PMID- 25466272 OWN - NLM STAT- MEDLINE DCOM- 20150728 LR - 20161125 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 23 IP - 2 DP - 2014 Dec TI - Staphylococcal enterotoxin burden determines the type of T helper cell response and pathology of the maxillary sinus mucosa in rabbits. PG - 633-41 AB - Staphylococcal enterotoxin (SE) induces T lymphocyte activation along with nasal allergic inflammation during rhinosinusitis, but it is under debate on which types of T helper (Th) cells respond exclusively or whether they respond synergically. We hypothesize that their responses may vary based on dose of SE. To test this hypothesis, we initiated to determine the nature of the T cell response and pathological feature upon repeated exposure to staphylococcal enterotoxin A (SEA) at different doses in the maxillary sinus of rabbits. SEA (0.6 or 60 ng) was instilled daily into the left maxillary sinus of rabbits for 28 days. The right maxillary sinus receiving normal saline was used as control. Mucosal histological changes were examined by hematoxylin-eosin and toluidine blue staining. Tissue expression of myeloperoxidase (MPO), eosinophil cationic protein (ECP), T-box expressed in T cells (T-bet), and GATA binding protein 3 (GATA-3) were examined using immunohistochemistry. Mucosal levels of representative pro-inflammatory cytokines were measured using ELISA. SEA at 60 ng/day induced acute rhinosinusitis, as confirmed by CT scan. Histopathologic examination revealed epithelial disruption, subepithelial edema, and inflammatory cell infiltration. MPO and T-bet expression, as well as interleukin (IL)-2 and interferon (IFN)-gamma levels, were up-regulated. However, 0.6 ng/day SEA did not cause discharge. Histological examination revealed prominent eosinophilic infiltration. ECP and GATA-3 expression, as well as IL-4 and IL-5 levels, were increased at this lower dose. In conclusion, SEA induces acute rhinosinusitis associated with a Th1-type immune response at high dose, and a predominantly Th2-biased allergic inflammation at low dose. FAU - Wei, Hongqi AU - Wei H FAU - Yuan, Hui AU - Yuan H FAU - Zhu, Zhengwen AU - Zhu Z FAU - Liu, Zhiyong AU - Liu Z FAU - Xin, Jie AU - Xin J FAU - Wu, Xiaofan AU - Wu X FAU - Cao, Zhongsheng AU - Cao Z LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 0 (Cytokines) RN - 0 (Enterotoxins) RN - 37337-57-8 (enterotoxin A, Staphylococcal) SB - IM MH - Animals MH - Cytokines/biosynthesis/*immunology MH - Disease Models, Animal MH - Enterotoxins/immunology/*toxicity MH - Male MH - Maxillary Sinus/diagnostic imaging/immunology/*pathology MH - Maxillary Sinusitis/diagnostic imaging/immunology/*pathology MH - Nasal Mucosa/diagnostic imaging/immunology/*pathology MH - Rabbits MH - T-Lymphocytes, Helper-Inducer/*drug effects/immunology MH - Th1 Cells/drug effects/immunology MH - Th2 Cells/drug effects/immunology MH - Tomography, X-Ray Computed EDAT- 2014/12/04 06:00 MHDA- 2015/07/29 06:00 CRDT- 2014/12/04 06:00 PHST- 2014/06/21 00:00 [received] PHST- 2014/10/02 00:00 [revised] PHST- 2014/10/15 00:00 [accepted] PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/07/29 06:00 [medline] AID - S1567-5769(14)00398-1 [pii] AID - 10.1016/j.intimp.2014.10.016 [doi] PST - ppublish SO - Int Immunopharmacol. 2014 Dec;23(2):633-41. doi: 10.1016/j.intimp.2014.10.016.