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Güner Atayoğlu A, Bayar Muluk N, Koca R, Çukurova İ, Çetinkaya EA, Yörük Ö, Bal C, Tatar A, Susaman N, Erdoğmuş Küçükcan ND, Güngör E, Özçelik N, Alaskarov E, Öztürk Z, Oğuz O, Taş BM, Cingi C. Investigation of the Effectiveness of Nasal Sprays in Allergic Rhinitis. EAR, NOSE & THROAT JOURNAL 2024:1455613241287298. [PMID: 39390797 DOI: 10.1177/01455613241287298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2024] Open
Abstract
Objectives: We investigated the effectiveness of different types of nasal irrigation sprays in adult allergic rhinitis (AR) patients. Methods: A total of 1700 patients with AR (866 males and 834 females) were assigned to: Group 1: Hypertonic nasal spray group (n = 600) (Sinomarin® hypertonic nasal spray); Group 2: Algae-containing hypertonic nasal spray group (n = 600) (Sinomarin Plus Algae ENT); and Group 3: Isotonic saline nasal spray group (n = 500). All patients underwent an otolaryngological examination, continued their standard AR treatment, and received the assigned nasal spray additionally (1 spray to each nostril, 3 times a day, for 3 weeks). Allergic symptom scores, turbinate examination, total symptom scores, and quality of life (QoL) scores were evaluated during pre- and post-treatment periods. Results: In groups 1 and 2, symptom scores and turbinate color and edema, total symptom scores, and QoL scores increased after treatment (P < .05). In the saline group, there were no significant differences in symptom scores and total symptom scores after treatment; however, improvement was detected in turbinate color and edema values after treatment. QoL scores increased after treatment. When comparing the 3 groups, the total symptom scores of groups 1 and 2 were significantly lower, and the QoL scores of groups 1 and 2 were considerably higher than those of the saline group. There were no significant differences between groups 1 and 2. Conclusion: Algae-containing and hypertonic nasal spray may be added to the standard AR treatment to increase QoL and decrease total symptom scores.
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Affiliation(s)
| | - Nuray Bayar Muluk
- Department of Otorhinolaryngology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey
| | - Rahime Koca
- ENT Clinic, Antalya Training and Research Hospital, Antalya, Turkey
| | - İbrahim Çukurova
- Department of Otorhinolaryngology, Izmir Faculty of Medicine, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
| | | | - Özgür Yörük
- Department of Otorhinolaryngology, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Cengiz Bal
- Department of Biostatistics, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
| | - Arzu Tatar
- Department of Otorhinolaryngology, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Nihat Susaman
- ENT Clinic, Elazığ Fethi Sekin City Hospital, University of Health Sciences, Elazığ, Turkey
| | | | - Enes Güngör
- Department of Otorhinolaryngology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
| | - Necdet Özçelik
- ENT Clinic, Esenler Health Application Center, Medipol University, İstanbul, Turkey
| | - Elvin Alaskarov
- ENT Clinic, Esenler Health Application Center, Medipol University, İstanbul, Turkey
| | - Zeynel Öztürk
- Department of Otorhinolaryngology, Faculty of Medicine, Istanbul Nişantaşı University, Istanbul, Turkey
- Otolaryngology Clinics, Baypark Hospital, Istanbul, Turkey
| | - Oğuzhan Oğuz
- Dr. Oğuzhan Oğuz Wellnose Clinic, Istanbul, Turkey
| | - Burak Mustafa Taş
- Department of Otorhinolaryngology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey
| | - Cemal Cingi
- Department of Otorhinolaryngology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
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5-Bromo-3,4-dihydroxybenzaldehyde from Polysiphonia morrowii attenuate IgE/BSA-stimulated mast cell activation and passive cutaneous anaphylaxis in mice. Biochem Pharmacol 2020; 178:114087. [PMID: 32531348 DOI: 10.1016/j.bcp.2020.114087] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 05/29/2020] [Accepted: 06/05/2020] [Indexed: 12/16/2022]
Abstract
The present study investigates the anti-allergic activity of the marine algal bromophenol, 3-bromo-4,5-dihydroxybenzaldehyde (BDB), isolated from Polysiphonia morrowii Harvey in immunoglobulin (Ig)E/bovine serum albumin (BSA)-stimulated mouse bone marrow-derived cultured mast cells (BMCMCs) and a passive cutaneous anaphylaxis (PCA) mice ear model. BDB effectively inhibited β-hexosaminidase release (IC50 = 80.12 µM), in IgE/BSA-stimulated BMCMCs without a cytotoxic response. Also, BDB down-regulated the expression or secretion of cytokines, interleukin (IL)-1β, IL-4, IL-5, IL-6, IL-10, IL-13, interferon (IFN)-γ, and tumor necrosis factor (TNF)-α and the chemokine (thymus and activation-regulated chemokine (TARC). The above effects could be attributed to the dose-dependent decrease of FcεRI expression on the surface of BMCMCs and its stable IgE binding. Moreover, BDB suppressed the nuclear factor (NF)-κB and spleen tyrosine kinase (SYK)-linker for T-cell activation (LAT)-GRB2 associated binding protein 2 (Gab2) signaling axis activated by IgE/BSA stimulation. Furthermore, oral administration of BDB to IgE-sensitized mice effectively attenuated IgE-triggered PCA reaction. Collectively, the anti-allergic effects of BDB suggest its potential applicability as a candidate for in-depth test trials.
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