Cathelicidin, a cationic host defense peptide, has been shown to promote cutaneous wound repair and reaches high levels in the gastric mucosa during infection and inflammation. Therefore, we investigated whether this peptide contributes to gastric ulcer healing in rats. Ulcer induction increased the expression of rat cathelicidin rCRAMP in the gastric mucosa. Further increase in expression of rCRAMP by local injection of rCRAMPencoding plasmid promoted ulcer healing by enhancing cell proliferation and angiogenesis. rCRAMP directly stimulated proliferation of cultured rat gastric epithelial cells (RGM-1), which was abolished by inhibitors of matrix metalloproteinase (MMP), epidermal growth factor receptors (EGFR) tyrosine kinase, or mitogen-activated protein kinase/extracellular signalregulated kinase (ERK) kinase. rCRAMP also increased EGFR and ERK1/2 phosphorylation via an MMP-dependent mechanism. Knockdown of transforming growth factor ␣ (TGF␣), which is a ligand of EGFR, by small interfering RNA completely nullified the mitogenic signals evoked by rCRAMP in RGM-1 cells. These findings suggest that rCRAMP exhibits prohealing activity in stomachs through TGF␣-dependent transactivation of EGFR and its related signaling pathway to induce proliferation of gastric epithelial cells.The gastrointestinal tract is constantly exposed to a repertoire of potentially detrimental agents that may inflict tissue injury. On such injury, a repair process is initiated that comprises migration, proliferation, and differentiation of parenchymal and mesenchymal cells in the gastrointestinal mucosa (Podolsky, 1999). Many endogenous molecules that regulate these cellular responses have been identified Taupin and Podolsky, 2003). Little studied in this panoply of factors are the host defense peptides, which were originally characterized as small cationic peptides that could kill microbes. This group of peptides is now recognized to contain multifunctional molecules that can modulate many host cellular responses (Li et al., 2000;Selsted and Ouellette, 2005).Cathelicidins constitute a class of host defense peptides in mammals (Zaiou and Gallo, 2002). They are synthesized as preproprotein, which is characterized by an N-terminal signal sequence, a well conserved cathelin-like domain, and a C-terminal peptide domain that is proteolytically cleaved to release a small molecular weight host defense peptide. The mature peptides vary markedly among different species. Many mammals such as pigs and cattle have multiple cathelicidin genes, whereas humans, mice, and rats have only one, designated as LL-37/hCAP-18, mCRAMP, and rCRAMP, respectively. The peptide is present in phagocytic granulocytes, the first type of cell to be recruited from the blood to sites of infection and injury, and on surfaces in contact with the outside environment like skin epithelium (Termen et al., 2003). In the gastrointestinal tract, LL-37, the mature peptide of human cathelicidin, is produced constitutively by differentiated surface and upper crypt epithelial ...