Clinical Implications and Pathogenesis of Esophageal Remodeling in Eosinophilic Esophagitis

作者: Ikuo Hirano , Seema S. Aceves

DOI: 10.1016/J.GTC.2014.02.015

关键词:

摘要: In eosinophilic esophagitis (EoE), remodeling changes are manifest histologically in the epithelium and subepithelium where lamina propria fibrosis, expansion of muscularis propria, increased vascularity occur. The clinical symptoms complications EoE largely consequences esophageal remodeling. Available therapies have demonstrated variable ability to reverse existing esophagus. Systemic potential addressing subepithelial Esophageal dilation remains a useful, adjunctive therapeutic maneuver symptomatic adults with stricture. As novel treatments emerge, it is essential that end points account for fundamental contributions overall disease activity.

参考文章(74)
R.T. Landres, G.G.R. Kuster, W.B. Strum, EOSINOPHILIC ESOPHAGITIS IN A PATIENT WITH VIGOROUS ACHALASIA Gastroenterology. ,vol. 74, pp. 1298- 1301 ,(1978) , 10.1016/0016-5085(78)90710-2
S. Roman, I. Hirano, M. A. Kwiatek, N. Gonsalves, J. Chen, P. J. Kahrilas, J. E. Pandolfino, Manometric features of eosinophilic esophagitis in esophageal pressure topography Neurogastroenterology and Motility. ,vol. 23, pp. 208- ,(2011) , 10.1111/J.1365-2982.2010.01633.X
S. S. Aceves, R. O. Newbury, D. Chen, J. Mueller, R. Dohil, H. Hoffman, J. F. Bastian, D. H. Broide, Resolution of remodeling in eosinophilic esophagitis correlates with epithelial response to topical corticosteroids. Allergy. ,vol. 65, pp. 109- 116 ,(2010) , 10.1111/J.1398-9995.2009.02142.X
John W. Dobbins, Daniel G. Sheahan, Jose Behar, Eosinophilic Gastroenteritis With Esophageal Involvement Gastroenterology. ,vol. 72, pp. 1312- 1316 ,(1977) , 10.1016/S0016-5085(77)80034-6
Carine Blanchard, Emily M. Stucke, Karen Burwinkel, Julie M. Caldwell, Margaret H. Collins, Annette Ahrens, Bridget K. Buckmeier, Sean C. Jameson, Allison Greenberg, Ajay Kaul, James P. Franciosi, Jonathan P. Kushner, Lisa J. Martin, Philip E. Putnam, J. Pablo Abonia, Suzanne I. Wells, Marc E. Rothenberg, Coordinate Interaction between IL-13 and Epithelial Differentiation Cluster Genes in Eosinophilic Esophagitis Journal of Immunology. ,vol. 184, pp. 4033- 4041 ,(2010) , 10.4049/JIMMUNOL.0903069
Takumi Kiwamoto, Norihito Kawasaki, James C. Paulson, Bruce S. Bochner, Siglec-8 as a drugable target to treat eosinophil and mast cell-associated conditions. Pharmacology & Therapeutics. ,vol. 135, pp. 327- 336 ,(2012) , 10.1016/J.PHARMTHERA.2012.06.005
Michael R. Konikoff, Richard J. Noel, Carine Blanchard, Cassie Kirby, Sean C. Jameson, Bridget K. Buckmeier, Rachel Akers, Mitchell B. Cohen, Margaret H. Collins, Amal H. Assa’ad, Seema S. Aceves, Philip E. Putnam, Marc E. Rothenberg, A Randomized, Double-Blind, Placebo-Controlled Trial of Fluticasone Propionate for Pediatric Eosinophilic Esophagitis Gastroenterology. ,vol. 131, pp. 1381- 1391 ,(2006) , 10.1053/J.GASTRO.2006.08.033
Seema S. Aceves, Diana Chen, Robert O. Newbury, Ranjan Dohil, John F. Bastian, David H. Broide, Mast cells infiltrate the esophageal smooth muscle in patients with eosinophilic esophagitis, express TGF-β1, and increase esophageal smooth muscle contraction Journal of Allergy and Clinical Immunology. ,vol. 126, pp. 1198- 1204.e4 ,(2010) , 10.1016/J.JACI.2010.08.050
C Blanchard, M K Mingler, M McBride, P E Putnam, M H Collins, G Chang, K Stringer, J P Abonia, J D Molkentin, M E Rothenberg, Periostin facilitates eosinophil tissue infiltration in allergic lung and esophageal responses Mucosal Immunology. ,vol. 1, pp. 289- 296 ,(2008) , 10.1038/MI.2008.15
Julie M. Caldwell, Carine Blanchard, Margaret H. Collins, Philip E. Putnam, Ajay Kaul, Seema S. Aceves, Catherine A. Bouska, Marc E. Rothenberg, Glucocorticoid-regulated genes in eosinophilic esophagitis: A role for FKBP51 The Journal of Allergy and Clinical Immunology. ,vol. 125, pp. 879- 888 ,(2010) , 10.1016/J.JACI.2010.01.038