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Fang KM, Chiu YL, Hong RW, Cheng PC, Cheng PW, Liao LJ. The Interleukin-15 and Interleukin-8 Axis as a Novel Mechanism for Recurrent Chronic Rhinosinusitis with Nasal Polyps. Biomedicines 2024; 12:980. [PMID: 38790942 PMCID: PMC11117578 DOI: 10.3390/biomedicines12050980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Revised: 04/22/2024] [Accepted: 04/26/2024] [Indexed: 05/26/2024] Open
Abstract
The prevention of postoperative recurrence after endoscopic sinus surgery (ESS) relies on targeting specific pathological mechanisms according to individuals' immunological profiles. However, essential biomarkers and biological characteristics of difficult-to-treat chronic rhinosinusitis (CRS) patients are not well-defined. The aim of this study was to explore the immunologic profiles of subgroups of CRS patients and determine the specific cytokines responsible for recalcitrant or recurrent CRS with nasal polyposis (rCRSwNP). We used 30 cytokine antibody arrays to determine the key cytokines related to recurrent polypogenesis. Enzyme-linked immunosorbent assay (ELISA) experiments were conducted to assess the levels of these key cytokines in 78 patients. Polymorphonuclear leukocytes (PMNs) isolated from nasal polyps were challenged with specific cytokines to examine the levels of enhanced interleukin (IL)-8 production. Finally, we used immunohistochemistry (IHC) staining to check for the presence and distribution of the biomarkers within nasal polyps. A cytokine antibody array revealed that IL-8, IL-13, IL-15, and IL-20 were significantly higher in the recalcitrant CRSwNP group. Subsequent ELISA screening showed a stepwise increase in tissue IL-8 levels in the CHR, CRSsNP, and CRSwNP groups. PMNs isolated from nine CRSwNP cases all demonstrated enhanced IL-8 production after IL-15 treatment. IHC staining was labeled concurrent IL-8 and IL-15 expression in areas of prominent neutrophil infiltration. Our results suggest that IL-15 within the sinonasal mucosa plays a crucial role in promoting IL-8 secretion by infiltrating PMNs in recalcitrant nasal polyps. In addition, we propose a novel therapeutic strategy targeting the anti-IL-15/IL-8 axis to treat CRS with nasal polyposis.
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Affiliation(s)
- Kai-Min Fang
- Department of Nursing, Oriental Institute of Technology, College of Healthcare and Management, New Taipei City 220, Taiwan;
- Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan; (P.-C.C.); (P.-W.C.)
| | - Yen-Ling Chiu
- Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan; (Y.-L.C.); (R.-W.H.)
| | - Ruo-Wei Hong
- Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan; (Y.-L.C.); (R.-W.H.)
| | - Ping-Chia Cheng
- Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan; (P.-C.C.); (P.-W.C.)
| | - Po-Wen Cheng
- Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan; (P.-C.C.); (P.-W.C.)
| | - Li-Jen Liao
- Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan; (P.-C.C.); (P.-W.C.)
