Eotaxin-3 and a uniquely conserved gene-expression profile in eosinophilic esophagitis

Academic Article

Abstract

  • Eosinophilic esophagitis (EE) is an emerging disorder with a poorly understood pathogenesis. In order to define disease mechanisms, we took an empirical approach analyzing esophageal tissue by a genome-wide microarray expression analysis. EE patients had a striking transcript signature involving 1% of the human genome that was remarkably conserved across sex, age, and allergic status and was distinct from that associated with non-EE chronic esophagitis. Notably, the gene encoding the eosinophil-specific chemoattractant eotaxin-3 (also known as CCL26) was the most highly induced gene in EE patients compared with its expression level in healthy individuals. Esophageal eotaxin-3 mRNA and protein levels strongly correlated with tissue eosinophilia and mastocytosis. Furthermore, a single-nucleotide polymorphism in the human eotaxin-3 gene was associated with disease susceptibility. Finally, mice deficient in the eotaxin receptor (also known as CCR3) were protected from experimental EE. These results implicate eotaxin-3 as a critical effector molecule for EE and provide insight into disease pathogenesis.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Blanchard C; Wang N; Stringer KF; Mishra A; Fulkerson PC; Abonia JP; Jameson SC; Kirby C; Konikoff MR; Collins MH
  • Start Page

  • 536
  • End Page

  • 547
  • Volume

  • 116
  • Issue

  • 2