ABSTRACT. Human milk was fractionated to obtain a MATERIALS AND METHODSpartially purified growth factor preparation. The growth factor in this fraction, designated as human milk growth factor 111, exhibits chromatographic and biological characteristics similar to epidermal growth factor-urogastrone. Pretreatment of mice with human milk growth factor I11 significantly reduces the incidence, number, total length, and severity score of cysteamine-induced duodenal ulcers. (Pediatr Res 19: 916-918, 1985) Abbreviations HMGF, human milk growth factor EGF, epidermal growth factor Human milk is a source of growth factor activity (1) and contains at least three species of growth factors (2). The predominant one. designated as HMGF 111, accounts for about 75% of the total growth factor activity in milk and is an acid-stable polypeptide with a mol wt of about 6000 and an isoelectric point of between 4.4 and 4.7 (2-4). These structural characteristics, along with Carpenter's (5) finding that about 70% of the growth factor activity in human milk can be neutralized by antibody directed against human EGF, strongly suggest that EGF or a closely related polypeptide is the major growth factor in human milk. EGF, a polypeptide first isolated from submaxillary glands (6), was found to bc structurally similar to urogastrone, a polypeptide prepared from urine (7). EGF-urogastrone is a potent mitogen for a variety of cells (8) and is known to stimulate the growth and maturation of the intestinal mucosa (9, 10). Besides being a mitogen, EGF-urogastrone is an inhibitor of gastric acid secretion (1 1) and has been used to promote healing of ulcers (12). Moreover, EGF-urogastrone has been localized by immunostaining in the duodenal (Brunner's) glands (1 3, 14). Specific receptors for EGF-urogastrone have been demonstrated in intestinal epithelial cells (15). Such findings suggest that EGFurogastrone plays a role in the secretion and growth of the gastrointestinal tract. Recently, Kirkegaard et al. (16) reported that EGF significantly inhibits the formation of cysteamineinduced duodenal ulcer in the rat. A similar activity in human milk would be of physiological interest since it would suggest that defined macro-molecular factors in human milk are capable of having an effect on the gastrointestinal tract of the human infant. This report demonstrates that a partially purified HMGF 111 is capable of protecting mice against the formation of duodenal ulcers induced by cysteamine in a dose-dependent manner. Human milk was kindly provided by Dr. Cutberto Garza of the Baylor College of Medicine, Houston, TX. HMGF 111 was prepared as previously described (2). In brief, about 100 ml of human milk was centrifuged at 13,000 x g for 60 min at 4" C. The fat at the top of the centrifuge tube and the cells and debris at the bottom were discarded. The skimmed milk was acidified by adjusting the pH to 4.3 with HCI and centrifuged at 30,000 x g for 60 min to remove precipitate. The supernatant fraction, which contained about 1.5 g of protein determined by...