Article ; Online: Obesity and its effects on the esophageal mucosal barrier.
American journal of physiology. Gastrointestinal and liver physiology
2021 Volume 321, Issue 3, Page(s) G335–G343
Abstract: Obesity is associated with gastroesophageal reflux disease (GERD) and its complications including reflux esophagitis, Barrett's esophagus, and esophageal adenocarcinoma. Traditionally, these associations have been attributed to the mechanical effect of ... ...
Abstract | Obesity is associated with gastroesophageal reflux disease (GERD) and its complications including reflux esophagitis, Barrett's esophagus, and esophageal adenocarcinoma. Traditionally, these associations have been attributed to the mechanical effect of abdominal fat in increasing intra-abdominal pressure, thereby promoting gastroesophageal reflux and causing disruption of antireflux mechanisms at the esophagogastric junction. However, recent studies suggest that visceral adipose tissue (VAT) produces numerous cytokines that can cause esophageal inflammation and impair esophageal mucosal barrier integrity through reflux-independent mechanisms that render the esophageal mucosa especially susceptible to GERD-induced injury. In this report, we review mechanisms of esophageal mucosal defense, the genesis and remodeling of visceral adipose tissue during obesity, and the potential role of substances produced by VAT, especially the VAT that encircles the esophagogastric junction, in the impairment of esophageal mucosal barrier integrity that leads to the development of GERD complications. |
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MeSH term(s) | Barrett Esophagus/metabolism ; Barrett Esophagus/pathology ; Esophageal Mucosa/metabolism ; Esophageal Mucosa/pathology ; Esophagitis, Peptic/metabolism ; Esophagitis, Peptic/pathology ; Esophagus/pathology ; Gastroesophageal Reflux/metabolism ; Gastroesophageal Reflux/pathology ; Humans ; Obesity/metabolism ; Obesity/pathology |
Language | English |
Publishing date | 2021-08-18 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Review |
ZDB-ID | 603840-2 |
ISSN | 1522-1547 ; 0193-1857 |
ISSN (online) | 1522-1547 |
ISSN | 0193-1857 |
DOI | 10.1152/ajpgi.00199.2021 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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