PMID- 23075512 OWN - NLM STAT- MEDLINE DCOM- 20130419 LR - 20181202 IS - 1423-0097 (Electronic) IS - 1018-2438 (Linking) VI - 160 IP - 3 DP - 2013 TI - Characterization of IL-18 expression and release in the pathogenesis of chronic rhinosinusitis. PG - 275-86 LID - 10.1159/000341668 [doi] AB - BACKGROUND: Interleukin-18 (IL-18) is a member of the IL-1 cytokine family that affects chronic inflammation. We sought to characterize IL-18 expression and investigate its release during chronic rhinosinusitis (CRS). METHODS: The expression of IL-18 in nasal polyps (NPs) and uncinate tissues (UTs) from both CRS and non-CRS patients was examined via immunohistochemistry. After culturing dispersed NP cells (DNPCs) with or without various stimulations, IL-18 levels were measured in the culture supernatants. Furthermore, the effect of IL-18 neutralization on staphylococcus enterotoxin B (SEB)-induced cytokine production was also examined. RESULTS: Similar expression of IL-18 in the epithelial layers was observed between the NPs and UTs. However, there was a significantly higher number of IL-18(+) cells in the lamina propria from NPs compared to UTs without CRS. This increased number was significantly correlated with the radiological severity of sinusitis and local eosinophilia. After the dispersion, IL-18 was spontaneously released by NP cells in a phase-dependent manner. While SEB, fungal antigens, and TLR agonists did not enhance the release, exposure to protease or one cycle of a freeze-and-thaw treatment did induce release of IL-18 from rested DNPCs. In addition, neutralization of IL-18 significantly suppressed SEB-induced IL-5, IL-13, and IFN-gamma, but not IL-17A production. CONCLUSIONS: These results suggest that the pro-inflammatory effect of IL-18 released by danger signals may be involved in the pathogenesis of CRS, which includes eosinophilic inflammation and NP formation, via the augmentation of both Th2- and Th1-associated cytokine production. CI - Copyright (c) 2012 S. Karger AG, Basel. FAU - Okano, Mitsuhiro AU - Okano M AD - Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. mokano@cc.okayama-u.ac.jp FAU - Fujiwara, Tazuko AU - Fujiwara T FAU - Makihara, Seiichiro AU - Makihara S FAU - Fujiwara, Rumi AU - Fujiwara R FAU - Higaki, Takaya AU - Higaki T FAU - Kariya, Shin AU - Kariya S FAU - Noda, Yohei AU - Noda Y FAU - Haruna, Takenori AU - Haruna T FAU - Nishizaki, Kazunori AU - Nishizaki K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121017 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Antibodies, Blocking) RN - 0 (Cytokines) RN - 0 (Enterotoxins) RN - 0 (Interleukin-18) RN - 39424-53-8 (enterotoxin B, staphylococcal) SB - IM MH - Adult MH - Aged MH - Antibodies, Blocking/pharmacology MH - Cells, Cultured MH - Chronic Disease MH - Cytokines/metabolism MH - Enterotoxins/immunology MH - Female MH - Gene Expression/immunology MH - Humans MH - Interleukin-18/*immunology MH - Lymphocyte Activation/drug effects MH - Male MH - Middle Aged MH - Nasal Mucosa/*immunology MH - Nasal Polyps/complications/*immunology MH - Rhinitis/complications/*immunology MH - Sinusitis/complications/*immunology EDAT- 2012/10/19 06:00 MHDA- 2013/04/23 06:00 CRDT- 2012/10/19 06:00 PHST- 2012/01/04 00:00 [received] PHST- 2012/07/06 00:00 [accepted] PHST- 2012/10/19 06:00 [entrez] PHST- 2012/10/19 06:00 [pubmed] PHST- 2013/04/23 06:00 [medline] AID - 000341668 [pii] AID - 10.1159/000341668 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2013;160(3):275-86. doi: 10.1159/000341668. Epub 2012 Oct 17.