Clinical and immunological phenotypes of the chronic rhinosinusitis with polyposis


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅存取

详细

The pathogenesis of chronic rhinosinusitis with nasal polyposis is still unknown.
The aim. To estimate IgE-antibodies to staphylococcal enterotoxines and fungal allergens mix in nasal polyps'supernatant and sera
of three phenotypes of chronic rhinosinusitis.
Patients and methods. Chronic rhinosinusitis with nasal polyposis with aspirin intolerance - 12 patients, chronic rhinosinusitis
with nasal polyposis with atopy - 15 patients, chronic rhinosinusitis with nasal polyposis without atopy and aspirin intolerance -
10 patients, and 6 healthy persons were observed. The levels of ECP, tryptase, total IgE, IgE-antibodies to staphylococcal enterotoxines,
fungal mix in sera and supernatant of polyp's tissue were detected by ImmunoCaplOO (Phadia AB).
Results. The incidence of IgE-antibodies to staphylococcal enterotoxines makes up 12,6% in the sera of all patients, and 30% in polyp's
tissue in nonatopic patients and in none of atopics. The local production of IgE-antibodies to fungi in polyp's tissue was high and
revealed in 30-73% of all patients (more often in patients with aspirin intolerance - in 73% of cases). There was no dependence
between the incidence of IgE-antibodies to staphylococcal enterotoxines, fungal allergens mix in the sera and polyps and the chronic
rhinosinusitis with nasal polyposis.
Conclusion. The incidence of IgE-antibodies to staphylococcal enterotoxines, fungal allergens mix in polyp's tissue is higher than in
sera as in atopic as in nonatopic pts. There were IgE-antibodies to fungi in polyp's tissue in 73% of patients with aspirin intolerance. The
presence of IgE-antibodies did not influence on the level of ECP and severity of chronic rhinosinusitis with nasal polyposis .

作者简介

M Mokronosova

Federal ENT Centre

Email: mmokronosova@mail.ru
Federal ENT Centre

Ju Ruyan

Federal ENT Centre

Federal ENT Centre

D Mustafaeva

Federal ENT Centre

Federal ENT Centre

E Smolnikova

Federal ENT Centre

Federal ENT Centre

P Protasov

Federal ENT Centre

Federal ENT Centre

参考

  1. EP3OS Primary Care Guidelines: European Position Paper on the Primary Care diagnosis and Management of Rhinosinu-sitis and Nasal Polyps 2007 - a summary. Prim Care Respir J. 2008, v. 17, № 2, p. 79-89.
  2. Bachert C, Van Bruaene N., Toskala E. et al. Important research questions in allergy and related diseases: 3-chron-ic rhinosinusitis and nasal polyposis - a GA2LEN study. Allergy, v. 64, № 4, p. 520-533.
  3. Fan G.K., Wang H., Takenaka H. Eosinophil infiltration and activation in nasal polyposis. Acta Otolaryngol. 2007, v. 127. № 5, p. 521-526.
  4. Lackner A., Raggam R.B., Stammberger H. et al. The role of interleukin-16 in eosinophilic chronic rhinosinusitis. Eur Arch Otorhinolaryngol. 2007, v. 264, № 8, p. 887-893.
  5. DelagrandA., Gilbert-DussardierB. etal. Nasal polyposis: is there an inheritance pattern? A single family study. Rhinology 2008, v. 46, №2, p. 125-130.
  6. Ponikau J.U., Sherris DA., Kephart G.M. et al. Striking deposition of toxic eosinophil major basic protein in mucus: implications for chronic rhinosinusitis. J. Allergy Clin. Immunol. 2005, v. 116, № 2, p. 362-369.
  7. Bachert C, Zhang N., Patou J. et al. Role of staphylococcal superantigens in upper airway disease. Curr. Opin. Allergy Clin. Immunol. 2008, v. 8, № 1, p. 34-38.
  8. Bernstein J.M., Kansal R. Superantigen hypothesis for the early development of chronic hyperplastic sinusitis with massive nasal polyposis. Curr. Opin. Otolaryngol. Head Neck Surg. 2005, v. 13, №1, p. 39-44.
  9. Мокроносова М.А. Влияние Staphylococcus aureus на течение атопического дерматита. Аллергология. 2003. №1, с. 46-51.
  10. Niederfuhr A., Kirsche H., Riechelmann H. et al. The bacteriology of chronic rhinosinusitis with and without nasal polyps. Arch. Otolaryngol. Head Neck Surg. 2009, v. 135, №2, p. 131-136.
  11. El Fiky L.M., Khamis N., Mostafa Bel D. et al. Staphylococcal infection and toxin production in chronic rhinosinusitis. Am. J. Rhinol Allergy. 2009, v. 22, № 3, p. 264-267.
  12. Perez-Novo C.A, Kowalski M.L., KunaP etal. Aspirin sensitivity and IgE antibodies to Staphylococcus aureus enterotoxins in nasal polyposis: studies on the relationship. Int. Arch. Allergy Immunol. 2004, v. 133, № 3, p. 255-260.
  13. Fan Y.P, Xu G., Zuo K.J. et al. Detection of specific IgE of anti-Staphylococcus aureus enterotoxins in nasal polyps and analysis theoretically about the superantigen hypothesis. Zhonghua Er. Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2006, v. 41, №11, p. 825-829.

版权所有 © Pharmarus Print Media, 2009

##common.cookie##