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Event: 2372
Key Event Title
Squamous metaplasia, Increase
Short name
Biological Context
| Level of Biological Organization |
|---|
| Cellular |
Cell term
Organ term
| Organ term |
|---|
| epithelium |
Key Event Components
| Process | Object | Action |
|---|---|---|
| Metaplasia | Squamous cell | increased |
Key Event Overview
AOPs Including This Key Event
Taxonomic Applicability
Life Stages
| Life stage | Evidence |
|---|---|
| Adult | High |
| Juvenile | Moderate |
Sex Applicability
| Term | Evidence |
|---|---|
| Unspecific | High |
Key Event Description
A process in which non-squamous epithelial cells transform into a squamous epithelial phenotype. The metaplastic change can be a normal physiological change, like in the case of nonkeratinizing cervical squamous metaplasia (clevelandclinic) or in response to chronic irritation or injury.
Squamous metaplasia occurs in epithelial tissue. This tissue forms the covering on all internal and external surfaces of the body. It lines the body cavity, hollow organs, and is the major tissue in glands (clevelandclinic).
Squamous metaplasia is a protective adaptation since the stratified squamous cell structure is more resilient to physical and chemical stress than columnar or cuboidal epithelium.
How It Is Measured or Detected
Directly:
- Histopathological examination via tissue biopsy followed by fixation, embedding, sectioning, and staining.
- Cytological analysis via collecting of exfoliated cells, e.g., smear.
Indirectly:
- Immunohistohemistry via tissue staining wiht antibodies specific to epithelial markers.
Domain of Applicability
Taxonomic
Squamous metaplasia is well documented humans, rats, and mice, occuring in many epithelial tissues including, but not limited to:
- Respiratory tract, cervix, mammary gland, sebaceous gland, and skin (Giroux & Rustgi 2017)
- Urothelium (Clouston & Lawrentschuk 2013)
- Stomach (Iwamuro et al., 2021)
- Uterus (McLachlan et al., 1980)
There is also evidence of squamous metaplasia in birds, typically related to vitamin A deficiency, including:
- Ducks (Prabhu et al., 2015)
- Chickens (Kim et al., 2022)
- Falcons (McKinney et al., 2005)
Evidence of squamous metaplasia in fish, reptiles, and other non-mammal vertebrates is limited.
Lifestage
Squamous metaplasia is most commonly studied as a pathological condition, occuring in response chronic inflammation or other stress conditions. Because of this, it most occurs in adults. Non-pathological squamous metaplasia has been documented during puberty (Hwang et al., 2009).
Sex
Squamous metaplasia occurs does not occur on a sex-specific basis. However, the prevalence, typical sites, and underlying triggers vary between sexes due to the differences in hormones and presence of sex specific structures.
References
Clouston, D., & Lawrentschuk, N. (2013). Metaplastic conditions of the bladder. BJU international, 112, 27-31.
Giroux, V., & Rustgi, A. K. (2017). Metaplasia: tissue injury adaptation and a precursor to the dysplasia–cancer sequence. Nature Reviews Cancer, 17(10), 594-604.
https://my.clevelandclinic.org/health/diseases/23307-squamous-metaplasia
Hwang, L. Y., Ma, Y., Benningfield, S. M., Clayton, L., Hanson, E. N., Jay, J., ... & Moscicki, A. B. (2009). Factors that influence the rate of epithelial maturation in the cervix in healthy young women. Journal of Adolescent Health, 44(2), 103-110
Iwamuro, M., Fujii, N., Tanaka, T., Kanzaki, H., Kawano, S., Kawahara, Y., & Okada, H. (2021). Squamous metaplasia of the stomach associated with lymphoma infiltration. Internal Medicine, 60(14), 2229-2234.
Kim, S. H., Song, H. S., Kim, C. H., Kwon, Y. K., Park, C. K., & Kim, H. R. (2022). Histopathological Findings and Metagenomic Analysis of Esophageal Papillary Proliferation Identified in Laying Broiler Breeders. Veterinary Sciences, 9(7), 332.
McKinney, P. A., Wernery, U., Forsman, J., Kinne, J., Arca-Ruibal, B., Wencel, P., ... & Thyagarajan, J. (2025). Squamous Metaplasia Associated With Hypovitaminosis A of the Crop and Salivary Glands in Captive Falcons in the United Arab Emirates. Journal of Avian Medicine and Surgery, 39(1), 12-19.
McLachlan, J. A., Newbold, R. R., & Bullock, B. C. (1980). Long-term effects on the female mouse genital tract associated with prenatal exposure to diethylstilbestrol. Cancer Research, 40(11), 3988-3999.
Prabhu, S. N., Gangwar, N. K., Kumar, R., & Giri, D. K. (2015). Squamous metaplasia of oesophageal mucous glands in a non-descript duck. Indian Journal of Poultry Science, 50(2), 229-230.