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Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
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Transcriptomic Analysis Links Eosinophilic Esophagitis and Atopic Dermatitis.

Rémi Doucet-Ladevèze1, Sébastien Holvoet2, Frédéric Raymond1

  • 1Nestlé Institute of Health Sciences, Nestlé Research, Lausanne, Switzerland.

Frontiers in Pediatrics
|December 12, 2019
PubMed
Summary

Eosinophilic esophagitis (EoE) shares molecular pathways with atopic dermatitis (AD) and allergic airway (AA) diseases, particularly IL-13 driven ones. This suggests shared therapeutic strategies for these atopic conditions.

Keywords:
asthmaatopic dermatitiseosinophilic esophagitisepithelial cellsinterleukin 13

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Area of Science:

  • Immunology
  • Genomics
  • Dermatology
  • Gastroenterology
  • Pulmonology

Background:

  • Eosinophilic esophagitis (EoE) frequently co-occurs with atopic dermatitis (AD) and allergic airway (AA) diseases.
  • Shared pathological features exist across these conditions, but unifying molecular pathways remain underexplored.

Purpose of the Study:

  • To compare mRNA expression profiles between EoE, AA, and AD.
  • To investigate the role of interleukin-13 (IL-13) in modulating gene expression across these diseases.

Main Methods:

  • Whole-genome mRNA expression analysis of tissue samples from EoE, AD, and AA patients.
  • Analysis of IL-13-stimulated primary human epithelial cells from esophagus, skin, and airways.
  • Comparative transcriptomic analysis to identify overlapping gene expression patterns.

Main Results:

  • EoE showed significantly higher gene expression overlap with AD (10%) than with AA (7%).
  • Eighteen genes, including filaggrin and histamine receptor H1, were commonly dysregulated across all three diseases.
  • IL-13 pathway involvement was greater in EoE (22% overlap) compared to AD (9%) and AA (5%).

Conclusions:

  • EoE, AD, and AA share common molecular underpinnings, suggesting a unified etiology.
  • A closer molecular relationship exists between EoE and AD, especially concerning IL-13 pathways.
  • Findings support the development of shared therapeutic strategies for these interconnected atopic diseases.