Departments of Surgery, University of Nebraska and Creighton University School of Medicine, Omaha, Neb., USA

    From the Department of Biochemistry, University of Louisville School of Medicine, Louisville, Ky., USA
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  • S.K. Saxena
    Affiliations
    From the Omaha Veterans Administration Medical Center and the Departments of Surgery, University of Nebraska and Creighton University School of Medicine, Omaha, Neb., USA

    From the Department of Biochemistry, University of Louisville School of Medicine, Louisville, Ky., USA
    Search for articles by this author
  • C. Greaton
    Affiliations
    From the Omaha Veterans Administration Medical Center and the Departments of Surgery, University of Nebraska and Creighton University School of Medicine, Omaha, Neb., USA

    From the Department of Biochemistry, University of Louisville School of Medicine, Louisville, Ky., USA
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  • G. Schultz
    Affiliations
    From the Omaha Veterans Administration Medical Center and the Departments of Surgery, University of Nebraska and Creighton University School of Medicine, Omaha, Neb., USA

    From the Department of Biochemistry, University of Louisville School of Medicine, Louisville, Ky., USA
    Search for articles by this author
  • J.G. Sharp
    Affiliations
    From the Omaha Veterans Administration Medical Center and the Departments of Surgery, University of Nebraska and Creighton University School of Medicine, Omaha, Neb., USA

    From the Department of Biochemistry, University of Louisville School of Medicine, Louisville, Ky., USA
    Search for articles by this author
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      Abstract

      Urogastrone (UG) administered subcutaneously increases the rate of intestinal regeneration (neomucosal growth) on patched intestinal defects. Our purpose was to determine the optimal route of delivery of UG for intestinal regeneration. In 22 New Zealand white rabbits (2.1 to 3.4 kg) 2 × 5 cm ileal defects were patched with adjacent cecal serosal surface. Group I (n = 6) served as controls. Group II (n = 5), group III (n = 6), and group IV (n = 5) received UG, 1.5 μg/kg/hr, intravenously, subcutaneously, and intraluminally via miniosmotic pumps. Neomucosal growth was assessed 7 days after patching. Serum UG levels were detectable in only the intravenous group. Coverage of the patched defect and neomucosal area was significantly greater and contraction of the defect less in the groups receiving UG (p < 0.05). Neomucosal area was highest in the intravenous group (286 ± 16 mm2), intermediate in groups III and IV (236 ± 19 and 215 ± 20 mm2), and lowest in the control group (152 ± 17 mm2; p < 0.05). Sucrase and maltase activities were significantly higher in the intravenous group. Crypt cell production rate and ornithine decarboxylase activity were greater in the UG-treated animals. UG stimulated intestinal regeneration by all routes of delivery. The intravenous route had the greatest effect and was associated with the highest serum levels of UG. These findings have implications for the mechanism of the trophic effect of UG on the intestinal epithelium.
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