- Department of Electrical Engineering, Yuan Ze University, Taoyuan 320, Taiwan
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Wan Y, Wang Y, Xu S, Du H, Liu Z. Identification of the role of pyroptosis-related genes in chronic rhinosinusitis based on WGCNA. Heliyon 2024; 10:e22944. [PMID: 38173477 PMCID: PMC10761365 DOI: 10.1016/j.heliyon.2023.e22944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 11/20/2023] [Accepted: 11/22/2023] [Indexed: 01/05/2024] Open
Abstract
Background Chronic rhinosinusitis (CRS) is a complex chronic inflammatory disease of the nose, paranasal sinus, and upper respiratory tract. Its treatment methods mainly include antibiotic treatment and surgical treatment. However, the molecular mechanism of its inflammation is still unclear. Pyroptosis is a programmed cell death. As an important natural immune response, pyroptosis plays an essential role in fighting infection. Methods In this paper, a weighted co-expression network (WGCNA) was used to screen gene modules significantly related to CRS. Then it intersects with the genes related to scorching death (PRGs). We evaluated the immune landscape of CRS by the expression of intersecting genes. In addition, in the enrichment analysis of intersection genes and PPI network analysis, we verified the pathways closely related to CRS and hub genes. Finally, the interaction network between the hub gene, miRNA, and TF was constructed. In this paper, qRT-qPCR technology was also used to detect the hub gene related to CRS. Results Hub genes (CASP3, IL18, NAIP, NLRC4, and TP53) found in this paper are directly or indirectly related to CRS, and these genes were proved to be of diagnostic significance to CRS by ROC curve and qRT-qPCR vertification. In the infiltration abundance of CRS and its control group, the infiltration abundance of Plasma cells, T cells follicular helper, Macrophages M2, Dendritic cells activated, and Neutrophils cells in the two groups were significantly different. We also constructed the interaction network between the hub genes and miRNAs and the interaction network between hub genes and TFs. Most of these miRNAs and TFs were also related to CRS. Conclusions With the help of the WGCNA and PPI analysis, our results provide a better understanding of the role of biomarkers CASP3, IL18, NAIP, NLRC4, and TP53 in the development of CRS and provide a research basis for the mining of biomarkers related to the diagnosis and treatment of CRS.
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Affiliation(s)
- Yarui Wan
- Department of Otolaryngology, Hubei Maternal and Child Health Hospital, Hubei, 430070, PR China
| | - Yanfei Wang
- Department of Otolaryngology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, 100020, PR China
| | - Sheng Xu
- Department of Otolaryngology, Hubei Maternal and Child Health Hospital, Hubei, 430070, PR China
| | - Hui Du
- Department of Otolaryngology, Hubei Maternal and Child Health Hospital, Hubei, 430070, PR China
| | - Zhiqi Liu
- Department of Otolaryngology, Hubei Maternal and Child Health Hospital, Hubei, 430070, PR China
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Bequignon E, Mangin D, Bécaud J, Pasquier J, Angely C, Bottier M, Escudier E, Isabey D, Filoche M, Louis B, Papon JF, Coste A. Pathogenesis of chronic rhinosinusitis with nasal polyps: role of IL-6 in airway epithelial cell dysfunction. J Transl Med 2020; 18:136. [PMID: 32209102 PMCID: PMC7092549 DOI: 10.1186/s12967-020-02309-9] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 03/16/2020] [Indexed: 12/20/2022] Open
Abstract
Background Chronic rhinosinusitis with nasal polyps (CRSwNP) is characterized by an alteration in airway epithelial cell functions including barrier function, wound repair mechanisms, mucociliary clearance. The mechanisms leading to epithelial cell dysfunction in nasal polyps (NPs) remain poorly understood. Our hypothesis was that among the inflammatory cytokines involved in NPs, IL-6 could alter epithelial repair mechanisms and mucociliary clearance. The aim of this study was to evaluate the in vitro effects of IL-6 on epithelial repair mechanisms in a wound repair model and on ciliary beating in primary cultures of Human Nasal Epithelial Cells (HNEC). Methods Primary cultures of HNEC taken from 38 patients during surgical procedures for CRSwNP were used in an in vitro model of wound healing. Effects of increasing concentrations of IL-6 (1 ng/mL, 10 ng/mL, and 100 ng/mL) and other ILs (IL-5, IL-9, IL-10) on wound closure kinetics were compared to cultures without IL-modulation. After wound closure, the differentiation process was characterized under basal conditions and after IL supplementation using cytokeratin-14, MUC5AC, and βIV tubulin as immunomarkers of basal, mucus, and ciliated cells, respectively. The ciliated edges of primary cultures were analyzed on IL-6 modulation by digital high-speed video-microscopy to measure: ciliary beating frequency (CBF), ciliary length, relative ciliary density, metachronal wavelength and the ciliary beating efficiency index. Results Our results showed that: (i) IL-6 accelerated airway wound repair in vitro, with a dose–response effect whereas no effect was observed after other ILs-stimulation. After 24 h, 79% of wounded wells with IL6-100 were fully repaired, vs 46% in the IL6-10 group, 28% in the IL6-1 group and 15% in the control group; (ii) specific migration analyses of closed wound at late repair stage (Day 12) showed IL-6 had the highest migration compared with other ILs (iii) The study of the IL-6 effect on ciliary function showed that CBF and metachronal wave increased but without significant modifications of ciliary density, length of cilia and efficiency index. Conclusion The up-regulated epithelial cell proliferation observed in polyps could be induced by IL-6 in the case of prior epithelial damage. IL-6 could be a major cytokine in NP physiopathology.
