“…Since failure of clearance by swallowing is likely to apply equally to the saline and IGF-I groups in this experiment, the higher amniotic fluid levels in the IGF-I group suggests increased IGF-I concentrations in fluids entering the amniotic sac. Given the propensity of the neonatal gut to allow absorption of whole proteins (Lecce & Broughton 1973, Werhahn et al 1981, including EGF (Thornburg et al 1984, Opleta et al 1987 and IGF-I (Phillips et al 1995), it is at least theoretically possible that the infused IGF-I is absorbed by the fetal gut and excreted in the fetal urine. However, it is also possible that the infused IGF-I is acting indirectly, via an unknown second messenger of gastrointestinal origin, to increase IGF-I production in fetal oral, pulmonary or urinary secretions, placenta or membranes, and hence to increase amniotic fluid IGF-I concentrations.…”