Background-The oesophageal epithelium is exposed routinely to noxious
agents in the environment, including gastric acid, thermal stress, and
chemical toxins. These epithelial cells have presumably evolved effec
tive protective mechamisms to withstand tissue damage and repair injur
ed cells. Heat shock protein or stress protein responses play a centra
l role in protecting distinct cell types from different types of injur
y. Aim-To determine (i) whether biochemical analysis of stress protein
responses in pinch biopsy specimens from human oesophageal epithelium
is feasible; (ii) whether undue stresses are imposed on cells by the
act of sample collection, thus precluding analysis of stress responses
; and (iii) if amenable to experimentation, the type of heat shack pro
tein (Hsp) response that operates in the human oesophageal epithelium.
Methods-Tissue from the human oesophagus comprised predominantly of s
quamous epithelium was acquired within two hours of biopsy and subject
ed to an in vitro heat shock. Soluble tissue cell lysates derived from
untreated or heat shocked samples were examined using dennaturing pol
yacrylamide gel electrophoresis for changes in: (i) the pattern of gen
eral protein synthesis by labelling epithelial cells with S-35-methion
ine and (ii) the levels of soluble Hsp70 protein and related isoforms
using immunochemical protein blots. Results-A single pinch biopsy spec
imen is sufficient to extract and analyse specific sets of polypeptide
s in the oesophageal epithelium. After ex vivo heat shock, a classic i
nhibition of general protein synthesis is observed and correlates with
the increased synthesis of two major proteins of molecular weight of
60 and 70 kDa. Notably, cells from unheated controls exhibit a ''stres
sed'' biochemical state 22 hours after incubation at 37 degrees C, as
shown by inhibition of general protein synthesis and increased synthes
is of the 70 kDa protein. These data indicate that only freshly acquir
ed specimens are suitable for studying stress responses ex vivo, No ev
idence was found that the two heat induced polypeptides are previously
identified Hsp70 isoforms. In fact, heat shock results in a reduction
in the steady state concentractions of Hsp70 protein in the oesophage
al epithelium. Conclusion-Systematic and highly controlled studies on
protein biochemistry are possible on epithelial biopsy specimens from
the human oesophagus. These technical innovations have permitted the d
iscovery of a novel heat shock response operating in the oesophageal e
pithelium. Notably, two polypeptides were synthesised after heat shock
that seem to differ from Hsp70 protein. In addition, the striking red
uction in steady state concentrations of Hsp70 protein after heat shoc
k suggests that oesophageal epithelium has evolved an atypical biochem
ical response to thermal stress.