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Affiliation(s)
- Emilie Bequignon
- Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, AP-HP, Hôpital Henri Mondor et Centre Hospitalier Intercommunal de Créteil, 94010, Créteil, France. .,INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France. .,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France. .,CNRS ERL 7000, 94010, Créteil, France.
| | - David Mangin
- Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, AP-HP, Hôpital Henri Mondor et Centre Hospitalier Intercommunal de Créteil, 94010, Créteil, France.,INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
| | - Justine Bécaud
- Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, AP-HP, Hôpital Henri Mondor et Centre Hospitalier Intercommunal de Créteil, 94010, Créteil, France.,INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
| | - Jennifer Pasquier
- Nice Breast Institute, 06000, Nice, France.,Stem Cell & Microenvironment Laboratory, Weill Cornell Medicine-Qatar, Doha, Qatar
| | - Christelle Angely
- INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
| | - Mathieu Bottier
- INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
| | - Estelle Escudier
- Inserm U933, Paris, France.,Université Pierre et Marie Curie, Paris, France.,Service de génétique et d'embryologie médicale, AP-HP Hôpital Armand-Trousseau, Paris, France
| | - Daniel Isabey
- INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
| | - Marcel Filoche
- INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
| | - Bruno Louis
- INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
| | - Jean-François Papon
- INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France.,Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, AP-HP, Hôpital Bicêtre, 94270, Le Kremlin-Bicêtre, France.,Faculté de Médecine, Université Paris-Sud, 94275, Le Kremlin-Bicêtre, France
| | - André Coste
- Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, AP-HP, Hôpital Henri Mondor et Centre Hospitalier Intercommunal de Créteil, 94010, Créteil, France.,INSERM, U955, Equipe 13, Faculte de Medecine, 8 rue du General Sarrail, 94010, Créteil, France.,Faculté de Médecine, Université Paris-Est, 94010, Créteil, France.,CNRS ERL 7000, 94010, Créteil, France
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Kucuksezer UC, Ozdemir C, Akdis M, Akdis CA. Chronic rhinosinusitis: pathogenesis, therapy options, and more. Expert Opin Pharmacother 2018; 19:1805-1815. [PMID: 30345822 DOI: 10.1080/14656566.2018.1527904] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
INTRODUCTION When rhinosinusitis - the inflammation of the nasal cavity and paranasal sinuses - persists for over 12 weeks, it is termed 'chronic rhinosinusitis' (CRS). Both innate and adaptive immunity contribute to the heterogeneous inflammatory pathogenesis of CRS, which is driven by genetic and environmental factors and the microbiome. CRS is classified by the presence of polyps. Molecular mechanisms in CRS with nasal polyps are similar to those in atopic diseases. AREAS COVERED This review focuses on the immune pathogenesis of CRS, differences between the two CRS subtypes, and latest treatments that may aid in the provision of personalized medicine. EXPERT OPINION Basic research in the last decade has helped significantly in enhancing our knowledge of the pathophysiologic processes of CRS, due to which there is now a better understanding of the associated natural history, physiopathology, novel treatments, and prevention strategies. Treatment success depends on the clarification of the underlying pathogenesis and disease-contributing factors. The exploration of disease endotypes and introduction of novel agents are important advancements. Prior studies performed without disease-endotyping resulted in the inefficiency of certain drugs and insignificant results. The identification of biomarkers, development of personalized approaches, and utilization of disease algorithms are required for CRS therapy success.
