Objective: Transforming growth factor-α (TGF-α), present in human milk, is thought to play a significant role in postnatal gut development. Macrophages, which abound in human milk, are known to secrete various isoforms of TGF-α in other areas of the body. It was hypothesized that human milk macrophages (HMM) secrete TGF-α, and HMM are a source of TGF-α isoforms present in human milk. We sought to measure in vitro HMM TGF-α secretion, and to compare the TGF-α isoform(s) present in human milk with those secreted by HMM. Study Design: Colostrum and mature milk samples, obtained from mothers (n = 48) on postpartum days 3-30, were centrifuged. HMM were isolated, placed in culture for 24 h, and cell-free media collected. The biochemical forms of TGF-α in media in human milk supernatant samples were identified by Western blot analysis under reducing conditions. The concentration of the mature (6-kD) TGF-α isoform in those samples was quantified using a radioimmunoassay. Results: Western blot analysis under reducing conditions identified a single 6-kD TGF-α isoform in all human milk supernatant samples tested, but variable (6- and 30- to 46-kD) TGF-α isoforms in HMM media. The mean (± SE) concentration of the 6-kD TGF-α isoform found in human milk supernatants was 706 ± 88 pg/ml and 17.6 ± 2.6 pg/ml in HMM media. Conclusion: These experiments show that HMM secrete TGF-α in biochemical forms both similar to and distinct from that found in human milk supernatant.