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Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells.

Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells. Research Abstract Details 

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  • Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells. Abstract Text:

    OBJECTIVES: For patients with Barrett's esophagus, physicians commonly prescribe antisecretory medications in dosages above those required to heal reflux esophagitis because acid has been shown to have proproliferative and antiapoptotic effects on Barrett's cancer cells and on Barrett's mucosal explants. For a number of reasons, these model systems may not be ideal for determining the effects of acid on benign Barrett's epithelial cells, however. We studied the effects of acid on proliferation and apoptosis in a nonneoplastic, telomerase-immortalized Barrett's epithelial cell line. METHODS: Barrett's cells were treated with two 3-minute exposures to acidic media. Cell growth was determined using cell counts, proliferation was studied by flow cytometry, cell viability was determined by trypan blue staining, and apoptosis was assessed by TUNEL and Annexin V. The expression levels of p53 and p21 were determined by Western blotting. p53 siRNA was used to study the effect of p53 inhibition on total cell numbers after acid exposure. RESULTS: Acid exposure significantly decreased total cell numbers at 24 h without affecting either cell viability or apoptosis. Acid exposure resulted in cell cycle prolongation that was associated with greater expression of p53, but not p21. The acid-induced decrease in total cell numbers was abolished by p53 RNAi. CONCLUSIONS: Acid exposure has p53-mediated, antiproliferative effects in nonneoplastic Barrett's epithelial cells. These findings contradict the results of prior in vitro and ex vivo studies. We speculate that the prescription of antisecretory medications in dosages beyond those required to heal gastroesophageal reflux disease (GERD) symptoms and endoscopic signs could be detrimental. Controlled, prospective clinical trials are needed to determine the optimal level of acid suppression for patients with Barrett's esophagus.

    Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells. Publishing Authors By Initials

    For similar environment and public health: environment: meteorological factors: atmosphere: weather: sunlight: ultraviolet rays research abstracts see: environment and public health: environment: meteorological factors: atmosphere: weather: sunlight: ultraviolet rays research

    PUBMED ID PMID:

    MEDLINE DATE:

    Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells. Journal Published:

    PUBLICATION TYPE: Research Support, U.S. Gov't,

    Journal: The American journal of gastroenterology

    VOLUME: 102

    Page Numbers: 10-20

    Journal Abbreviation: Am. J. Gastroenterol.

    ISSN: 0002-9270

    DAY: 3

    MONTH: Jan

    YEAR: 2007

    Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 421030

    Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells. Keywords Mesh Terms:

    KEYWORDS: Ultraviolet Rays

    MESH TERMS: metabolism

    Chemical & Substance for Abstract: Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells. Information

    Substance Name: Hydrochloric Acid

    Registry Number: 7647-01-0

    Grant and Affiliation Information for Acid has antiproliferative effects in nonneoplastic Barrett's epithelial cells.

    AFFILIATION: Department of Medicine, Dallas VA Medical Center, University of Texas-Southwestern Medical School, Dallas, Texas 75216, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NHLBI

    GRANT: HL67256

    ACRONYM: HL

    MEDLINETA: Am J Gastroenterol

    REFSOURCE: Am J Gastroenterol. 2007 Jan;102(1):21-3

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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