Zonulin is not increased in the cardiac and esophageal mucosa of patients with gastroesophageal reflux disease.

Abstract:

:Human Zonulin, related to the Zonula occludens toxin of Vibrio cholerae, regulates intestinal permeability and is induced in inflammatory disorders of the lower GI tract. Gastroesophageal reflux disease (GERD) is associated with an impairment of epithelial barrier function. Here, we studied expression of zonulin in the gastroesophageal mucosa of 58 patients with typical reflux symptoms and 27 asymptomatic controls. During endoscopy, multiple biopsies from gastroesophageal mucosa were obtained for routine histopathology (Helicobacter pylori-status, inflammation) and gene expression analysis (immunohistochemistry, ELISA). Patients with GERD presented with typical histopathological alterations like elongation of papillae (P=0.015), basal cell hyperplasia (P<0.001) and dilatation of intercellular spaces (P=0.002). Zonulin was found to be expressed ubiquitously in gastroesophageal mucosa. Mucosal levels in controls ranged between 2.2 and 3.7 ng/microg total protein. Mean values were significantly higher in antrum (3.3+/-1.7 ng/microg) than cardia (2.7+/-1.2n g/microg) and esophagus (2.2+/-1.3 ng/microg) (P<0.001), but did not differ between GERD and controls for cardia and esophageal mucosa. Immunohistochemistry revealed that predominantly epithelial cells but not stromal cells contribute to the zonulin expression in gastroesophageal mucosa. In conclusion, despite its established role for intestinal permeability, Zonulin seems not to be involved in the regulation of epithelial barrier function in relation to GERD.

journal_name

Peptides

journal_title

Peptides

authors

Wex T,Mönkemüller K,Kuester D,Fry L,Kandulski A,Malfertheiner P

doi

10.1016/j.peptides.2009.03.017

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

1082-7

issue

6

eissn

0196-9781

issn

1873-5169

pii

S0196-9781(09)00088-6

journal_volume

30

pub_type

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