[PDF][PDF] Bile acid and inflammation activate gastric cardia stem cells in a mouse model of Barrett-like metaplasia

M Quante, G Bhagat, JA Abrams, F Marache, P Good… - Cancer cell, 2012 - cell.com
M Quante, G Bhagat, JA Abrams, F Marache, P Good, MD Lee, Y Lee, R Friedman, S Asfaha
Cancer cell, 2012cell.com
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 …
Summary
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.
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