Evidence map›Paper›PMID 25847432›Full record

ArticleHistopathology2015

Ductal metaplasia in oesophageal submucosal glands is associated with inflammation and oesophageal adenocarcinoma.

Katherine S Garman, Leandi Kruger, Samantha Thomas, Marzena Swiderska-Syn, Barry K Moser, Anna Mae Diehl, Shannon J McCall

Abstract read
In one paragraph

Article in Histopathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 53 citations in OpenAlex.

  1. Epithelial architecture and signaling activity in the adult human esophagus.Frontiers in cell and developmental biology · 2025
    Review
  2. Article
  3. Article
  4. Lubiprostone protects esophageal mucosa from acid injury in porcine esophagus.American journal of physiology. Gastrointestinal and liver physiology · 2020
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Origin of Barrett's Epithelium: Esophageal Submucosal Glands.Cellular and molecular gastroenterology and hepatology · 2017
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Katherine S GarmanDivision of Gastroenterology, Department of Medicine, Duke University, Durham, NC, USA.
Leandi KrugerDivision of Gastroenterology, Department of Medicine, Duke University, Durham, NC, USA.
Samantha ThomasDepartment of Medicine and Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Marzena Swiderska-SynDivision of Gastroenterology, Department of Medicine, Duke University, Durham, NC, USA.
Barry K MoserDepartment of Medicine and Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Anna Mae DiehlDivision of Gastroenterology, Department of Medicine, Duke University, Durham, NC, USA.
Shannon J McCallDuke Cancer Institute, Duke University, Durham, NC, USA.
Duke University · USDuke Medical Center · USDurham VA Medical Center · US

Funding

Hedgehog Signaling and Adult Liver RegenerationR01DK077794 · NIDDK · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2008 to 2020
$4.6M
Submucosal esophageal structures as a progenitor niche for esophageal repairK08DK098528 · NIDDK · DUKE UNIVERSITY · PI GARMAN, KATHERINE · 2013 to 2017
$594k
NIDDK NIH HHS K08 DK098528NIDDK NIH HHS R01 DK077794PHS HHS NIH NIDDK K08-DK098528
6 · The paper itself

Abstract

aimsRecent studies have suggested that oesophageal submucosal gland (ESMG) ducts harbour progenitor cells that may contribute to oesophageal metaplasia. Our objective was to determine whether histological differences exist between the ESMGs of individuals with and without oesophageal adenocarcinoma (EAC). METHODS AND

resultsWe performed histological assessment of 343 unique ESMGs from 30 control patients, 24 patients with treatment-naïve high-grade columnar dysplasia (HGD) or EAC, and 23 non-EAC oesophagectomy cases. A gastrointestinal pathologist assessed haematoxylin and eosin-stained ESMG images by using a scoring system that assigns individual ESMG acini to five histological types (mucous, serous, oncocytic, dilated, or ductal metaplastic). In our model, ductal metaplastic acini were more common in patients with HGD/EAC (12.7%) than in controls (3.5%) (P = 0.006). We also identified greater proportions of acini with dilation (21.9%, P < 0.001) and, to a lesser extent, ductal metaplasia (4.3%, P = 0.001) in non-EAC oesophagectomy cases than in controls. Ductal metaplasia tended to occur in areas of mucosal ulceration or tumour.

conclusionsWe found a clear association between ductal metaplastic ESMG acini and HGD/EAC. Non-EAC cases had dilated acini and some ductal dilation. Because ESMGs and ducts harbour putative progenitor cells, these associations could have significance for understanding the pathogenesis of EAC.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overEsophageal NeoplasmsEsophagectomyEsophagusFemaleHumansInflammationMaleMetaplasiaMiddle AgedBarrett's oesophagusductal metaplasiaoesophageal neoplasmoesophageal submucosal glandoesophagus

Identifiers

PMID25847432
PMCPMC4592376
OpenAlexW2085421023

What OpenQuestion holds

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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.