Evidence map›Paper›PMID 30186929›Full record

ArticleCellular and molecular gastroenterology and hepatology2018

Columnar-Lined Esophagus Develops via Wound Repair in a Surgical Model of Reflux Esophagitis.

Agoston T Agoston, Thai H Pham, Robert D Odze, David H Wang, Kiron M Das, Stuart J Spechler, Rhonda F Souza

Open access · goldAbstract read
In one paragraph

Article in Cellular and molecular gastroenterology and hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Trial
  3. How to Define the Gastroesophageal Junction.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Review
  4. Esophageal cancer: from pathogenesis to precision therapies.Signal transduction and targeted therapy · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Mechanisms and pathophysiology of Barrett oesophagus.Nature reviews. Gastroenterology & hepatology · 2022
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Barretts's carcinogenesis.Pathology international · 2019
    Article
  17. Article
  18. Mind the Gap: Crossing Boundaries to Establish Reparative Metaplasia.Cellular and molecular gastroenterology and hepatology · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Agoston T AgostonDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Thai H PhamDepartment of Surgery, VA North Texas Health Care System, University of Texas Southwestern Medical Center, Dallas, Texas.
Robert D OdzeDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
David H WangDepartment of Medicine, VA North Texas Health Care System, University of Texas Southwestern Medical Center, Dallas, Texas.
Kiron M DasDivision of Gastroenterology, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Stuart J SpechlerDepartment of Medicine, Center for Esophageal Diseases, Baylor University Medical Center, Center for Esophageal Research, Baylor Scott and White Research Institute, Dallas, Texas.
Rhonda F SouzaDepartment of Medicine, Center for Esophageal Diseases, Baylor University Medical Center, Center for Esophageal Research, Baylor Scott and White Research Institute, Dallas, Texas.
Baylor University Medical Center · USVA North Texas Health Care System · USBrigham and Women's Hospital · USHarvard University · USRutgers, The State University of New Jersey · US

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI JENNIFER W MACK · 1985 to 2026
$330.6M
Role of Acid in the Development of Barrett's EsophagusR01DK063621 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI SOUZA, RHONDA F, SPECHLER, STUART JON · 2002 to 2015
$3.4M
Reflux-Induced Epithelial-Mesenchymal Transition in Benign Barrett's EsophagusR01DK103598 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI SOUZA, RHONDA F, SPECHLER, STUART JON · 2015 to 2019
$1.7M
Hedgehog signaling in the development of Barrett's esophagusR01DK097340 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI WANG, DAVID H · 2013 to 2017
$1.4M
Endoscopic, Histologic, and Molecular Characterization of Esophageal Wound Healing after Radiofrequency Ablation of Barrett's EsophagusR21DK111369 · NIDDK · BAYLOR RESEARCH INSTITUTE · PI SOUZA, RHONDA F, SPECHLER, STUART JON · 2017 to 2018
$448k
NCI NIH HHS P30 CA006516NIDDK NIH HHS R01 DK063621NIDDK NIH HHS R01 DK097340NIDDK NIH HHS R01 DK103598NIDDK NIH HHS R21 DK111369
6 · The paper itself

Abstract

Background & Aims: After esophagojejunostomy, rodents develop reflux esophagitis and a columnar-lined esophagus with features of Barrett's metaplasia. This rodent columnar-lined esophagus has been proposed to develop from cellular reprogramming of progenitor cells, but studies on early columnar-lined esophagus development are lacking. We performed a systematic, histologic, and immunophenotypic analysis of columnar-lined esophagus development in rats after esophagojejunostomy. Methods: At various times after esophagojejunostomy in 52 rats, the esophagus was removed and tissue sections were evaluated for type, location, and length of columnar lining. Molecular characteristics were evaluated by immunohistochemistry and immunofluorescence. Results: At week 2, ulceration was seen in esophageal squamous epithelium, starting distally at the esophagojejunostomy anastomosis. Re-epithelialization of the distal ulcer segment occurred via proliferation and expansion of immature-appearing glands budding directly off jejunal crypts, characteristic of wound healing. The columnar-lined esophagus's immunoprofile was similar to jejunal crypt epithelium, and columnar-lined esophagus length increased significantly from 0.15 mm (±0.1 SEM) at 2 weeks to 5.22 mm (±0.37) at 32 weeks. Neoglands were found within esophageal ulcer beds, and spindle-shaped cells expressing epithelial-mesenchymal transition markers were found at the columnar-lined esophagus's leading edge. Only proliferative squamous epithelium was found at the proximal ulcer border. Conclusions: After esophagojejunostomy in rats, metaplastic columnar-lined esophagus develops via a wound healing process that does not appear to involve cellular reprogramming of progenitor cells. This process involves EMT-associated migration of jejunal cells into the esophagus, where they likely have a competitive advantage over squamous cells in the setting of ongoing gastroesophageal reflux disease.

Indexed as

Models, AnatomicWound HealingAnastomosis, SurgicalAnimalsBiomarkersCell DifferentiationCell ProliferationDoublecortin ProteinEpithelial CellsEpithelial-Mesenchymal TransitionEpitheliumEsophagitis, PepticEsophagusHomeodomain ProteinsKi-67 AntigenRats, Sprague-DawleyBiomarkersDcx protein, ratDoublecortin ProteinHomeodomain ProteinsKi-67 Antigenpancreatic and duodenal homeobox 1 proteinSOX9 Transcription FactorTrans-ActivatorsBarrett’s EsophagusDcamkl1, doublecortin and CaM kinase-like-1EMT, epithelial-mesenchymal transitionEpithelial-Mesenchymal TransitionGastroesophageal RefluxGERD, gastroesophageal reflux diseaseMsi-1, Musashi-1Muc, mucinPdx1, pancreatic and duodenal homeobox 1Sox, sex determining region Y-box

Identifiers

PMID30186929
PMCPMC6122432
OpenAlexW2811446995

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.