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2006Blanchard Carine; Wang Ning; Stringer Keith F; Mishra Anil; Fulkerson Patricia C; Abonia J Pablo; Jameson Sean C; Kirby Cassie; Konikoff Michael R; Collins Margaret H; Cohen Mitchell B; Akers Rachel; Hogan Simon P; Assa'ad Amal H; Putnam Philip E; Aronow Bruce J; Rothenberg Marc E
Eotaxin-3 and a uniquely conserved gene-expression profile in eosinophilic esophagitis.
The Journal of clinical investigation 2006;116(2):536-47.
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.

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