Increased insulin-like growth factor and platelet-derived growth factor system in the pyloric muscle in infantile hypertrophic pyloric stenosis
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Updated: Oct 23, 2026

A Mouse Model of Intestinal Partial Obstruction
Published on: March 5, 2018
1Children's Research Centre, Our Lady's Hospital for Sick Children, Dublin, Ireland.
Insights
Infantile hypertrophic pyloric stenosis (IHPS) shows increased insulin-like growth factor (IGF) and platelet-derived growth factor (PDGF) in pyloric muscle. These growth factors may contribute to the muscle thickening seen in IHPS.
Area of Science:
- Gastroenterology
- Developmental Biology
- Cell Biology
Background:
- Infantile hypertrophic pyloric stenosis (IHPS) involves pyloric muscle hypertrophy with unknown etiology.
- Smooth muscle cell (SMC) growth is influenced by growth factors like IGF and PDGF.
- IGF and PDGF signaling pathways, mediated by their receptors, are crucial for SMC proliferation.
Purpose of the Study:
- To investigate the role of insulin-like growth factor (IGF) and platelet-derived growth factor (PDGF) systems in infantile hypertrophic pyloric stenosis (IHPS).
- To compare the expression of IGF, PDGF, and their receptors in pyloric muscle tissue from IHPS patients and controls.
Main Methods:
- Muscle biopsy specimens were collected from IHPS patients and age-matched controls.
- Immunohistochemistry was used to detect IGF-I, IGF-I receptor alpha (IGF-IR alpha), IGF-IR beta, PDGF-BB, and PDGF receptor (PDGF-R).
Main Results:
- IHPS tissues exhibited significantly elevated levels of IGF-I, IGF-IR alpha, IGF-IR beta, and PDGF-R in the circular muscle layer.
- A lesser increase in these factors was observed in the longitudinal muscle layer of IHPS patients.
Conclusions:
- Upregulation of local IGF and PDGF systems is implicated in the development of pyloric muscle hypertrophy in IHPS.
- These findings suggest a potential molecular mechanism contributing to the pathophysiology of IHPS.
Background:
Infantile hypertrophic pyloric stenosis (IHPS) is characterized by hypertrophy of the pyloric muscle. The etiology of IHPS is unknown. The growth of smooth muscle cells (SMC) is regulated by several growth factors. Insulin-like growth factor (IGF) and platelet-derived growth factor (PDGF) act synergistically to stimulate SMC proliferation. The effects of IGF-I and PDGF are mediated via their receptors.
Methods:
Full-thickness muscle biopsy specimens were obtained from eight IHPS patients (age range, 14 to 46 days) at pyloromyotomy and from eight age-matched controls without gastrointestinal disease at autopsy performed within 4 hours after death. Indirect three-step immunohistochemistry was performed using anti-IGF-I, IGF-I receptor alpha (IGF-IR alpha), IGF-IR beta, PDGF-BB and PDGF receptor (PDGF-R) antibodies and visualized by peroxidase staining.
Results:
The most striking difference between tissues from IHPS patients and controls was the marked increase in IGF-I, IGF-IR alpha, IGF-IR beta and PDGF-R in the hypertrophic circular muscle layer, and, to a lesser degree, in the longitudinal muscle in pyloric stenosis.
Conclusion:
The findings suggest that the upregulated local IGF and PDGF systems may play a role in the development of pyloric muscle hypertrophy in IHPS.
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