18 April 2024 | Jiarui Ding, John J. Garber, Amiko Uchida, Ariel Lefkovitch, Grace T. Carter, Praveen Vimalathas, Lauren Canha, Michael Dougan, Kyle Staller, Joseph Yarze, Toni M. Delorey, Orit Rozenblatt-Rosen, Orr Ashenberg, Daniel B. Graham, Jacques Deguine, Aviv Regev, Rammik J. Xavier
This study profiles 421,312 individual cells from the esophageal mucosa of 7 healthy and 15 eosinophilic esophagitis (EoE) participants, revealing 60 cell subsets and functional alterations in cell states, compositions, and interactions. Active EoE is characterized by enriched *ALOX15* macrophages, *PRDM16* dendritic cells expressing the EoE risk gene *ATP10A*, and cycling mast cells, with a reduction in T<sub>H</sub>17 cells. Ligand-receptor expression identifies eosinophil recruitment programs, increased fibroblast interactions, and IL-9<sup>IL-4</sup>IL-13<sup>T</sub>_<sub>H</sub>2 and endothelial cells as potential mast cell interactors. Remission is marked by contraction of mast and CD4<sup>+</sup>T<sub>RM</sub> cells and downregulation of eosinophil chemoattractant, growth, and survival factors. These findings advance our understanding of EoE and provide opportunities for therapeutic intervention.This study profiles 421,312 individual cells from the esophageal mucosa of 7 healthy and 15 eosinophilic esophagitis (EoE) participants, revealing 60 cell subsets and functional alterations in cell states, compositions, and interactions. Active EoE is characterized by enriched *ALOX15* macrophages, *PRDM16* dendritic cells expressing the EoE risk gene *ATP10A*, and cycling mast cells, with a reduction in T<sub>H</sub>17 cells. Ligand-receptor expression identifies eosinophil recruitment programs, increased fibroblast interactions, and IL-9<sup>IL-4</sup>IL-13<sup>T</sub>_<sub>H</sub>2 and endothelial cells as potential mast cell interactors. Remission is marked by contraction of mast and CD4<sup>+</sup>T<sub>RM</sub> cells and downregulation of eosinophil chemoattractant, growth, and survival factors. These findings advance our understanding of EoE and provide opportunities for therapeutic intervention.