IGF-2 Is Necessary for Retinoblastoma-Mediated Enhanced Adaptation after Small-Bowel Resection

Pamela M. Choi, Raphael C. Sun, Josh Sommovilla, Jose Diaz-Miron, Jun Guo, Christopher R. Erwin, Brad W. Warner

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Previously, we have demonstrated that genetically disrupting retinoblastoma protein (Rb) expression in enterocytes results in taller villi, mimicking resection-induced adaption responses. Rb deficiency also results in elevated insulin-like growth factor-2 (IGF-2) expression in villus enterocytes. We propose that postoperative disruption of Rb results in enhanced adaptation which is driven by IGF-2. Inducible, intestine-specific Rb-null mice (iRbIKO) and wild-type (WT) littermates underwent a 50 % proximal small-bowel resection (SBR) at 7–9 weeks of age. They were then given tamoxifen on postoperative days (PODs) 4–6 and harvested on POD 28. The experiment was then repeated on double knockouts of both IGF-2 and Rb (IGF-2 null/iRbIKO). iRbIKO mice demonstrated enhanced resection-induced adaptive villus growth after SBR and increased IGF-2 messenger RNA (mRNA) in ileal villus enterocytes compared to their WT littermates. In the IGF-2 null/iRbIKO double-knockout mice, there was no additional villus growth beyond what was expected of normal resection-induced adaptation. Adult mice in which Rb is inducibly deleted from the intestinal epithelium following SBR have augmented adaptive growth. IGF-2 expression is necessary for enhanced adaptation associated with acute intestinal Rb deficiency.

Original languageEnglish
Pages (from-to)1887-1893
Number of pages7
JournalJournal of Gastrointestinal Surgery
Issue number11
StatePublished - Nov 2014


  • Insulin-like growth factor-2
  • Retinoblastoma protein
  • Small-bowel adaptation


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