Published: 8 May 2025
Author(s): Giovanni Santacroce, Antonio Di Sabatino
Issue: May 2025
Section: Ideas and Opinions

Oesophageal fibrosis is a progressive and severe complication of long-standing, T-helper type 2-driven, allergen-mediated inflammation in untreated patients with eosinophilic oesophagitis (EoE) [1]. Persistent inflammation promotes oesophageal epithelial barrier impairment and activates a complex epithelial-stromal cell interplay, culminating in the differentiation of myofibroblasts and subsequent extracellular matrix (ECM) deposition under the stimulation of the transforming growth factor-β [2].

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