Human ESMGs show proliferation in association with acinar ductal metaplasia (ADM). (A) A normal ESMG from a human autopsy case without overlying esophageal injury or cancer shows little proliferation at baseline as shown by proliferating cell nuclear antigen staining. (B) An abnormal ESMG from a human esophagectomy case with esophageal adenocarcinoma shows the ductular phenotype within the ESMG with a marked increase in PCNA staining for proliferation. 

Human ESMGs show proliferation in association with acinar ductal metaplasia (ADM). (A) A normal ESMG from a human autopsy case without overlying esophageal injury or cancer shows little proliferation at baseline as shown by proliferating cell nuclear antigen staining. (B) An abnormal ESMG from a human esophagectomy case with esophageal adenocarcinoma shows the ductular phenotype within the ESMG with a marked increase in PCNA staining for proliferation. 

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Background & Aims Although cells comprising esophageal submucosal glands (ESMGs) represent a potential progenitor cell niche, new models are needed to understand their capacity to proliferate and differentiate. By histologic appearance, ESMGs have been associated with both overlying normal squamous epithelium and columnar epithelium. Our aim was to...

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... 45 Furthermore, ESMGs have been isolated and propagated in three-dimensional culture to form 2 types of spheroids, one with squamous markers such as TP63 and one with columnar markers such as KRT7. 46 A truncated form of CAV3 is associated with familial BE and EAC, and although CAV3 is not present in normal squamous esophagus, it is found in rare cells within ESMGs. 82 However, after RFA in porcine esophagus, CAV3 increased in both ESMGs and squamous esophagus, suggesting a role for CAV3 in normal wound healing that may be disrupted in affected patients carrying this truncation. ...
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... Koltes et al. stated that their model could be used to study inflammation signaling and endotoxin tolerance. Organoids derived from porcine esophageal submucosal glands were derived in 2017 [111]. Two types of organoids were identified in the culture, including hollow/ductal spheroids (characterized by the presence of cytokeratin 7) and solid squamous spheroids (characterized by abundant P63). ...
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... Submucosal glands are tubuloacinar glands that are dispersed throughout the submucosa. They are lined with epithelial cells and mainly secrete mucus, bicarbonate, and growth factors, and their primary function is to lubricate the esophagus and to protect the tissue from the damaging effects of acidic gastric refluxate [4]. Another unique feature of the esophageal wall structure is its mucosa, in which the epithelium has a stratified squamous type with varying thickness and degree of keratinization, which is dependent on the species under investigation. ...
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... This feature is reminiscent of urothelial regenerative processes wherein progenitor cellular hierarchy is modulated by the type of surgical damage encountered 29 . It should also be noted that growth factor dependency in esophageal regenerative processes may also be impacted by physiological differences in the species, sex, and age of the animal model deployed 30,31 . ...
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