PMID- 12352682 OWN - NLM STAT- MEDLINE DCOM- 20021115 LR - 20131121 IS - 0023-852X (Print) IS - 0023-852X (Linking) VI - 112 IP - 9 DP - 2002 Sep TI - Cytokine profiles in a rat model of otitis media with effusion caused by eustachian tube obstruction with and without Streptococcus pneumoniae infection. PG - 1657-62 AB - OBJECTIVE: Cytokine expression was studied in a rat model of otitis media with effusion. METHODS: The left eustachian tube was obstructed (eustachian tube obstruction [ETO]) in 84 rats. Forty-two ears were challenged with, and those rats were treated from day 2 to day 7 with ampicillin. Twelve rats (6 per group) were killed on days 1, 2, 7, 21, 35, 56, and 112; mucosa was harvested and assayed for interleukin-1beta (IL-1beta), tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), interleukin-10 (IL-10), interferon-gamma (IFN-gamma), transforming growth factor-beta (TGF-beta), monocyte chemoattractant protein-1 (MCP-1), and interleukin-8 (IL-8) gene expression, and effusion was assayed for IL-1beta, TNF-alpha, IL-6, IL-10, and macrophage inflammatory protein-2 (MIP-2) protein. RESULTS: Most cytokines were detectable in the effusion from infected ears with ETO on days 1 and 2 only. MIP-2 exhibited a biphasic response. Only effusion MIP-2 was consistently detected in uninfected ears with ETO. Three patterns of mucosal cytokine messenger RNA (mRNA) upregulation were observed: isolated early (IL-1beta, IL-8), isolated late (TNF-alpha, IFN-gamma), and biphasic (MCP-1, IL-6, TGF-beta) responses. Early cytokine mRNA upregulations were observed only in the infected ears with ETO, whereas late upregulations were observed in both groups. CONCLUSIONS: Early expression of the assayed cytokines occurred only in ears with active infection. For both groups, a late upregulation of cytokine message but not protein was documented. The profile of cytokine expression during otitis media episodes may be useful in defining etiology, disease stage, and prognosis. FAU - Hebda, Patricia A AU - Hebda PA AD - Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh, Pennsyvania 15213, USA. FAU - Piltcher, Otavio B AU - Piltcher OB FAU - Swarts, J Douglas AU - Swarts JD FAU - Alper, Cuneyt M AU - Alper CM FAU - Zeevi, Adriana AU - Zeevi A FAU - Doyle, William J AU - Doyle WJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Cytokines) RN - 0 (Penicillins) RN - 7C782967RD (Ampicillin) SB - IM MH - Ampicillin/pharmacology MH - Analysis of Variance MH - Animals MH - Cytokines/*metabolism MH - Disease Models, Animal MH - Enzyme-Linked Immunosorbent Assay MH - Eustachian Tube/pathology MH - Male MH - Otitis Media with Effusion/drug therapy/*metabolism/microbiology MH - Penicillins/pharmacology MH - Rats MH - Streptococcal Infections/drug therapy MH - Streptococcus pneumoniae MH - Up-Regulation EDAT- 2002/09/28 04:00 MHDA- 2002/11/26 04:00 CRDT- 2002/09/28 04:00 PHST- 2002/09/28 04:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2002/09/28 04:00 [entrez] AID - 10.1097/00005537-200209000-00024 [doi] PST - ppublish SO - Laryngoscope. 2002 Sep;112(9):1657-62. doi: 10.1097/00005537-200209000-00024.