PMID- 24758732 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140909 LR - 20211021 IS - 2152-6575 (Print) IS - 2152-6567 (Electronic) IS - 2152-6567 (Linking) VI - 5 IP - 1 DP - 2014 Apr TI - Local expression of interleukin-17a is correlated with nasal eosinophilia and clinical severity in allergic rhinitis. PG - 22-7 LID - 10.2500/ar.2014.5.0078 [doi] AB - Interleukin (IL)-17A is a major cytokine produced by Th17 cells, which are associated with chronic inflammations. The local expression of IL-17A in allergic rhinitis (AR) remains to be characterized. We sought to determine the role of IL-17A expression in human inferior turbinate mucosa in the pathophysiology of AR. Inferior turbinate mucosa was sampled from medical treatment-resistant, surgery-required patients with perennial AR (PAR, n = 21), nonallergic rhinitis with eosinophilia syndrome (NARES, n = 7), and nonallergic hypertrophic rhinitis (HR, n = 13). IL-17A expression was determined with immunohistochemical staining. The mean number of IL-17A(+) cells and eosinophils per field were counted. Total serum immunoglobulin E (IgE) levels, blood eosinophil count, and forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) ratio were also examined in each patient. IL-17A was primarily expressed in infiltrating inflammatory cells. The number of IL-17A(+) cells in nasal mucosa was significantly higher in the PAR group compared with HR (p = 0.002) and NARES (p = 0.021) groups. There was a significant and positive correlation between the number of IL-17A(+) cells and total nasal symptom score (rho = 0.403; p = 0.011), especially sneezing score (rho = 0.471; p = 0.003). The number of IL-17A(+) cells was significantly and positively correlated with the degree of eosinophil infiltration (rho = 0.623; p < 0.001), but not with total serum IgE levels (rho = 0.284; p = 0.098), blood eosinophil counts (rho = 0.302; p = 0.056), or FEV1/FVC ratio (rho = 0.092; p = 0.569). The present study provides evidence that IL-17A expression in the nasal mucosa is associated with the pathophysiology of AR, including disease severity and nasal eosinophilia. FAU - Makihara, Seiichiro AU - Makihara S AD - Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. FAU - Okano, Mitsuhiro AU - Okano M FAU - Fujiwara, Tazuko AU - Fujiwara T FAU - Noda, Yohei AU - Noda Y FAU - Higaki, Takaya AU - Higaki T FAU - Miyateke, Tomomi AU - Miyateke T FAU - Kanai, Kengo AU - Kanai K FAU - Haruna, Takenori AU - Haruna T FAU - Kariya, Shin AU - Kariya S FAU - Nishizaki, Kazunori AU - Nishizaki K LA - eng PT - Journal Article DEP - 20140422 PL - United States TA - Allergy Rhinol (Providence) JT - Allergy & rhinology (Providence, R.I.) JID - 101570968 PMC - PMC4019741 COIS- The authors have no conflicts of interest to declare pertaining to this article EDAT- 2014/04/25 06:00 MHDA- 2014/04/25 06:01 PMCR- 2014/03/01 CRDT- 2014/04/25 06:00 PHST- 2014/04/25 06:00 [entrez] PHST- 2014/04/25 06:00 [pubmed] PHST- 2014/04/25 06:01 [medline] PHST- 2014/03/01 00:00 [pmc-release] AID - content-0078 [pii] AID - AR043-12 [pii] AID - 10.2500/ar.2014.5.0078 [doi] PST - ppublish SO - Allergy Rhinol (Providence). 2014 Apr;5(1):22-7. doi: 10.2500/ar.2014.5.0078. Epub 2014 Apr 22.