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Heparin-binding EGF-like growth factor (HB-EGF) therapy for intestinal injury: Application and future prospects
Jixin Yang1, Yanwei Su1, Yu Zhou1
1The Research Institute at Nationwide Children's Hospital, Center for Perinatal Research, Department of Pediatric Surgery, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH 43205, USA.
Abstract:
Throughout the past 20 years, we have been investigating the potential therapeutic roles of heparin-binding EGF-like growth factor (HB-EGF), a member of the epidermal growth factor family, in various models of intestinal injury including necrotizing enterocolitis (NEC), intestinal ischemia/reperfusion (I/R) injury, and hemorrhagic shock and resuscitation (HS/R). Our studies have demonstrated that HB-EGF acts as an effective mitogen, a restitution-inducing reagent, a cellular trophic factor, an anti-apoptotic protein and a vasodilator, via its effects on various cell types in the intestine. In the current paper, we have reviewed the application and therapeutic effects of HB-EGF in three classic animal models of intestinal injury, with particular emphasis on its protection of the intestines from NEC. Additionally, we have summarized the protective functions of HB-EGF on various target cells in the intestine. Lastly, we have provided a brief discussion focusing on the future development of HB-EGF clinical applications for the treatment of various forms of intestinal injury including NEC.
Insights
Heparin-binding EGF-like growth factor (HB-EGF) shows therapeutic potential for intestinal injuries like necrotizing enterocolitis (NEC). Studies confirm HB-EGF
Area of Science:
- Gastroenterology and Regenerative Medicine
- Molecular Biology and Cell Signaling
Background:
- Heparin-binding EGF-like growth factor (HB-EGF) is a key member of the epidermal growth factor family.
- Intestinal injuries, including necrotizing enterocolitis (NEC), ischemia/reperfusion (I/R), and hemorrhagic shock and resuscitation (HS/R), represent significant clinical challenges.
Purpose of the Study:
- To review the therapeutic applications and protective effects of HB-EGF in established animal models of intestinal injury.
- To emphasize the role of HB-EGF in mitigating necrotizing enterocolitis (NEC).
- To summarize the protective mechanisms of HB-EGF on intestinal target cells.
Main Methods:
- Review of preclinical studies investigating HB-EGF in animal models of intestinal injury.
- Analysis of HB-EGF's demonstrated functions: mitogenic, restitution-inducing, trophic, anti-apoptotic, and vasodilatory effects.
- Focus on HB-EGF's impact on various intestinal cell types.
Main Results:
- HB-EGF exhibits significant protective effects across multiple models of intestinal injury.
- Demonstrated efficacy in promoting intestinal healing and reducing cell death.
- Identified HB-EGF as a potent factor for protecting the intestine, particularly in necrotizing enterocolitis models.
Conclusions:
- HB-EGF possesses multifaceted therapeutic properties beneficial for intestinal injury.
- Further clinical development of HB-EGF is warranted for treating diverse intestinal conditions, including NEC.
- HB-EGF represents a promising therapeutic agent for gastrointestinal regenerative medicine.
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