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Bile acid and inflammation activate gastric cardia stem cells in a mouse model of barrett-like metaplasia

机译:胆汁酸和炎症激活Barrett样化生小鼠模型中的胃card门干细胞

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摘要

Esophageal adenocarcinoma (EAC) arises from Barrett esophagus (BE), intestinal-like columnar metaplasia linked to reflux esophagitis. In a transgenic mouse model of BE, esophageal overexpression of interleukin-1β phenocopies human pathology with evolution of esophagitis, Barrett-like metaplasia and EAC. Histopathology and gene signatures closely resembled human BE, with upregulation of TFF2, Bmp4, Cdx2, Notch1, and IL-6. The development of BE and EAC was accelerated by exposure to bile acids and/or nitrosamines, and inhibited by IL-6 deficiency. Lgr5 + gastric cardia stem cells present in BE were able to lineage trace the early BE lesion. Our data suggest that BE and EAC arise from gastric progenitors due to a tumor-promoting IL-1β-IL-6 signaling cascade and Dll1-dependent Notch signaling.
机译:食道腺癌(EAC)源于Barrett食道(BE),这是与反流性食管炎相关的肠样柱状化生。在BE的转基因小鼠模型中,食管白细胞介素-1β表型的食管过度表达会复制人类病理学,并伴有食管炎,Barrett样化生和EAC的演变。组织病理学和基因特征与人类BE非常相似,TFF2,Bmp4,Cdx2,Notch1和IL-6上调。暴露于胆汁酸和/或亚硝胺可加速BE和EAC的发展,并受到IL-6缺乏的抑制。 BE中存在的Lgr5 +胃card门干细胞能够沿谱追溯早期BE病变。我们的数据表明BE和EAC来自胃祖细胞,这是由于肿瘤促进性IL-1β-IL-6信号级联和Dll1依赖性Notch信号传导。

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