Cytokeratin and CDX-2 expression in Barrett's esophagus

Objective. Barrett's esophagus (BE) is a premalignant condition of the distal esophagus. For diagnostic purposes it is important to find biomarkers that can specifically identify BE, for instance to differentiate BE epithelial cells from gastric cardia epithelial cells in brush cytology specime...

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Veröffentlicht in:Scandinavian journal of gastroenterology 2008, Vol.43 (2), p.132-140
Hauptverfasser: van Baal, Jantine W. P. M., Bozikas, Andreas, Pronk, Rick, Ten Kate, Fibo J. W., Milano, Francesca, Rygiel, Agnieszka M., Rosmolen, Wilda D., Peppelenbosch, Maikel P., Bergman, Jacques J. G. H. M., Krishnadath, Kausilia K.
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container_issue 2
container_start_page 132
container_title Scandinavian journal of gastroenterology
container_volume 43
creator van Baal, Jantine W. P. M.
Bozikas, Andreas
Pronk, Rick
Ten Kate, Fibo J. W.
Milano, Francesca
Rygiel, Agnieszka M.
Rosmolen, Wilda D.
Peppelenbosch, Maikel P.
Bergman, Jacques J. G. H. M.
Krishnadath, Kausilia K.
description Objective. Barrett's esophagus (BE) is a premalignant condition of the distal esophagus. For diagnostic purposes it is important to find biomarkers that can specifically identify BE, for instance to differentiate BE epithelial cells from gastric cardia epithelial cells in brush cytology specimens. The objective of this study was to determine the specificity of CDX-2 and a set of cytokeratins (CKs) as specific markers for BE as compared with normal squamous esophageal and gastric cardia tissue. Material andmethods. Immunohistochemistry (IHC) with specific antibodies against CDX-2, and a set of CKs was performed on fresh frozen consecutive tissue sections of normal squamous, gastric cardia and non-dysplastic BE of 80 patients. Results. IHC results showed CK8, CK18 and CK20 expression in both BE and gastric cardia, while CK7 was seen in all BE but also in 26% of gastric cardia biopsies. CK10/13 was only expressed in normal squamous epithelium. CDX-2 nuclear staining was found in 87.5% of the BE biopsies, whereas normal squamous esophagus and cardia biopsies were negative. Conclusions. CDX-2 in combination with a set of CKs can be used as biomarkers to distinguish between BE and normal squamous esophagus. In order to distinguish BE from cardia tissue, a combination of CDX-2 and CK7 is most informative.
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P. M. ; Bozikas, Andreas ; Pronk, Rick ; Ten Kate, Fibo J. W. ; Milano, Francesca ; Rygiel, Agnieszka M. ; Rosmolen, Wilda D. ; Peppelenbosch, Maikel P. ; Bergman, Jacques J. G. H. M. ; Krishnadath, Kausilia K.</creator><creatorcontrib>van Baal, Jantine W. P. M. ; Bozikas, Andreas ; Pronk, Rick ; Ten Kate, Fibo J. W. ; Milano, Francesca ; Rygiel, Agnieszka M. ; Rosmolen, Wilda D. ; Peppelenbosch, Maikel P. ; Bergman, Jacques J. G. H. M. ; Krishnadath, Kausilia K.</creatorcontrib><description>Objective. Barrett's esophagus (BE) is a premalignant condition of the distal esophagus. For diagnostic purposes it is important to find biomarkers that can specifically identify BE, for instance to differentiate BE epithelial cells from gastric cardia epithelial cells in brush cytology specimens. The objective of this study was to determine the specificity of CDX-2 and a set of cytokeratins (CKs) as specific markers for BE as compared with normal squamous esophageal and gastric cardia tissue. Material andmethods. Immunohistochemistry (IHC) with specific antibodies against CDX-2, and a set of CKs was performed on fresh frozen consecutive tissue sections of normal squamous, gastric cardia and non-dysplastic BE of 80 patients. Results. IHC results showed CK8, CK18 and CK20 expression in both BE and gastric cardia, while CK7 was seen in all BE but also in 26% of gastric cardia biopsies. CK10/13 was only expressed in normal squamous epithelium. CDX-2 nuclear staining was found in 87.5% of the BE biopsies, whereas normal squamous esophagus and cardia biopsies were negative. Conclusions. CDX-2 in combination with a set of CKs can be used as biomarkers to distinguish between BE and normal squamous esophagus. 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M.</au><au>Krishnadath, Kausilia K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytokeratin and CDX-2 expression in Barrett's esophagus</atitle><jtitle>Scandinavian journal of gastroenterology</jtitle><addtitle>Scand J Gastroenterol</addtitle><date>2008</date><risdate>2008</risdate><volume>43</volume><issue>2</issue><spage>132</spage><epage>140</epage><pages>132-140</pages><issn>0036-5521</issn><eissn>1502-7708</eissn><coden>SJGRA4</coden><abstract>Objective. Barrett's esophagus (BE) is a premalignant condition of the distal esophagus. For diagnostic purposes it is important to find biomarkers that can specifically identify BE, for instance to differentiate BE epithelial cells from gastric cardia epithelial cells in brush cytology specimens. The objective of this study was to determine the specificity of CDX-2 and a set of cytokeratins (CKs) as specific markers for BE as compared with normal squamous esophageal and gastric cardia tissue. Material andmethods. Immunohistochemistry (IHC) with specific antibodies against CDX-2, and a set of CKs was performed on fresh frozen consecutive tissue sections of normal squamous, gastric cardia and non-dysplastic BE of 80 patients. Results. IHC results showed CK8, CK18 and CK20 expression in both BE and gastric cardia, while CK7 was seen in all BE but also in 26% of gastric cardia biopsies. CK10/13 was only expressed in normal squamous epithelium. CDX-2 nuclear staining was found in 87.5% of the BE biopsies, whereas normal squamous esophagus and cardia biopsies were negative. Conclusions. CDX-2 in combination with a set of CKs can be used as biomarkers to distinguish between BE and normal squamous esophagus. 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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Adult
Aged
Aged, 80 and over
Barrett Esophagus - metabolism
Barrett Esophagus - pathology
Barrett's esophagus
Biological and medical sciences
Biomarkers - metabolism
Biopsy
Cardia - metabolism
Cardia - pathology
CDX-2
CDX2 Transcription Factor
cytokeratin
Esophagus
Esophagus - metabolism
Esophagus - pathology
Gastroenterology. Liver. Pancreas. Abdomen
Homeodomain Proteins - metabolism
Humans
Keratin-13 - metabolism
Keratin-18 - metabolism
Keratin-20 - metabolism
Keratin-8 - metabolism
Keratins - metabolism
Medical sciences
Middle Aged
Other diseases. Semiology
Precancerous Conditions - metabolism
Precancerous Conditions - pathology
title Cytokeratin and CDX-2 expression in Barrett's esophagus
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