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The minichromosome maintenance complex drives esophageal basal zone hyperplasia
Mark Rochman, … , Aleksandra Nita-Lazar, Marc E. Rothenberg
Mark Rochman, … , Aleksandra Nita-Lazar, Marc E. Rothenberg
Published July 25, 2023
Citation Information: JCI Insight. 2023;8(17):e172143. https://doi.org/10.1172/jci.insight.172143.
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Research Article Gastroenterology Immunology

The minichromosome maintenance complex drives esophageal basal zone hyperplasia

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Abstract

Eosinophilic esophagitis (EoE) is a chronic gastrointestinal disorder characterized by food antigen–driven eosinophilic inflammation and hyperproliferation of esophageal mucosa. By utilizing a large-scale, proteomic screen of esophageal biopsies, we aimed to uncover molecular drivers of the disease. Proteomic analysis by liquid chromatography–tandem mass spectrometry identified 402 differentially expressed proteins (DEPs) that correlated with the EoE transcriptome. Immune cell–related proteins were among the most highly upregulated DEPs in EoE compared with controls, whereas proteins linked to epithelial differentiation were primarily downregulated. Notably, in the inflamed esophageal tissue, all 6 subunits of the minichromosome maintenance (MCM) complex, a DNA helicase essential for genomic DNA replication, were significantly upregulated at the gene and protein levels. Furthermore, treating esophageal epithelial cells with a known inhibitor of the MCM complex (ciprofloxacin) blocked esophageal epithelial proliferation. In a murine model of EoE driven by overexpression of IL-13, ciprofloxacin treatment decreased basal zone thickness and reduced dilated intercellular spaces by blocking the transition of epithelial cells through the S-phase of the cell cycle. Collectively, a broad-spectrum proteomic screen has identified the involvement of the MCM complex in EoE and has highlighted MCM inhibitors as potential therapeutic agents for the disease.

Authors

Mark Rochman, Yrina Rochman, Julie M. Caldwell, Lydia E. Mack, John A. Besse, Nathan P. Manes, Sung Hwan Yoon, Tetsuo Shoda, Aleksandra Nita-Lazar, Marc E. Rothenberg

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Figure 6

Effects of ciprofloxacin treatment on a mouse model of EoE.

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Effects of ciprofloxacin treatment on a mouse model of EoE.
(A) A schema...
(A) A schematic outline of the mouse model of EoE, ciprofloxacin administration, and BrdU labeling in the CC10–IL-13 double transgenic mice. DOX, doxycycline. (B) Representative H&E images of the distal murine esophagus (top and middle images) and IHC images of the eosinophilic infiltration (bottom images) in the control (Ctrl), CC10–IL-13 double transgenic mice (TG), and CC10–IL-13 double transgenic mice treated with ciprofloxacin (TG + CIPRO). Scale bars: 100 μm (top and bottom images) and 50 μm (middle images). (C) Quantification of the epithelial thickness, intercellular spaces, and eosinophil infiltration in the esophagus as box-and-whisker plot. The box represents the 50th percentile of the data, whiskers show minimum and maximum values, and the line in the box represents the median. Each marker represents an individual measurement (see Methods). (D) Representative immunofluorescence images of the murine esophageal epithelium in the control, CC10–IL-13 double transgenic mice (TG), and CC10–IL-13 double transgenic mice treated with ciprofloxacin (TG + CIPRO). Scale bar: 50 μm. (E) Quantification of MCM2-positive cells in the esophageal epithelium as mean ± SEM. Each marker represents an individual section of the proximal and distal esophagus from 3 mice. (F) The fraction of actively proliferating BrdU-positive cells in the epithelium of the murine esophagus was determined by flow cytometry, normalized to the control mice, and is presented as mean ± SEM. Each marker represents an individual mouse. (G) Quantification of the esophageal epithelial cells in the phases of the cell cycle by flow cytometry as mean ± SEM. Each marker represents an individual mouse. *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001 by 1 way ANOVA with Holm-Šidák correction (C, E, and F) or 2-way ANOVA with FDR correction by Benjamini, Krieger, and Yekutieli (G). NS, not significant.

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