PMID- 23711866 OWN - NLM STAT- MEDLINE DCOM- 20130724 LR - 20130528 IS - 1423-0097 (Electronic) IS - 1018-2438 (Linking) VI - 161 Suppl 2 DP - 2013 TI - Total and antigen- (fungi, mites and staphylococcal enterotoxins) specific IgEs in nasal polyps is related to local eosinophilic inflammation. PG - 147-53 LID - 10.1159/000350387 [doi] AB - BACKGROUND: Total and specific immunoglobulin E (IgE) in nasal polyps (NP) is related to local eosinophilic inflammation. However, it remains unclear which antigens cause a stronger accumulation of eosinophils in NP. We investigated whether local IgEs to specific antigens correlated with local eosinophil accumulation. METHODS: Total IgE, antigen-specific IgEs [5 species of fungi, staphylococcal enterotoxins A and B (SEA and SEB), cedar pollen, ragweed pollen and house-dust mites] and eosinophil cationic protein (ECP) were measured in sinus mucosa homogenates and serum from 29 patients with chronic rhinosinusitis with NP (CRSwNP), 8 patients with allergic fungal rhinosinusitis (AFRS) and 8 control subjects without CRS. The level of ECP in NP was analyzed for correlations with the total and specific IgE levels in the serum and NP. RESULTS: In CRSwNP, antigen-specific IgEs [Alternaria > mite (Dp) > Aspergillus > SEB > Penicillium > mite (Df), but not the other fungi, SEA or pollens] in the sinus mucosa correlated significantly with the local ECP. In AFRS, antigen-specific IgEs [Penicillium > mite (Df) > Alternaria, but not the other fungi, SEs or pollens] in the sinus mucosa correlated significantly with the local ECP. CONCLUSIONS: Local total IgE and antigen (fungi, mites and SEs)-specific IgEs in NP are related to the local eosinophilic inflammation of AFRS and CRSwNP. CI - Copyright (c) 2013 S. Karger AG, Basel. FAU - Matsuwaki, Yoshinori AU - Matsuwaki Y AD - Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan. matuwaki@jikei.ac.jp FAU - Uno, Keisuke AU - Uno K FAU - Okushi, Tetsushi AU - Okushi T FAU - Otori, Nobuyoshi AU - Otori N FAU - Moriyama, Hiroshi AU - Moriyama H LA - eng PT - Journal Article DEP - 20130529 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Antigens) RN - 0 (Enterotoxins) RN - 37341-29-0 (Immunoglobulin E) RN - 39424-53-8 (enterotoxin B, staphylococcal) SB - IM MH - Adult MH - Aged MH - Animals MH - Antigens/*immunology MH - Enterotoxins/immunology MH - Eosinophils/*immunology MH - Female MH - Fungi/immunology MH - Humans MH - Immunoglobulin E/blood/*immunology MH - Inflammation/*immunology MH - Male MH - Middle Aged MH - Mites/immunology MH - Nasal Polyps/*immunology MH - Rhinitis/immunology MH - Sinusitis/immunology EDAT- 2013/06/05 06:00 MHDA- 2013/07/25 06:00 CRDT- 2013/05/29 06:00 PHST- 2013/05/29 06:00 [entrez] PHST- 2013/06/05 06:00 [pubmed] PHST- 2013/07/25 06:00 [medline] AID - 000350387 [pii] AID - 10.1159/000350387 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2013;161 Suppl 2:147-53. doi: 10.1159/000350387. Epub 2013 May 29.