Establishment of cells in tissue culture from Barrett's columnar epith
elium has been difficult. The aim of this study was to develop a succe
ssful tissue culture method employing a serum-free medium for cultivat
ion of Barrett's epithelial cells. Fragments of Barrett's mucosal tiss
ue were explanted in a 3:1 mixture of Dulbecco's modification of Eagle
's medium and Ham's F12, to initiate the outgrowth of epithelial cells
. Subsequently, a commercial serum-fret medium (formulated for the gro
wth of keratinocytes) was used for the propagation of Barrett's oesoph
agus cells without fibroblast growth. Cells established in culture ret
ained their epithelial morphology, stained positive for cytokeratin, a
nd contained Alcian blue (pH 2.5) and periodic acid-Schiff reagent-pos
itive/diastase-resistant vacuoles, confirming their origin from Barret
t's epithelium. Electron microscopy showed tonofilaments, microvilli a
nd desmosomes. Coating the surface of culture vessels was not required
and four cell strains could be passaged up to 20 times with no fibrob
last growth, in the keratinocyte serum-free medium.