CDX1 is an important molecular mediator of Barrett's metaplasia.

The molecular pathogenesis of Barrett's metaplasia (BM) of the esophagus is poorly understood. The change to an intestinal phenotype occurs on a background of esophagitis due to refluxing acid and bile. CDX1, an important regulator of normal intestinal development, was studied as a potential ke...

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Main Authors: Wong, N, Wilding, J, Bartlett, S, Liu, Y, Warren, B, Piris, J, Maynard, N, Marshall, R, Bodmer, W
Format: Journal article
Language:English
Published: 2005
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author Wong, N
Wilding, J
Bartlett, S
Liu, Y
Warren, B
Piris, J
Maynard, N
Marshall, R
Bodmer, W
author_facet Wong, N
Wilding, J
Bartlett, S
Liu, Y
Warren, B
Piris, J
Maynard, N
Marshall, R
Bodmer, W
author_sort Wong, N
collection OXFORD
description The molecular pathogenesis of Barrett's metaplasia (BM) of the esophagus is poorly understood. The change to an intestinal phenotype occurs on a background of esophagitis due to refluxing acid and bile. CDX1, an important regulator of normal intestinal development, was studied as a potential key molecule in the pathogenesis of BM. CDX1 mRNA and protein were universally expressed in all samples of BM tested but not in normal esophageal squamous or gastric body epithelia. This tissue-specific expression was attributable to the methylation status of the CDX1 promoter. Conjugated bile salts and the inflammatory cytokines TNF-alpha and IL-1beta were all found to increase CDX1 mRNA expression in vitro. These effects were primarily mediated by NF-kappaB signaling but only occurred when the CDX1 promoter was unmethylated or partially methylated. The data suggest that CDX1 is a key molecule linking etiological agents of BM to the development of an intestinal phenotype. Although the initial trigger for CDX1 promoter demethylation is not yet identified, it seems likely that demethylation of its promoter may be the key to the induction and maintenance of CDX1 expression and so of the BM phenotype.
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spelling oxford-uuid:db21b46e-a66c-4b48-b7f5-8e15ae4a9c062022-03-27T09:08:12ZCDX1 is an important molecular mediator of Barrett's metaplasia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:db21b46e-a66c-4b48-b7f5-8e15ae4a9c06EnglishSymplectic Elements at Oxford2005Wong, NWilding, JBartlett, SLiu, YWarren, BPiris, JMaynard, NMarshall, RBodmer, WThe molecular pathogenesis of Barrett's metaplasia (BM) of the esophagus is poorly understood. The change to an intestinal phenotype occurs on a background of esophagitis due to refluxing acid and bile. CDX1, an important regulator of normal intestinal development, was studied as a potential key molecule in the pathogenesis of BM. CDX1 mRNA and protein were universally expressed in all samples of BM tested but not in normal esophageal squamous or gastric body epithelia. This tissue-specific expression was attributable to the methylation status of the CDX1 promoter. Conjugated bile salts and the inflammatory cytokines TNF-alpha and IL-1beta were all found to increase CDX1 mRNA expression in vitro. These effects were primarily mediated by NF-kappaB signaling but only occurred when the CDX1 promoter was unmethylated or partially methylated. The data suggest that CDX1 is a key molecule linking etiological agents of BM to the development of an intestinal phenotype. Although the initial trigger for CDX1 promoter demethylation is not yet identified, it seems likely that demethylation of its promoter may be the key to the induction and maintenance of CDX1 expression and so of the BM phenotype.
spellingShingle Wong, N
Wilding, J
Bartlett, S
Liu, Y
Warren, B
Piris, J
Maynard, N
Marshall, R
Bodmer, W
CDX1 is an important molecular mediator of Barrett's metaplasia.
title CDX1 is an important molecular mediator of Barrett's metaplasia.
title_full CDX1 is an important molecular mediator of Barrett's metaplasia.
title_fullStr CDX1 is an important molecular mediator of Barrett's metaplasia.
title_full_unstemmed CDX1 is an important molecular mediator of Barrett's metaplasia.
title_short CDX1 is an important molecular mediator of Barrett's metaplasia.
title_sort cdx1 is an important molecular mediator of barrett s metaplasia
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