Autophagy levels are elevated in barrett s esophagus and promote cell survival
from acid and oxidative stress
#MMPMID26373456
Kong J
; Whelan KA
; Laczkó D
; Dang B
; Caro Monroig A
; Soroush A
; Falcone J
; Amaravadi RK
; Rustgi AK
; Ginsberg GG
; Falk GW
; Nakagawa H
; Lynch JP
Mol Carcinog
2016[Nov]; 55
(11
): 1526-1541
PMID26373456
show ga
Autophagy is a highly conserved mechanism that is activated during cellular
stress. We hypothesized that autophagy may be induced by acid reflux, which
causes injury, and inflammation, and therefore, contributes to the pathogenesis
of Barrett's esophagus (BE) and esophageal adenocarcinoma (EAC). Currently, the
role of autophagy in BE and EAC is poorly studied. We quantitatively define
autophagy levels in human BE cell lines, a transgenic mouse model of BE, and
human BE, and EAC biopsies. Human non-dysplastic BE had the highest basal number
of autophagic vesicles (AVs), while AVs were reduced in normal squamous cells and
dysplastic BE cells, and nearly absent in EAC. To demonstrate a functional role
for autophagy in BE pathogenesis, normal squamous (STR), non-dysplastic BE (CPA),
dysplastic BE (CPD), and EAC (OE19) cell lines were exposed to an acid pulse
(pH?3.5) followed by incubation in the presence or absence of chloroquine, an
autophagy inhibitor. Acid exposure increased reactive oxygen species (ROS) levels
in STR and CPA cells. Chloroquine alone had a small impact on intracellular ROS
or cell survival. However, combination of chloroquine with the acid pulse
resulted in a significant increase in ROS levels at 6?h in STR and CPA cells, and
increased cell death in all cell lines. These findings establish increased
numbers of AVs in human BE compared to normal squamous or EAC, and suggest that
autophagy functions to improve cell survival after acid reflux injury. Autophagy
may thus play a critical role in BE pathogenesis and progression. © 2015 Wiley
Periodicals, Inc.
Please enable JavaScript to view the comments powered by Disqus. |Acids/*adverse effects
[MESH] |Adenocarcinoma/metabolism/*pathology
[MESH] |Animals
[MESH] |Autophagy/drug effects
[MESH] |Barrett Esophagus/metabolism/*pathology
[MESH] |Cell Line
[MESH] |Cell Survival
[MESH] |Chloroquine/pharmacology
[MESH] |Disease Models, Animal
[MESH] |Disease Progression
[MESH] |Esophageal Neoplasms/metabolism/*pathology
[MESH] |Humans
[MESH] |Mice
[MESH] |Oxidative Stress
[MESH] DeepDyve Pubget Overpricing