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Sox9 驱动食管鳞状上皮的柱状分化:在巴雷特食管发病机制中的可能作用。

Sox9 drives columnar differentiation of esophageal squamous epithelium: a possible role in the pathogenesis of Barrett's esophagus.

机构信息

Surgical Oncology Research Laboratory, Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia.

出版信息

Am J Physiol Gastrointest Liver Physiol. 2012 Dec 15;303(12):G1335-46. doi: 10.1152/ajpgi.00291.2012. Epub 2012 Oct 11.

Abstract

The molecular mechanism underlying the development of Barrett's esophagus (BE), the precursor to esophageal adenocarcinoma, remains unknown. Our previous work implicated sonic hedgehog (Shh) signaling as a possible driver of BE and suggested that bone morphogenetic protein 4 (Bmp4) and Sox9 were downstream mediators. We have utilized a novel in vivo tissue reconstitution model to investigate the relative roles of Bmp4 and Sox9 in driving metaplasia. Epithelia reconstituted from squamous epithelial cells or empty vector-transduced cells had a stratified squamous phenotype, reminiscent of normal esophagus. Expression of Bmp4 in the stromal compartment activated signaling in the epithelium but did not alter the squamous phenotype. In contrast, expression of Sox9 in squamous epithelial cells induced formation of columnar-like epithelium with expression of the columnar differentiation marker cytokeratin 8 and the intestinal-specific glycoprotein A33. In patient tissue, A33 protein was expressed specifically in BE, but not in normal esophagus. Expression of Cdx2, another putative driver of BE, alone had no effect on reconstitution of a squamous epithelium. Furthermore, epithelium coexpressing Cdx2 and Sox9 had a phenotype similar to epithelium expressing Sox9 alone. Our results demonstrate that Sox9 is sufficient to drive columnar differentiation of squamous epithelium and expression of an intestinal differentiation marker, reminiscent of BE. These data suggest that Shh-mediated expression of Sox9 may be an important early event in the development of BE and that the potential for inhibitors of the hedgehog pathway to be used in the treatment of BE and/or esophageal adenocarcinoma could be tested in the near future.

摘要

巴雷特食管(BE)是食管腺癌的前身,其发生的分子机制尚不清楚。我们之前的工作表明,声波刺猬(Shh)信号可能是 BE 的驱动因素,并表明骨形态发生蛋白 4(Bmp4)和 Sox9 是下游介质。我们利用一种新的体内组织重建模型来研究 Bmp4 和 Sox9 在驱动化生中的相对作用。从鳞状上皮细胞或空载体转导细胞重建的上皮具有分层鳞状表型,类似于正常食管。基质细胞中 Bmp4 的表达激活了上皮细胞中的信号,但没有改变鳞状表型。相比之下,Sox9 在鳞状上皮细胞中的表达诱导了柱状样上皮的形成,并且表达了柱状分化标志物细胞角蛋白 8 和肠道特异性糖蛋白 A33。在患者组织中,A33 蛋白特异性表达于 BE,而不表达于正常食管。单独表达另一个 BE 潜在驱动因子 Cdx2 对重建鳞状上皮没有影响。此外,共表达 Cdx2 和 Sox9 的上皮与单独表达 Sox9 的上皮具有相似的表型。我们的结果表明,Sox9 足以驱动鳞状上皮的柱状分化并表达肠分化标志物,类似于 BE。这些数据表明,Shh 介导的 Sox9 表达可能是 BE 发生的一个重要早期事件,并且 Hedgehog 途径抑制剂在 BE 和/或食管腺癌治疗中的应用潜力可能在不久的将来得到测试。

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