Increased gene expression of inflammatory markers in nasal turbinate of patients with persistent allergic rhinitis and chronic obstruction

Autor(es)

de Campos, Lucila ^[1] ; Santos Galvao, Clovis Eduardo ^[1] ; Mairena, Eliane Conti ^[2] ; Voegels, Richard ^[3] ; Kalil, Jorge ^{[4, 2, 1]} ; Castro, Fabio Morato ^{[4, 1]} ; Cunha-Neto, Edecio ^{[4, 2, 1]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Div Clin Immunol & Allergy, Dept Med, Fac Med FMUSP, Ave Dr Arnaldo, 455 S 3207, BR-01246000 Sao Paulo, SP - Brazil

^[2] Univ Sao Paulo, Inst Coracao Incor Hosp Clin HCFMUSP, Lab Immunol, Fac Med, Sao Paulo, SP - Brazil

^[3] Univ Sao Paulo, Div Otorhinolaryngol, Fac Med FMUSP, Sao Paulo, SP - Brazil

^[4] INCT, Inst Invest Immunol III, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY; v. 276, n. 11, p. 3247-3249, NOV 2019.
• Citações Web of Science: 0

Resumo

Purpose The pathogenesis of persistent allergic rhinitis with chronic and refractory nasal obstruction is still unknown. Inflammation and tissue remodeling are known to play a role, but this has not been studied thoroughly. The purpose of this study is to identify the profile of gene expression of inflammatory and remodeling markers in nasal mucosa of patients with PAR and chronic obstruction. Methods After informed consent, we obtained nasal mucosa tissue from five aeroallergen-sensitized PAR patients undergoing anterior turbinectomy, and control non-sensitized individuals undergoing cerebrospinal fluid fistula repair or rhinoplasty. We assessed the expression of 34 genes related to inflammation and tissue remodeling using the real-time polymerase chain reaction (qPCR) to quantify each mRNA. Results IL-4 mRNA was upregulated in nasal mucosa of all five patients; CCR3, CCR8 and Eotaxin-2 were upregulated in four out of five patient samples; while IL-5 and IL-13 were upregulated in two of them. TGF-beta 1 was not upregulated in PAR samples. mRNA from metalloproteinases MMP-7, MMP13 and MMP15 were upregulated in three out of five samples. Our results indicate a typical mRNA expression profile of the infiltrating inflammatory Th2 cells and eosinophils, combined with altered gene expression of remodeling-related proteins in stromal cells from the mucosa. Conclusion Prolonged allergen challenge can lead to persistent upregulation of genes for inflammatory mediators such as IL-4 Th2/eosinophil cytokines, chemokines and receptors, which may play an important role in maintaining PAR with chronic nasal obstruction. Our findings may have therapeutic implications, including the use of anti-IL4, -CCR3 or -MMP therapy to ameliorate the condition. (AU)

• Processo FAPESP: 04/08488-3 - Avaliacao da expressao genica de marcadores imunologicos,inflamatorios da mucosa nasal de pacientes com rinite alergica persistente com obstrucao nasal cronica
• Beneficiário: Edecio Cunha Neto
• Modalidade de apoio: Auxílio à Pesquisa - Regular