Publications by authors named "P L Majano"

Background: Recently, we have identified a dysregulated protein signature in the esophageal epithelium of eosinophilic esophagitis (EoE) patients including proteins associated with inflammation and epithelial barrier function; however, the effect of proton pump inhibitor (PPI) treatment on this signature is unknown. Herein, we used a proteomic approach to investigate: (1) whether PPI treatment alters the esophageal epithelium protein profile observed in EoE patients and (2) whether the protein signature at baseline predicts PPI response.

Methods: We evaluated the protein signature of esophageal biopsies using a cohort of adult EoE (n = 25) patients and healthy controls (C) (n = 10).

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Objectives: The aim of the study was to characterize the circulating immunome of patients with EoE before and after proton pump inhibitor (PPI) treatment in order to identify potential non-invasive biomarkers of treatment response.

Methods: PBMCs from 19 healthy controls and 24 EoE patients were studied using a 39-plex spectral cytometry panel. The plasmacytoid dendritic cell (pDC) population was differentially characterized by spectral cytometry analysis and immunofluorescence assays in esophageal biopsies from 7 healthy controls and 13 EoE patients.

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Article Synopsis
  • Proton pump inhibitors (PPIs) are the main treatment for eosinophilic esophagitis (EoE), but about 50% of patients don’t achieve histological remission after treatment.
  • This study aimed to discover genetic markers that could predict how well PPIs work for EoE patients and to examine their link to disease characteristics.
  • Results showed that patients treated with omeprazole had a significantly better reduction in eosinophil counts compared to other PPIs, and specific genetic variations (rs12368672 and rs167769) may influence both baseline eosinophil counts and the response to treatment.
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Article Synopsis
  • * Research involving ICAM-1 knockout cells reveals that it regulates the polarity of epithelial cells independently of leukocyte adhesion by interacting with an actomyosin network.
  • * The study highlights the importance of the protein EBP50, which works alongside ICAM-1 to influence the organization of bile canalicular structures, suggesting new therapeutic approaches for maintaining epithelial function under inflammation.
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Endoluminal functional lumen impedance planimetry (EndoFLIP) has become the gold standard to evaluate esophageal distensibility, although the study itself and its analysis present challenges. We propose here a new method to assess lower esophageal distension capacity that overcomes several limitations of prior approaches, including incomplete and corrupted EndoFLIP recordings. Esophageal distension capacity was evaluated with a 16-channel EndoFLIP in 10 controls and 14 patients with eosinophilic esophagitis (EoE).

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