Epithelial cell proliferative activity of Barrett's esophagus: methodology and correlation with traditional cancer risk markers

Autor: Peters, FTM, Ganesh, S, Kuipers, EJ, De Jager-Krikken, A, Karrenbeld, A, Harms, Geert, Sluiter, WJ, Koudstaal, J, Klinkenberg-Knol, EC, Lamers, CBHW, Kleibeuker, JH
Přispěvatelé: Guided Treatment in Optimal Selected Cancer Patients (GUTS)
Jazyk: angličtina
Rok vydání: 1998
Předmět:
Zdroj: Digestive Diseases and Sciences, 43(7), 1501-1506. SPRINGER
ISSN: 0163-2116
Popis: Barrett's esophagus (BE) is a premalignant condition, due to chronic gastroesophageal reflux. Effective antireflux therapy may diminish cancer risk. To evaluate this option an intermediate marker is needed. We developed a methodology for measurement of epithelial cell proliferative activity of Barrett's mucosa as an intermediate marker and correlated the activity with traditional cancer risk markers and other parameters. Fifty-six patients (21-74 years of age) with Barrett's esophagus and established acid gastroesophageal reflux were included. Biopsies were taken from Barrett's mucosa at 3-cm intervals. Reflux was measured by 24-hr pH-metry. Proliferative activity was determined using in vitro labeling with 5-bromodeoxyuridine and immunohistochemistry and was expressed as labeling index (LI). The length of BE correlated with erect acid reflux (P = 0.002). LI in specialized columnar metaplasia was higher than in gastric metaplasia, especially in crypt epithelium (P
Databáze: OpenAIRE