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1 Department of Surgery, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Gastrointestinal Surgery, University of Tokyo, Graduate School of Medicine, Tokyo, Japan
2 Physiological Laboratory, University of Liverpool, Liverpool, United Kingdom
3 Physiological Laboratory, University of Liverpool, Liverpool, United Kingdom; Columbia-Presbyterian Medical Center, New York City, NY, USA
4 Department of Surgery, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Cell and Developmental Biology, Vanderbilt University School of Medicine, Nashville, TN, USA; Nashville Department of Veterans Affairs Medical Center, Nashville, TN, USA
* To whom correspondence should be addressed. E-mail: jim.goldenring{at}vanderbilt.edu.
Metaplastic cell lineages are putative precursors for the development of gastric adenocarcinoma. The loss of parietal cells (oxyntic atrophy) is the initiating step in the evolution of gastric fundic mucosal lineage changes including metaplasia and hyperplasia. However, the intrinsic mucosal factors that promote and modulate the emergence of metaplastic phenotypes remain obscure. Over the past several years, we have studied pharmacologically induced, reversible oxyntic atrophy in rodents treated with DMP-777, a drug that acts as a parietal cell secretory membrane protonophore. DMP-777 elicits rapid loss of parietal cells followed by the emergence of foveolar hyperplasia and Spasmolytic Polypeptide expressing metaplasia (SPEM). The objective of the present study was to provide further insights into the intrinsic mucosal factors regulating the emergence of SPEM in the setting of oxyntic atrophy. We therefore have studied the effects of DMP-777 administration on both SP/TFF2 deficient mice, which lack SP/TFF2, a marker of SPEM, and waved-2 mice, which harbor a point mutation in the EGF receptor that attenuates its tyrosine kinase activity. As in wild-type mice, treatment with DMP-777 for 7 days did elicit SPEM in SP/TFF2 deficient mice. These results suggest that SP/TFF2 does not impact on the development of metaplasia following induction of parietal cell loss. In contrast, waved-2 homozygous mice displayed accelerated SPEM development by 3 days of treatment with DMP-777. These findings indicate that attenuation of EGF receptor signaling in waved-2 mice does elicit a more rapid emergence of SPEM. The results support a role for EGF receptor ligands in the regulation of gastric metaplasia.
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