PMID- 22377524 OWN - NLM STAT- MEDLINE DCOM- 20120626 LR - 20120301 IS - 1440-1592 (Electronic) IS - 1323-8930 (Linking) VI - 61 IP - 1 DP - 2012 Mar TI - Cytokine profiles in Japanese patients with chronic rhinosinusitis. PG - 115-22 LID - 10.2332/allergolint.10-OA-0290 [doi] AB - BACKGROUND: Chronic rhinosinusitis (CRS) is classified in CRS without nasal polyp (CRSsNP) and CRS with nasal polyp (CRSwNP) in western countries, whereas this classification was not common so far in Japan. Studying inflammatory mediators in clearly defined disease subgroups may lead to a better differentiation of chronic sinus diseases. METHODS: Homogenates of sinonasal mucosal tissue from 14 controls, 9 CRSsNP patients, and 19 CRSwNP patients were assayed for transforming growth factor (TGF)-beta, interleukin (IL)-5, immunoglobulin E (IgE), Staphylococcus enterotoxin (SAE)-IgE, eosinophil-catioic protein (ECP), myeloperoxidase (MPO), IL-1beta, IL-6, and IL-8 by enzyme-linked immunosorbent assay or UNICAP system. RESULTS: CRSwNP had significantly higher levels of IL-5, IgE, SAE-IgE, and ECP compared with CRSsNP and controls. CRSsNP was characterized by high levels of TGF-beta, while CRSwNP showed a Th2 polarization and lower levels of TGF-beta. Especially, in CRSwNP samples, 68.4% were eosinophilic (ECP/MPO ratio >1), and 52.6% were SAE-IgE positive. On the other hand, in 9 CRSsNP patients, eosinophilic or SAE-IgE positive sample was only one sample respectively. Additionally, 31.6% of CRSwNP were asthmatic patients, while none of CRSsNP patient was suffering from bronchial asthma. CONCLUSIONS: This study is thought to be the first one that showed the cytokine profiles in Japanese CRSs/wNP similar to those of European CRS. Based on mediator profiles, we suggest that CRSsNP and CRSwNP are distinct disease entities within the group of chronic sinus diseases. FAU - Sejima, Takayuki AU - Sejima T AD - Upper Airway Research Laboratory, Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium. t-sejima@jichi.ac.jp FAU - Holtappels, Gabriele AU - Holtappels G FAU - Kikuchi, Hisashi AU - Kikuchi H FAU - Imayoshi, Shoichiro AU - Imayoshi S FAU - Ichimura, Keiichi AU - Ichimura K FAU - Bachert, Claus AU - Bachert C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Allergol Int JT - Allergology international : official journal of the Japanese Society of Allergology JID - 9616296 RN - 0 (Cytokines) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Chronic Disease MH - Cytokines/*metabolism MH - Female MH - Humans MH - Immunoglobulin E/immunology MH - Japan MH - Male MH - Middle Aged MH - Nasal Polyps/immunology/metabolism MH - Rhinitis/*immunology/metabolism/pathology MH - Sinusitis/*immunology/metabolism/pathology MH - Young Adult EDAT- 2012/03/02 06:00 MHDA- 2012/06/27 06:00 CRDT- 2012/03/02 06:00 PHST- 2010/11/08 00:00 [received] PHST- 2011/07/17 00:00 [accepted] PHST- 2012/03/02 06:00 [entrez] PHST- 2012/03/02 06:00 [pubmed] PHST- 2012/06/27 06:00 [medline] AID - S1323-8930(15)30201-X [pii] AID - 10.2332/allergolint.10-OA-0290 [doi] PST - ppublish SO - Allergol Int. 2012 Mar;61(1):115-22. doi: 10.2332/allergolint.10-OA-0290.