Evidence map›Paper›PMID 17185354›Full record

ArticleGut2007

Retinoic acid-induced glandular differentiation of the oesophagus.

Chih-Long Chang, Pierre Lao-Sirieix, Vicki Save, Guillermo De La Cueva Mendez, Ron Laskey, Rebecca C Fitzgerald

Open access · greenAbstract read
In one paragraph

Article in Gut, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Treatment for Barrett's oesophagus.The Cochrane database of systematic reviews · 2010
    Pooled it
  2. Epithelial architecture and signaling activity in the adult human esophagus.Frontiers in cell and developmental biology · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Oesophageal Stem Cells and Cancer.Advances in experimental medicine and biology · 2017
    Article
  9. Review
  10. Article
  11. Barrett oesophagus: lessons on its origins from the lesion itself.Nature reviews. Gastroenterology & hepatology · 2015
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review: Experimental models for Barrett's esophagus and esophageal adenocarcinoma.American journal of physiology. Gastrointestinal and liver physiology · 2012
    Review
  18. Article
  19. Article
  20. Molecular mechanisms of Barrett's esophagus.Digestive diseases and sciences · 2011
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Chih-Long ChangMRC Cancer Cell Unit, Hutchison/MRC Research Centre, Hills Road, Cambridge, UK.
Pierre Lao-Sirieix
Vicki Save
Guillermo De La Cueva Mendez
Ron Laskey
Rebecca C Fitzgerald
Hutchison/MRC Research Centre · GBAddenbrooke's Hospital · GB

Funding

Medical Research Council MC_U105359878Medical Research Council MC_U105365007Medical Research Council MC_U105365008
6 · The paper itself

Abstract

backgroundRetinoic acid (RA) is a powerful differentiation agent. Barrett's oesophagus occurs when duodeno-gastro-oesophageal reflux causes squamous epithelium (SE) tissue to become columnar epithelium tissue by an unknown mechanism. The bile acid lithocholic acid (LCA) competes for the retinoid X receptor retinoid binding site. Hence, RA pathways may be implicated in Barrett's oesophagus.

methodsRA activity in tissues and cell lines treated with all-trans retinoic acid (ATRA) with or without LCA was assessed using a reporter. Expression of p21 was determined by real-time PCR in Barrett's oesophagus cell lines with or without LCA. SE and Barrett's oesophagus biopsy specimens were exposed to 100 muM of ATRA or 20 mM of a RA inhibitor, citral, in organ culture for >72 h. Characteristics of treated specimens, compared with untreated controls, were analysed by immunohistochemical analysis (cytokeratins (CKs), vimentin) and RT-PCR (CKs). Confocal microscopy assessed temporal changes in co-localisation of CK8/18 and vimentin. Cell proliferation was assessed by bromo-deoxyuridine incorporation and immunohistochemical analysis for Ki67 and p21.

resultsRA biosynthesis was increased in Barrett's oesophagus compared with SE (p<0.001). LCA and ATRA caused a synergistic increase in RA signalling as shown by increased p21 (p<0.01). Morphological and molecular analysis of SE exposed to ATRA showed columnar differentiation independent of proliferation. Metaplasia could be induced from the stromal compartment alone and vimentin expression co-localised with CK8/18 at 24 h, which separated into CK8/18-positive glands and vimentin-positive stroma by 48 h. Citral-treated Barrett's oesophagus led to phenotypic and immunohistochemical characteristics of SE, which was independent of proliferation.

conclusionRA activity is increased in Barrett's oesophagus and is induced by LCA. Under conditions of altered RA activity and an intact stroma, the oesophageal phenotype can be altered independent of proliferation.

Indexed as

Acyclic MonoterpenesBarrett EsophagusCell DifferentiationCell ProliferationEsophagusHumansLithocholic AcidMonoterpenesOrgan Culture TechniquesPhenotypePolymerase Chain ReactionProspective StudiesTretinoinAcyclic MonoterpenescitralLithocholic AcidMonoterpenesTretinoin

Identifiers

PMID17185354
PMCPMC1994378
OpenAlexW2155833489

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.