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- W2316923815 abstract "<h3>Introduction</h3> The origin and development of Barrett’s oesophagus has long been discussed, with three main proposals for the origin of metaplasia: from oesophageal squamous epithelium, from upward migration of cardiac glands, or from submucosal glands. <h3>Methods</h3> In Barrett’s glands we have studied the distribution of proliferative activity using Ki67 and the migration of cells in Barrett’s glands from patients infused with iododeoxyuridine 7 and 11 days pre-oesophagectomy. We have localised gene expression of mucins using immunohistochemistry (IHC) and trefoil family factor (TFF) peptides using IHC and <i>in situ</i> hybridization (ISH) and the stem cell marker Lgr5 using ISH, combining this with analysis of the clonal architecture of Barrett’s glands using mitochondrial DNA (mtDNA) as a clonal marker. <h3>Results</h3> In Barrett’s glands proliferation is seen mainly in the middle part of the gland and diminishes towards the surface and the base of the gland. Cells migrate in a bidirectional manner. MUC5AC and TFF1 expression are found superficially, while MUC6 and TFF2 are found at the bases of the glands, similar to the distribution seen in antral gastric glands: MUC2, staining goblet cells and columnar cells, is concentrated superficially. <i>Lgr5</i> mRNA is also found in the middle part of the glands, indicating the location of the stem cell niche. Barrett’s glands are clonal, indicating derivation from a single cell, and suggesting that Barrett’s stem cells have dual differentiation capacity. Gastric intestinal metaplasia, on the other hand, shows basal <i>Lgr5</i> mRNA localisation with a distribution of proliferative activity similar to intestinal crypts. <h3>Conclusion</h3> We conclude that Barrett’s glands show the proliferative and stem cell architecture, and preserve patterns of gene expression of pyloric-type gastric glands, but are maintained by unique stem cells with both gastric and intestinal differentiation capacity: we propose that Barrett’s glands originate as gastric glands and that subsequent intestinal differentiation advances with time, strongly supporting an origin from the proximal cardiac mucosa. <h3>Disclosure of Interest</h3> None Declared" @default.
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- W2316923815 date "2013-06-01" @default.
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- W2316923815 title "OC-030 Barrett’S Epithelium Shows Evidence of Gastric and Intestinal Differentiation Programmes but Preserves the Proliferative and Stem Cell Architecture of Gastric Glands" @default.
- W2316923815 doi "https://doi.org/10.1136/gutjnl-2013-304907.030" @default.
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