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Affiliation(s)
- Umut Can Kucuksezer
- a Department of Immunology, Aziz Sancar Institute of Experimental Medicine , Istanbul University , Istanbul , Turkey
| | - Cevdet Ozdemir
- b Istanbul Faculty of Medicine, Department of Pediatrics, Division of Pediatric Allergy and Immunology , Istanbul University , Istanbul , Turkey.,c Department of Pediatric Basic Sciences, Institute of Child Health , Istanbul University , Istanbul , Turkey
| | - Mubeccel Akdis
- d Swiss Institute of Allergy and Asthma Research (SIAF) , University of Zurich , Davos , Switzerland.,e Christine Kühne-Center for Allergy Research and Education (CK-CARE) , Davos , Switzerland
| | - Cezmi A Akdis
- d Swiss Institute of Allergy and Asthma Research (SIAF) , University of Zurich , Davos , Switzerland.,e Christine Kühne-Center for Allergy Research and Education (CK-CARE) , Davos , Switzerland
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Kim HK, Kook JH, Kang KR, Oh DJ, Kim TH, Lee SH. Increased expression of hCLCA1 in chronic rhinosinusitis and its contribution to produce MUC5AC. Laryngoscope 2016; 126:E347-E355. [PMID: 27296651 DOI: 10.1002/lary.26109] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Revised: 04/19/2016] [Accepted: 05/02/2016] [Indexed: 11/11/2022]
Abstract
OBJECTIVES/HYPOTHESIS Mucus hypersecretion is a hallmarks of chronic rhinosinusitis. The expression of MUC5AC, a major respiratory mucin gene, is increased in chronic rhinosinusitis. The mechanisms inducing mucus hypersecretion have not been fully evaluated in chronic rhinosinusitis. Human Ca2+ -activated Cl- channel 1 (hCLCA1) is implicated in the regulation of mucus production, airway fluid, and electrolyte transport. The present study objectives was to investigate the expression of hCLCA1 in chronic rhinosinusitis and evaluate whether its level is altered by stimulation with type 1 T helper (Th1) and Th2 cytokines, and to determine the possible role of hCLCA1 on the regulation of mucin 5AC (MUC5AC) production. STUDY DESIGN Controlled prospective study. METHODS The expression of hCLCA1 and MUC5AC in normal and inflammatory ethmoid mucosa was determined by real-time polymerase chain reaction, immunohistochemistry, and Western blot. In cultured cells, the expression of hCLCA1 and MUC5AC was measured after stimulation with Th1 and Th2 cytokines. In a supernatant, the MUC5AC level was analyzed using enzyme-linked immunosorbent assay after treatment with niflumic acid. RESULTS The levels of hCLCA1 and MUC5AC were increased in chronic rhinosinusitis, irrespective of nasal polyp presence, where they were distributed in superficial epithelial cells and submucosal glands. In cultured cells treated with interleukin (IL)-9, IL-4, IL-13, tumor necrosis factor-α, transforming growth factor-β, interferon-γ, and IL-1β, the expression of hCLCA1 and MUC5AC was increased. In cells treated with niflumic acid, the production of MUC5AC was inhibited. CONCLUSIONS The current findings indicate that the expression of hCLCA1 is increased in chronic rhinosinusitis and may be regulated by Th1 and Th2 cytokines, possibly contributing to the production of MUC5AC. LEVEL OF EVIDENCE NA Laryngoscope, 126:E347-E355, 2016.
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Affiliation(s)
- Ha Kyun Kim
- Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University, Seoul, South Korea
| | - Jin Ho Kook
- Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Hallym University, ChunCheon, South Korea
| | - Ka Ram Kang
- Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University, Seoul, South Korea
| | - Dong Ju Oh
- Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University, Seoul, South Korea
| | - Tae Hoon Kim
- Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University, Seoul, South Korea
| | - Sang Hag Lee
- Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University, Seoul, South Korea.
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