Abstract

Pre-clinical studies using murine models are critical for understanding the pathophysiological mechanisms underlying immune-mediated disorders such as Eosinophilic esophagitis (EoE). In this study, an optical coherence tomography (OCT) system capable of providing three-dimensional images with axial and transverse resolutions of 5 µm and 10 µm, respectively, was utilized to obtain esophageal images from a murine model of EoE-like disease ex vivo. Structural changes in the esophagus of wild-type (Tslpr(+/+) ) and mutant (Tslpr(-/-) ) mice with EoE-like disease were quantitatively evaluated and food impaction sites in the esophagus of diseased mice were monitored using OCT. Here, the capability of OCT as a label-free imaging tool devoid of tissue-processing artifacts to effectively characterize murine EoE-like disease models has been demonstrated.

Highlights

  • Eosinophilic esophagitis (EoE) is an inflammatory disease of the esophagus characterized by eosinophilic infiltration of the esophageal squamous epithelium [1]

  • The increased epithelial thickness and food impaction observed in the Tslpr+/+ treatment group sensitized with MC903 + OVA and challenged with OVA confirmed the involvement of thymic stromal lymphopoietin (TSLP) in the development of murine EoE-like disease [40]

  • Absence of similar symptoms in the Tslpr−/− treatment group sensitized with MC903 + OVA and challenged with OVA showed that the TSLP pathway is very critical for EoE pathogenesis

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Summary

Introduction

Eosinophilic esophagitis (EoE) is an inflammatory disease of the esophagus characterized by eosinophilic infiltration of the esophageal squamous epithelium [1]. An endoscopic study using hWLE and CLE has shown promise in providing more detailed diagnosis of EoE-associated histological changes in vivo [26]. In another recent study, a tethered optomechanical pill that was capable of capturing three-dimensional (3D) micromorphologic images using OCT, suitable for diagnostic applications in the upper GI tract, was demonstrated [27]. In vivo non-invasive imaging techniques such as CLE and OCT allow visualization of epithelial surface and subsurface features with micron-scale resolution These techniques can be a useful adjunct to endoscopy to improve the diagnostic accuracy in GI diseases and to avoid unnecessary endoscopic biopsies

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