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Barrett's esophagus (BE) involves a metaplastic replacement of native esophageal squamous epithelium (Sq) by columnar-intestinalized mucosa, and it is the main risk factor for Barrett-related adenocarcinoma (BAc). Ultra-conserved regions (UCRs) are a class non-coding sequences that are conserved in humans, mice and rats. More than 90% of UCRs are transcribed (T-UCRs) in normal tissues, and are altered at transcriptional level in tumorigenesis. To identify the T-UCR profiles that are dysregulated in Barrett's mucosa transformation, microarray analysis was performed on a discovery set of 51 macro-dissected samples obtained from 14 long-segment BE patients. Results were validated in an independent series of esophageal biopsy/surgery specimens and in two murine models of Barrett's esophagus (i.e. esophagogastric-duodenal anastomosis). Progression from normal to BE to adenocarcinoma was each associated with specific and mutually exclusive T-UCR signatures that included up-regulation of uc.58-, uc.202-, uc.207-, and uc.223- and down-regulation of uc.214+. A 9 T-UCR signature characterized BE versus Sq (with the down-regulation of uc.161-, uc.165-, and uc.327-, and the up-regulation of uc.153-, uc.158-, uc.206-, uc.274-, uc.472-, and uc.473-). Analogous BE-specific T-UCR profiles were shared by human and murine lesions. This study is the first demonstration of a role for T-UCRs in the transformation of Barrett's mucosa.

Original publication

DOI

10.18632/oncotarget.2249

Type

Journal

Oncotarget

Publication Date

08/2014

Volume

5

Pages

7162 - 7171

Addresses

Department of Medicine (DIMED), Surgical Pathology & Cytopathology Unit, University of Padua, Padua, Italy. Department of Surgical Oncology and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy. Comprehensive Cancer Center, Ohio State University, Columbus, OH.

Keywords

Animals, Humans, Mice, Rats, Rats, Wistar, Cell Transformation, Neoplastic, Barrett Esophagus, Disease Models, Animal, Disease Progression, RNA, Untranslated, Transcription, Genetic, Aged, Middle Aged, Female, Male, Carcinogenesis