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The origin of pre-neoplastic metaplasia in the stomach: Chief cells emerge from the Mist

期刊

EXPERIMENTAL CELL RESEARCH
卷 317, 期 19, 页码 2759-2764

出版社

ELSEVIER INC
DOI: 10.1016/j.yexcr.2011.08.017

关键词

Gastric adenocarcinoma; Metaplasia; SPEM; Intestinal metaplasia; Transdifferentiation; Chief cell; Zymogenic cell

资金

  1. AGA
  2. Department of Veterans Affairs
  3. National Institutes of Health [RO1 DK071560]
  4. Vanderbilt Digestive Disease Center [P30 DK058404]
  5. American Cancer Society [DDC-115769]
  6. Washington University DDRCC [R01 DK-079798, P30 DK052574]
  7. National Institute of Diabetes and Digestive and Kidney Disease

向作者/读者索取更多资源

The digestive-enzyme secreting, gastric epithelial chief (zymogenic) cell is remarkable and under-appreciated. Here, we discuss how all available evidence suggests that mature chief cells in the adult, mammalian stomach are postmitotic, slowly turning over cells that arise via a relatively long-lived progenitor, the mucous neck cell, The differentiation of chief cells from neck cells does not involve cell division, and the neck cell has its own distinct pattern of gene expression and putative physiological function. Thus, the ontogeny of the normal chief cell lineage exemplifies transdifferentiation. Furthermore, under pathophysiogical loss of acid-secreting parietal cell, the chief cell lineage can itself trasndifferentiate into a mucous cell metaplasia designated Spasmolytic Polypeptide Expressing Metaplasia (SPEM). Especially in the presence of inflammation, this metaplastic lineage can regain proliferative capacity and, in humans may also further differentiate into intestinal metaplasia. The results indicate that gastric fundic lineages display remarkable plasticity in both physiological ontogeny and pathophysiological pre-neoplastic metaplasia. (C) 2011 Elsevier Inc. All rights reserved.

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