Epidermal growth factor (EGF) is a potent mitogen in vitro, but its biological role is less clear. The vulnerary effects of EGF were evaluated in a model of wound repair, the polyvinyl alcohol sponge implanted subcutaneously in rats. EGF was purified to homogeneity by reverse-phase HPLC and quantified by receptor binding assay and amino acid analysis. Preliminary data showed moderate promotion of granulation tissue formation by daily injections of 10 /Ag of EGF. To test the hypothesis that long-term exposure to EGF is required for complete cellular response, the factor was incorporated into pellets releasing 10 or 20 jig of biologically active EGF per day, and the pellets were embedded within the sponges. Slow release of EGF caused a dramatic increase in the extent and organization of the granulation tissue at day 7, a doubling in the DNA content, and 33% increases in protein content and wet weight, as compared with placebo controls. Although collagen content was also increased by almost 50%, the relative rate of collagen synthesis remained the same, suggesting that the morphological and biochemical increase in coflagen resulted from increased numbers of fibroblasts rather than a specific stimulation of collagen synthesis. These results indicate that the local sustained presence ofEGIF accelerates the process of wound repair, specifically neovascularization, organization by fibroblasts, and accumulation of collagen.Epidermal growth factor (EGF) stimulates a variety of biological phenomena, including proliferation of skin and corneal epithelia in organ culture, proliferation and differentiation of epidermis and corneal epithelial cells in vivo (1), neoangiogenesis in the rabbit cornea (2), and the synthesis of DNA, RNA, protein, and hyaluronic acid in various cell lines in culture (1). Many cell types, including dermal fibroblasts, possess EGF surface receptors and will proliferate in response to EGF in cell culture (3). By contrast to the many observations in vitro, the function of growth factors during wound repair is not clear. This is in part the result of the difficulty of delivering growth factors and quantifying the responses to them in vivo.The process of healing surface wounds includes reepithelization, neovascularization, granulation tissue development, collagen elaboration, maturation and remodeling of the scar, and contraction (4). During the early phases of repair, the local accumulation of collagen strongly correlates with the accretion of tensile strength (5); hence, measuring the content and concentration of collagen at a repair site permits an estimate of the rate of healing.