2014
DOI: 10.1136/gutjnl-2013-306508
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The stem cell organisation, and the proliferative and gene expression profile of Barrett's epithelium, replicates pyloric-type gastric glands

Abstract: ObjectiveBarrett's oesophagus shows appearances described as ‘intestinal metaplasia’, in structures called ‘crypts’ but do not typically display crypt architecture. Here, we investigate their relationship to gastric glands.MethodsCell proliferation and migration within Barrett's glands was assessed by Ki67 and iododeoxyuridine (IdU) labelling. Expression of mucin core proteins (MUC), trefoil family factor (TFF) peptides and LGR5 mRNA was determined by immunohistochemistry or by in situ hybridisation, and clona… Show more

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Cited by 68 publications
(75 citation statements)
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“…In contrast, in adjacent corpus glands, no Lgr5-GFP positive cells were present, and the proliferative zone was located closer to the lumen. 43 Thus, the proliferative organization of the first gland appears to mimic the structure in antral glands.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In contrast, in adjacent corpus glands, no Lgr5-GFP positive cells were present, and the proliferative zone was located closer to the lumen. 43 Thus, the proliferative organization of the first gland appears to mimic the structure in antral glands.…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, Barrett's esophagus expresses a similar pattern of gene expression as that found in antral gastric glands. 43 The position of the first gland and the existence of Lgr5-postive progenitor cells as well as numerous tuft cells all support a possible role for the first gland in generating the Barrett's epithelium. It is also notable that MUC4 and EpCAM are strongly expressed in Barrett's epithelium.…”
Section: Discussionmentioning
confidence: 99%
“…This argument is further supported by the lack of miR-215 expression in the cancer stem cell-enriched fractions of differentiated cell lines. Significantly, aberrant miR-215 expression is also coincident with CDX1 activation in Barrett's esophagus (13,39), suggesting that this axis is important in intestinal metaplasia (40).…”
Section: Discussionmentioning
confidence: 99%
“…This corresponds to a change of the epithelium characteristics towards a different type of epithelium. For instance, the esophagus epithelium shows features of intestinal epithelium and pyloric-type gastric glands in patients with Barrett's esophagus syndrome or following Helicobacter pylori infection [104,137,138]. Epithelial metaplasia is the result of homeotic transformations (i.e., the aberrant differentiation of one region into another, implying misregulation of homeotic genes) [139].…”
Section: Mesenchymal-epithelial Interactions In Stem Cell Regeneratiomentioning
confidence: 99%