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Publication : A pSMAD/CDX2 complex is essential for the intestinalization of epithelial metaplasia.

First Author  Mari L Year  2014
Journal  Cell Rep Volume  7
Issue  4 Pages  1197-210
PubMed ID  24794431 Mgi Jnum  J:211803
Mgi Id  MGI:5576422 Doi  10.1016/j.celrep.2014.03.074
Citation  Mari L, et al. (2014) A pSMAD/CDX2 complex is essential for the intestinalization of epithelial metaplasia. Cell Rep 7(4):1197-210
abstractText  The molecular mechanisms leading to epithelial metaplasias are poorly understood. Barrett's esophagus is a premalignant metaplastic change of the esophageal epithelium into columnar epithelium, occurring in patients suffering from gastroesophageal reflux disease. Mechanisms behind the development of the intestinal subtype, which is associated with the highest cancer risk, are unclear. In humans, it has been suggested that a nonspecialized columnar metaplasia precedes the development of intestinal metaplasia. Here, we propose that a complex made up of at least two factors needs to be activated simultaneously to drive the expression of intestinal type of genes. Using unique animal models and robust in vitro assays, we show that the nonspecialized columnar metaplasia is a precursor of intestinal metaplasia and that pSMAD/CDX2 interaction is essential for the switch toward an intestinal phenotype.
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