PMID- 31700071 OWN - NLM STAT- MEDLINE DCOM- 20201104 LR - 20210208 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 9 IP - 1 DP - 2019 Nov 7 TI - Effect of Proton Pump Inhibitor Therapy on NOX5, mPGES1 and iNOS expression in Barrett's Esophagus. PG - 16242 LID - 10.1038/s41598-019-52800-7 [doi] LID - 16242 AB - Acid reflux may contribute to the progression from Barrett's esophagus (BE) to esophageal adenocarcinoma (EA). However, it is not clear whether the molecular changes present in BE patients are reversible after proton pump inhibitor (PPI) treatment. In this study we examined whether PPI treatment affects NOX5, microsomal prostaglandin E synthase (mPGES)-1 and inducible nitric oxide synthase (iNOS) expression. We found that NADPH oxidase 5 (NOX5), mPGES-1 and iNOS were significantly increased in BE mucosa. One-month PPI treatment significantly decreased NOX5, mPGES1 and iNOS. In BAR-T cells, NOX5 mRNA and p16 promoter methylation increased after pulsed acid treatment in a time-dependent manner. Four or eight-week-acid induced increase in NOX5 mRNA, NOX5 protein and p16 methylation may be reversible. Twelve-week acid treatment also significantly increased NOX5, mPGES1 and iNOS mRNA expression. However, twelve-week-acid-induced changes only partially restored or did not recover at all after the cells were cultured at pH 7.2 for 8 weeks. We conclude that NOX5, mPGES1 and iNOS may be reversible after PPI treatment. Short-term acid-induced increase in NOX5 expression and p16 methylation might be reversible, whereas long-term acid-induced changes only partially recovered 8 weeks after removal of acid treatment. FAU - Li, Dan AU - Li D AD - Department of Medicine, Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA. FAU - Deconda, Deepthi AU - Deconda D AD - Southcoast Physicians Group, Fall river, MA, 02720, USA. FAU - Li, Aihua AU - Li A AD - Department of Medicine, Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA. FAU - Habr, Fadlallah AU - Habr F AD - Department of Medicine, Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA. FHabr@lifespan.org. FAU - Cao, Weibiao AU - Cao W AD - Department of Medicine, Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA. wcao@hotmail.com. AD - Department of Pathology, Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA. wcao@hotmail.com. LA - eng GR - R01 DK080703/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20191107 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (CDKN2A protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (Proton Pump Inhibitors) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) RN - EC 1.6.3.- (NADPH Oxidase 5) RN - EC 5.3.99.3 (PTGES protein, human) RN - EC 5.3.99.3 (Prostaglandin-E Synthases) SB - IM MH - Aged MH - Barrett Esophagus/*drug therapy/*genetics MH - Cyclin-Dependent Kinase Inhibitor p16/genetics MH - DNA Methylation/drug effects MH - Female MH - Gene Expression Regulation, Enzymologic/*drug effects MH - Humans MH - Male MH - Middle Aged MH - Mucous Membrane/drug effects/metabolism MH - NADPH Oxidase 5/*genetics MH - Nitric Oxide Synthase Type II/*genetics MH - Promoter Regions, Genetic/genetics MH - Prostaglandin-E Synthases/*genetics MH - Proton Pump Inhibitors/*pharmacology/therapeutic use PMC - PMC6838155 COIS- The authors declare no competing interests. EDAT- 2019/11/09 06:00 MHDA- 2020/11/05 06:00 PMCR- 2019/11/07 CRDT- 2019/11/09 06:00 PHST- 2019/05/13 00:00 [received] PHST- 2019/10/10 00:00 [accepted] PHST- 2019/11/09 06:00 [entrez] PHST- 2019/11/09 06:00 [pubmed] PHST- 2020/11/05 06:00 [medline] PHST- 2019/11/07 00:00 [pmc-release] AID - 10.1038/s41598-019-52800-7 [pii] AID - 52800 [pii] AID - 10.1038/s41598-019-52800-7 [doi] PST - epublish SO - Sci Rep. 2019 Nov 7;9(1):16242. doi: 10.1038/s41598-019-52800-7.