Hong Sung-Lyong, Zhang Yu-Lian, Kim Sang-Wook, Kim Dae Woo, Cho Sang-Heon, Chang Yoon-Seok, Lee Chul Hee, Rhee Chae-Seo
Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, South Korea.
Medical Research Institute, Pusan National University Hospital, Busan, South Korea.
Int Forum Allergy Rhinol. 2015 May;5(5):363-70. doi: 10.1002/alr.21515. Epub 2015 Mar 6.
Nasal polyposis associated with chronic rhinosinusitis (CRS) is a chronic inflammatory disease that is characterized by infiltration of many inflammatory cells. Meanwhile, interleukin (IL)-17A is a well-known proinflammatory cytokine that induces both eosinophilic and neutrophilic inflammation. We investigated the role of IL-17A in the development of nasal polyps in the CRS murine model.
Eosinophilic CRS with nasal polyps was induced by using ovalbumin (OVA) and Staphylococcus aureus enterotoxin B (SEB) in wild-type BALB/c and IL-17A knockout (KO) mice. Histopathologic changes of the sinonasal cavity were evaluated using hematoxylin and eosin, Periodic acid-Schiff, Sirius red, Masson's trichrome, and immunohistochemistry. The levels of total and OVA-specific immunoglobulin Es (IgEs) in sera were measured using enzyme-linked immunosorbent assay. The expression levels of IL-4, IL-5, and interferon-γ (IFN-γ) in the nasal mucosa were assessed by quantitative real-time polymerase chain reaction.
Under the IL-17A deficiency, total and OVA-specific IgEs in sera were reduced significantly. Infiltration of both eosinophils and neutrophils into the nasal mucosa, subepithelial fibrosis, and goblet cell count also decreased significantly in IL-17A KO mice treated with both OVA and SEB compared with those in the wild-type counterpart. However, there were no significant differences in the number of polypoid lesions among groups. Meanwhile, IL-4 increased and IFN-γ decreased in the nasal mucosa in IL-17A KO mice treated with both OVA and SEB.
This study suggests that even though IL-17A plays an important role in both nasal inflammation and remodeling, it does not influence the development of nasal polypoid lesions.
与慢性鼻-鼻窦炎(CRS)相关的鼻息肉病是一种慢性炎症性疾病,其特征为多种炎症细胞浸润。同时,白细胞介素(IL)-17A是一种众所周知的促炎细胞因子,可诱导嗜酸性粒细胞和中性粒细胞炎症。我们在CRS小鼠模型中研究了IL-17A在鼻息肉发生发展中的作用。
在野生型BALB/c和IL-17A基因敲除(KO)小鼠中,使用卵清蛋白(OVA)和金黄色葡萄球菌肠毒素B(SEB)诱导伴有鼻息肉的嗜酸性CRS。使用苏木精和伊红、过碘酸希夫、天狼星红、Masson三色染色及免疫组织化学评估鼻窦腔的组织病理学变化。采用酶联免疫吸附测定法检测血清中总免疫球蛋白E(IgE)和OVA特异性IgE的水平。通过定量实时聚合酶链反应评估鼻黏膜中IL-4、IL-5和干扰素-γ(IFN-γ)的表达水平。
在IL-17A缺乏的情况下,血清中总IgE和OVA特异性IgE显著降低。与野生型对照小鼠相比,同时接受OVA和SEB处理的IL-17A KO小鼠中,嗜酸性粒细胞和中性粒细胞向鼻黏膜的浸润、上皮下纤维化及杯状细胞计数也显著减少。然而,各组间息肉样病变的数量无显著差异。同时,在同时接受OVA和SEB处理的IL-17A KO小鼠的鼻黏膜中,IL-4增加而IFN-γ减少。
本研究表明,尽管IL-17A在鼻炎症和重塑中起重要作用,但它不影响鼻息肉样病变的发生发展。