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Erschienen in: Digestive Diseases and Sciences 12/2006

01.12.2006 | Original Paper

Transepithelial Leak in Barrett’s Esophagus

verfasst von: J. M. Mullin, M. C. Valenzano, S. Trembeth, P. D. Allegretti, J. J. Verrecchio, J. D. Schmidt, V. Jain, J. B. Meddings, G. Mercogliano, J. J. Thornton

Erschienen in: Digestive Diseases and Sciences | Ausgabe 12/2006

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Abstract

Using orally administered sucrose as a probe of gastrointestinal permeability, this study focused on determining whether Barrett’s metaplasia exhibits a paracellular transepithelial leak to small nonelectrolytes. Subjects in five separate classes (nonendoscoped, asymptomatic controls; endoscoped, asymptomatic controls; gastroesophageal reflux disease without mucosal complications; grossly visible esophagitis; and Barrett’s esophagus) consumed a sucrose solution at bedtime and collected all overnight urine. Urine volume was measured and sucrose concentration was determined by high-performance liquid chromatography. Patients with Barrett’s were observed to exhibit a transepithelial leak to sucrose whose mean value was threefold greater than that seen in healthy control subjects or patients with reflux but without any mucosal defect. A parallel study of claudin tight junction proteins in endoscopy biopsy samples showed that whereas Barrett’s metaplasia contains dramatically more claudin-2 and claudin-3 than is found in normal esophageal mucosa, it is markedly lower in claudins 1 and 5, indicating very different tight junction barriers.
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Metadaten
Titel
Transepithelial Leak in Barrett’s Esophagus
verfasst von
J. M. Mullin
M. C. Valenzano
S. Trembeth
P. D. Allegretti
J. J. Verrecchio
J. D. Schmidt
V. Jain
J. B. Meddings
G. Mercogliano
J. J. Thornton
Publikationsdatum
01.12.2006
Erschienen in
Digestive Diseases and Sciences / Ausgabe 12/2006
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-006-9478-5

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