RT Journal Article T1 Proteomic analysis of the esophageal epithelium reveals key features of eosinophilic esophagitis pathophysiology A1 Molina Jiménez, Francisca A1 Ugalde Triviño, Lola A1 Arias González, Laura A1 Relaño Rupérez, Carlos A1 Casabona, Sergio A1 Pérez Fernández, María Teresa A1 Martín Domínguez, Verónica A1 Fernández Pacheco, Jennifer A1 Laserna Mendieta, Emilio José A1 Muñoz Hernández, Patricia A1 Arias Arias, Ángel A1 Cano, Ainara A1 Muñoz, Javier A1 Lucendo, Alfredo J. A1 Santander, Cecilio A1 Majano, Pedro A1 Majano Rodríguez, Pedro Lorenzo AB BackgroundEosinophilic esophagitis (EoE) is a chronic non-IgE-mediated allergic disease of the esophagus. An unbiased proteomics approach was performed to investigate pathophysiological changes in esophageal epithelium. Additionally, an RNAseq-based transcriptomic analysis in paired samples was also carried out.MethodsTotal proteins were purified from esophageal endoscopic biopsies in a cohort of adult EoE patients (n = 25) and healthy esophagus controls (n = 10). Differentially accumulated (DA) proteins in EoE patients compared to control tissues were characterized to identify altered biological processes and signaling pathways. Results were also compared with a quantitative proteome dataset of the human esophageal mucosa. Next, results were contrasted with those obtained after RNAseq analysis in paired samples. Finally, we matched up protein expression with two EoE-specific mRNA panels (EDP and Eso-EoE panel).ResultsA total of 1667 proteins were identified, of which 363 were DA in EoE. RNA sequencing in paired samples identified 1993 differentially expressed (DE) genes. Total RNA and protein levels positively correlated, especially in DE mRNA-proteins pairs. Pathway analysis of these proteins in EoE showed alterations in immune and inflammatory responses for the upregulated proteins, and in epithelial differentiation, cornification and keratinization in those downregulated. Interestingly, a set of DA proteins, including eosinophil-related and secreted proteins, were not detected at the mRNA level. Protein expression positively correlated with EDP and Eso-EoE, and corresponded with the most abundant proteins of the human esophageal proteome.ConclusionsWe unraveled for the first time key proteomic features involved in EoE pathogenesis. An integrative analysis of transcriptomic and proteomic datasets provides a deeper insight than transcriptomic alone into understanding complex disease mechanisms. PB Wiley SN 0105-4538 YR 2023 FD 2023-10 LK https://hdl.handle.net/20.500.14352/102911 UL https://hdl.handle.net/20.500.14352/102911 LA eng NO European Regional Development Fund NO Ministerio de Ciencia e Innovación (MCIN) NO Ministerio de Trabajo y Economía Social NO Comunidad de Madrid NO Asociacion Española de Gastroenterología NO Instituto de Salud Carlos III DS Docta Complutense RD 10 abr 2025