Introduction: Liver regeneration is inhibited in small-for-size liver grafts, but the underlying mechanisms remain unclear. The aim of this study was to investigate alterations in mitotic cytokines/growth factors after partial liver transplantation. Methods: Livers of male C57BL/6 mice were explanted after reduction to half-size grafts (HSG) and ˜third-size grafts (TSG). Full-size grafts (FSG), HSG and TSG were stored at 0-1oC for 3 h before implantation. Livers were harvested 48 h after liver transplantation for evaluation of liver regeneration. Results: 5-Bromodeoxyuridine (BrdU) labeling increased from 0.04% to ˜23% in HSG but did not increase in FSG and TSG at 48 h. Mitotic index increased from ˜0.1% to ˜7.5% in HSG but did not increase in FSG and TSG. Proliferating cell nuclear antigen (PCNA) expression was barely detectable by immunoblotting in livers from sham-operated mice and FSG but increased markedly in HSG. PCNA expression remained low in TSG. These data demonstrate suppressed hepatocyte proliferation in TSG. mRNAs of mitotic cytokines TNFα and IL-6 and hepatic growth factor (HGF) increased in HSG and increased further in TSG. Epidermal growth factor receptor (EGFR) ligands EGF and heparin-binding EGF did not increase significantly in either HGF or TSG. TGFα, which is also an EFGR ligand, increased equally in HSG and TSG. Therefore, these cytokines/growth factors are unlikely responsible for inhibited regeneration of TSG. In contrast, amphiregulin (AR), another EGFR ligand, increased in HSG after transplantation but did not change in FSG and TSG. Compared to HSG, TSG exhibited decreased AR protein and mRNA, indicating suppressed AR synthesis. An AR neutralizing antibody (100 μg/mouse, iv) blunted liver regeneration in HSG. AR supplementation (5 μg/mouse, iv immediately after transplantation) did not attenuate liver injury (ALT release, necrosis, and apoptosis) but stimulated liver regeneration, prevented hyperbilirubinemia and improved survival from 10% to 75% after transplantation of TSG. Phospho-EGFR increased in HSG but not in TSG. AR supplementation stimulated EGFR activation in TSG. The EGFR inhibitor PD153035 (30 mg/kg, ip) blunted liver regeneration in HSG and abrogated AR-stimulated liver regeneration in TSG. Phosphorylation of Akt, c-Jun-N-terminal kinase-1/2, and extracellular signal-regulated kinase-1/2, molecules that mediate EGFR down-stream signaling and expression of cyclin D1 and cyclin E, increased overtly in HSG but only slightly in TSG. AR supplementation enhanced the activation of these kinases and expression of cyclins in TSG. Conclusion: Suppression of regeneration of small-for-size liver grafts is likely due, at least in part, to decreased formation of AR and activation of EGFR signaling pathways. Supplementation of AR could be a promising therapy to stimulate regeneration of partial liver grafts (NIDDK).