Cancer Institute A national cancer institute
designated cancer center

George Triadafilopoulos

Publication Details

  • E-CADHERIN EXPRESSION IN GASTROESOPHAGEAL REFLUX DISEASE, BARRETTS-ESOPHAGUS, AND ESOPHAGEAL ADENOCARCINOMA - AN IMMUNOHISTOCHEMICAL AND IMMUNOBLOT STUDY AMERICAN JOURNAL OF GASTROENTEROLOGY Swami, S., KUMBLE, S., Triadafilopoulos, G. 1995; 90 (10): 1808-1813

    Abstract:

    Cadherins are cell adhesion molecules that are thought to play a vital role in cell-cell adhesion; loss or down-regulation of their expression has been implicated in neoplasia. Barrett's esophageal columnar metaplasia (BE) is a premalignant lesion for esophageal adenocarcinoma with clinical symptoms similar to those of gastroesophageal reflux disease and esophagitis. In this study, we investigated the potential relationship between E-cadherin expression and inflammation, metaplasia, and carcinogenesis in esophagitis, BE, and esophageal adenocarcinoma.Endoscopically obtained mucosal biopsy specimens of esophagitis (n = 6), BE with or without dysplasia (n = 16), and esophageal adenocarcinoma (n = 6) were analyzed for the expression of E-cadherin by both Western analysis and immunoperoxidase staining.Densitometric analysis of Western blots revealed the expression of E-cadherin to be significantly lower in patients with BE compared with normal esophageal epithelium, regardless of the presence or absence of dysplasia (p < 0.03). No significant differences were noticed between the normal esophagus and the esophagitis groups. In the adenocarcinoma group, one patient showed complete loss of E-cadherin expression, and the other five patients showed significantly reduced expression that was even lower than that in BE (p < 0.01). Immunoperoxidase staining matched the Western analysis results.We conclude that loss of or reduced E-cadherin expression may play a role in the progression of BE to adenocarcinoma.

    View details for Web of Science ID A1995RY25900016

    View details for PubMedID 7572899

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