Barrett's oesophagus: an ideal model to study cancer genetics.

Abstract:

:Chronic gastro-oesophageal reflux disease can induce a metaplastic change of the distal oesophagus called Barrett's oesophagus whereby the normal squamous epithelium is substituted by a columnar epithelium. Patients with Barrett's oesophagus are at increased risk of oesophageal adenocarcinoma which occurs through dysplastic stages with increasing degree of cellular and architectural disorganization. Barrett's oesophagus represents an ideal model to study the genetic events supporting the onset of an invasive tumour since patients with this condition are surveilled with endoscopic tissue sampling until high grade dysplasia or intramucosal carcinoma develop. However, due to the relatively low incidence of this disease compared to other cancers, i.e. colon and breast, it is only recently that researchers have concentrated on understanding the genetic events supporting the onset of Barrett's and its transformation to cancer. Here, we review the knowledge acquired so far on the genetic and molecular alterations along the oesophageal metaplasia-dysplasia-carcinoma sequence.

journal_name

Hum Genet

journal_title

Human genetics

authors

di Pietro M,Fitzgerald RC

doi

10.1007/s00439-009-0665-2

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

233-46

issue

2

eissn

0340-6717

issn

1432-1203

journal_volume

126

pub_type

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