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Transitional basal cells at the squamous-columnar junction generate Barrett's oesophagus

机译:鳞状-柱状交界处的过渡基底细胞产生巴雷特食管

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摘要

In several organ systems, the transitional zone between different types of epithelium is a hotspot for pre-neoplastic metaplasia and malignancy(1-3), but the cells of origin for these metaplastic epithelia and subsequent malignancies remain unknown(1-3). In the case of Barrett's oesophagus, intestinal metaplasia occurs at the gastro-oesophageal junction, where stratified squamous epithelium transitions into simple columnar cells(4). On the basis of a number of experimental models, several alternative cell types have been proposed as the source of this metaplasia but in all cases the evidence is inconclusive: no model completely mimics Barrett's oesophagus in terms of the presence of intestinal goblet cells(5-8). Here we describe a transitional columnar epithelium with distinct basal progenitor cells (p63(+)KRT5(+)KRT7(+)) at the squamous-columnar junction of the upper gastrointestinal tract in a mouse model. We use multiple models and lineage tracing strategies to show that this squamous-columnar junction basal cell population serves as a source of progenitors for the transitional epithelium. On ectopic expression of CDX2, these transitional basal progenitors differentiate into intestinal-like epithelium (including goblet cells) and thereby reproduce Barrett's metaplasia. A similar transitional columnar epithelium is present at the transitional zones of other mouse tissues (including the anorectal junction) as well as in the gastro-oesophageal junction in the human gut. Acid reflux-induced oesophagitis and the multilayered epithelium (believed to be a precursor of Barrett's oesophagus) are both characterized by the expansion of the transitional basal progenitor cells. Our findings reveal a previously unidentified transitional zone in the epithelium of the upper gastrointestinal tract and provide evidence that the p63(+)KRT5(+)KRT7(+) basal cells in this zone are the cells of origin for multi-layered epithelium and Barrett's oesophagus.
机译:在一些器官系统中,不同类型上皮之间的过渡区是肿瘤前化生和恶性肿瘤的热点(1-3),但这些化生上皮和随后恶性肿瘤的起源细胞仍然未知(1-3)。就巴雷特食管而言,肠上皮化生发生在胃食管连接处,在这里,分层的鳞状上皮转变为简单的柱状细胞(4)。在许多实验模型的基础上,已经提出了几种替代的细胞类型作为该化生的来源,但在所有情况下证据尚无定论:就肠道杯状细胞的存在而言,没有任何模型能够完全模仿Barrett食道(5-) 8)。在这里,我们描述了在小鼠模型中上消化道的鳞状-柱状交界处具有不同基础祖细胞(p63(+)KRT5(+)KRT7(+))的过渡柱状上皮。我们使用多种模型和谱系追踪策略来表明,该鳞状-柱状交界处的基底细胞群可作为过渡上皮祖细胞的来源。在异位表达CDX2时,这些过渡性基础祖细胞分化为肠样上皮(包括杯状细胞),从而复制Barrett的化生。类似的过渡柱状上皮存在于其他小鼠组织的过渡区(包括肛门直肠交界处)以及人类肠道的胃食管交界处。酸性反流性食管炎和多层上皮(被认为是Barrett食管的前体)均以过渡性基础祖细胞的扩张为特征。我们的发现揭示了上消化道上皮中先前未鉴定的过渡区,并提供了证据表明该区中的p63(+)KRT5(+)KRT7(+)基础细胞是多层上皮和Barrett的起源细胞食管。

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  • 来源
    《Nature》 |2017年第7677期|529-533|共5页
  • 作者单位

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA|Fuzhou Gen Hosp, Inst Lab Med, Fuzhou 350025, Fujian, Peoples R China;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA|Fuzhou Gen Hosp, Inst Lab Med, Fuzhou 350025, Fujian, Peoples R China;

    Fuzhou Gen Hosp, Inst Lab Med, Fuzhou 350025, Fujian, Peoples R China;

    Chinese Acad Sci, Inst Pasteur Shanghai, CAS Key Lab Mol Virol & Immunol, Shanghai 200031, Peoples R China;

    Ascendas Genom Inc, Zhongshan 529437, Guangdong, Peoples R China;

    Univ Rochester, Sch Med & Dent, Rochester, NY 14642 USA;

    Univ Rochester, Sch Med & Dent, Rochester, NY 14642 USA;

    Baylor Coll Med, Dept Mol & Cellular Biol, Houston, TX 77030 USA|Southwest Med Univ, Inst Canc Med, Sch Basic Med Sci, Luzhou 646000, Sichuan, Peoples R China;

    Baylor Coll Med, Dept Mol & Cellular Biol, Houston, TX 77030 USA;

    Univ Med Ctr Princeton Plainsboro, Dept Pathol, Plainsboro, NJ 08536 USA|Rutgers State Univ, Dept Biol Sci, Newark, NJ 07102 USA;

    Columbia Univ, Med Ctr, Dept Radiat Oncol, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Radiat Oncol, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

    Columbia Univ, Med Ctr, Dept Pathol & Cell Biol, New York, NY 10032 USA;

    Tianjin Med Univ, Haihe Clin Coll, Tianjin Inst Resp Dis, Dept Basic Med, Tianjin 300350, Peoples R China;

    Tianjin Med Univ, Haihe Clin Coll, Tianjin Inst Resp Dis, Dept Basic Med, Tianjin 300350, Peoples R China;

    Tianjin Med Univ, Haihe Clin Coll, Tianjin Inst Resp Dis, Dept Basic Med, Tianjin 300350, Peoples R China;

    Xi An Jiao Tong Univ, Affiliated Hosp 1, Med Coll, Dept Gen Surg, Xian 710061, Shaanxi, Peoples R China;

    North Carolina Cent Univ, Biomed Biotechnol Res Inst, Durham, NC 27707 USA;

    Columbia Univ, Med Ctr, Dept Med, New York, NY 10032 USA;

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