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iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage
iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage
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iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage
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iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage
iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage

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iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage
iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage
Journal Article

iPSCs derived from esophageal atresia patients reveal SOX2 dysregulation at the anterior foregut stage

2022
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Overview
A series of well-regulated cellular and molecular events result in the compartmentalization of the anterior foregut into the esophagus and trachea. Disruption of the compartmentalization process leads to esophageal atresia/tracheoesophageal fistula (EA/TEF). The cause of EA/TEF remains largely unknown. Therefore, to mimic the early development of the esophagus and trachea, we differentiated induced pluripotent stem cells (iPSCs) from EA/TEF patients, and iPSCs and embryonic stem cells from healthy individuals into mature three-dimensional esophageal organoids. CXCR4, SOX17 and GATA4 expression was similar in both patient-derived and healthy endodermal cells. The expression of the key transcription factor SOX2 was significantly lower in the patient-derived anterior foregut. We also observed an abnormal expression of NKX2.1 (or NKX2-1) in the patient-derived mature esophageal organoids. At the anterior foregut stage, RNA sequencing revealed the critical genes GSTM1 and RAB37 to be significantly lower in the patient-derived anterior foregut. We therefore hypothesize that a transient dysregulation of SOX2 and the abnormal expression of NKX2.1 in patient-derived cells could be responsible for the abnormal foregut compartmentalization.