PMID- 12359119 OWN - NLM STAT- MEDLINE DCOM- 20030327 LR - 20191106 IS - 1529-7322 (Print) IS - 1529-7322 (Linking) VI - 2 IP - 6 DP - 2002 Nov TI - Mediators in nasal polyposis. PG - 481-7 AB - Nasal polyposis (NP) is a chronic inflammatory disease of the sinuses often associated with asthma. Although we have not yet achieved a full understanding of the precise mechanisms underlying the pathogenesis of NP, recent insights have been acquired into the regulation of eosinophil chemotaxis, activation, and survival, in addition to their possible link to gross histopathologic changes such as pseudocyst formation. Interleukin (IL)-5, transforming growth factor-beta(1), and eotaxin seem to be crucial players in the regulation of eosinophilic inflammation and extracellular matrix breakdown. The cytokine pattern in NP assumes neither a T helper 1 (Th1) nor Th2 type predominance, because IL-4, IL-5, IL-12, and interferon-gamma have all been shown to be upregulated in NP tissue, without influence of the atopic status. However, recent studies have demonstrated a strong local upregulation of the immunoglobulin E (IgE) synthesis with the formation of specific IgE to Staphylococcus aureus enterotoxins, suggesting a possible role of superantigens in these pathologic processes. FAU - Bachert, Claus AU - Bachert C AD - Department of Oto-Rhino-Laryngology, Ghent University Hospital, B-9000 Ghent, Belgium. claus.bachert@rug.ac.be FAU - Gevaert, Philippe AU - Gevaert P FAU - Holtappels, Gabriele AU - Holtappels G FAU - van Cauwenberge, Paul AU - van Cauwenberge P LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Allergy Asthma Rep JT - Current allergy and asthma reports JID - 101096440 RN - 0 (Cell Adhesion Molecules) RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) SB - IM MH - Cell Adhesion Molecules/metabolism MH - Chemokines/metabolism MH - Cytokines/metabolism MH - Eosinophilia/immunology MH - Eosinophils/immunology MH - Humans MH - Inflammation Mediators/*metabolism MH - Nasal Polyps/*immunology RF - 50 EDAT- 2002/10/03 04:00 MHDA- 2003/03/28 05:00 CRDT- 2002/10/03 04:00 PHST- 2002/10/03 04:00 [pubmed] PHST- 2003/03/28 05:00 [medline] PHST- 2002/10/03 04:00 [entrez] AID - 10.1007/s11882-002-0088-9 [doi] PST - ppublish SO - Curr Allergy Asthma Rep. 2002 Nov;2(6):481-7. doi: 10.1007/s11882-002-0088-9.