PMID- 18954504 OWN - NLM STAT- MEDLINE DCOM- 20081114 LR - 20111117 IS - 1050-6586 (Print) IS - 1050-6586 (Linking) VI - 22 IP - 5 DP - 2008 Sep-Oct TI - Decreased production of human leukocyte antigen G molecules in sinonasal polyposis. PG - 468-73 LID - 10.2500/ajr.2008.22.3210 [doi] AB - BACKGROUND: Sinonasal polyposis (SNP) is a chronic inflammatory pathology of nasal and paranasal cavities. Human leukocyte antigen (HLA) G molecules are nonclassic class I antigens with anti-inflammatory and tolerogenic properties. As most theories consider polyps to be the manifestation of chronic inflammation, there could be a possible implication of HLA-G molecules in SNP. The purpose of this study was to investigate the possible correlation between SNP and the production of soluble HLA-G (sHLA-G) by peripheral blood mononuclear cells (PBMCs). METHODS: The study involved 22 SNP patients (11 with no evidence of disease [NED] after surgery and 11 with relapse [RE]) and 20 healthy subjects. The presence of sHLA-G in PBMC lipopolysaccharide (LPS)-stimulated culture supernatants was analyzed. The levels of interleukin (IL) 10, one of the main up-regulators of sHLA-G production, were determined. Exogenous IL-10 was added to the SNP PBMC cultures to reconstitute the impairment in sHLA-G production. RESULTS: Increased IL-10 levels in LPS-activated PBMC culture supernatants were found in NED patients in comparison with healthy subjects (p = 0.0184). No sHLA-G production was observed in either of the patient subgroup supernatants (p < 0.0001). The addition of exogenous IL-10 showed the reconstitution of sHLA-G production in NED and in a lower amount in RE patients. CONCLUSION: The results show a defect in sHLA-G production in SNP patients mainly related to the IL-10/HLA-G pathway. Given the anti-inflammatory functions of HLA-G molecules, this impairment could increase the susceptibility to the disease. The different sHLA-G production after exogenous IL-10 addition between NED and RE SNP could represent a marker of disease severity. FAU - Malagutti, Nicola AU - Malagutti N AD - Department of Ear, Nose, and Throat, University of Ferrara, Ferrara, Italy. FAU - Aimoni, Claudia AU - Aimoni C FAU - Balboni, Alessandra AU - Balboni A FAU - Stignani, Marina AU - Stignani M FAU - Melchiorri, Loredana AU - Melchiorri L FAU - Borin, Michela AU - Borin M FAU - Pastore, Antonio AU - Pastore A FAU - Rizzo, Roberta AU - Rizzo R FAU - Baricordi, Olavio Roberto AU - Baricordi OR LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Am J Rhinol JT - American journal of rhinology JID - 8807268 RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Cells, Cultured MH - Female MH - Flow Cytometry MH - Follow-Up Studies MH - HLA Antigens/*biosynthesis/immunology MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/*biosynthesis/immunology MH - Humans MH - Immunoassay MH - Interleukin-10/biosynthesis MH - Leukocytes, Mononuclear/metabolism/pathology MH - Male MH - Middle Aged MH - Nasal Polyps/*immunology/metabolism/pathology MH - Paranasal Sinus Diseases/*immunology/metabolism/pathology MH - Retrospective Studies MH - Severity of Illness Index EDAT- 2008/10/29 09:00 MHDA- 2008/11/15 09:00 CRDT- 2008/10/29 09:00 PHST- 2008/10/29 09:00 [pubmed] PHST- 2008/11/15 09:00 [medline] PHST- 2008/10/29 09:00 [entrez] AID - 10.2500/ajr.2008.22.3210 [doi] PST - ppublish SO - Am J Rhinol. 2008 Sep-Oct;22(5):468-73. doi: 10.2500/ajr.2008.22.3210.