PMID- 25561293 OWN - NLM STAT- MEDLINE DCOM- 20151123 LR - 20181113 IS - 2042-6984 (Electronic) IS - 2042-6976 (Print) IS - 2042-6976 (Linking) VI - 5 IP - 3 DP - 2015 Mar TI - Vitamin D3 as a novel regulator of basic fibroblast growth factor in chronic rhinosinusitis with nasal polyposis. PG - 191-6 LID - 10.1002/alr.21474 [doi] AB - BACKGROUND: The immunopathogenesis of chronic rhinosinusitis (CRS) is largely unknown, but it is thought that different inflammatory profiles are responsible for the different CRS subtypes. 25-Hydroxyvitamin-D (25-VD3) has been shown to alter inflammatory mediators in other disease processes and 25-VD3 deficiency is associated with CRS with nasal polyps (CRSwNP), but it is unknown if 25-VD3 levels impact local inflammation in CRS. This study investigated the correlation between plasma 25-VD3 and sinonasal mucus monocyte chemoattractant protein-1 (MCP-1), regulated upon activation normal T cell expressed and secreted (RANTES), and basic fibroblast growth factor (bFGF) levels in patients with CRS. METHODS: Study subjects undergoing endoscopic sinus surgery (ESS) for CRS were prospectively enrolled from January 2012 to August 2014. Control subjects included patients undergoing ESS for noninflammatory pathology. Blood and sinonasal mucus were collected at the time of ESS. Plasma 25-VD3 was measured by enzyme-linked immunosorbent assay (ELISA) and mucus levels of MCP-1, RANTES, and bFGF by cytometric bead array (CBA). RESULTS: A total of 57 patients were enrolled and categorized as CRS without nasal polyps (CRSsNP) (n = 31), CRSwNP (n = 14), and controls (n = 12). No significant correlation was found between MCP-1 and 25-VD3. There was a significant negative correlation between 25-VD3 and RANTES (r = -0.612; p = 0.026) and bFGF (r = -0.578; p = 0.039) in CRSwNP patients; however, there was no significant correlation in CRSsNP patients. CONCLUSION: This data suggests that 25-VD3 may play a role in regulation of RANTES and bFGF expression in CRSwNP. This may occur through regulation of NP fibroblasts or other immune cells. Further investigation is warranted to better elucidate the role of RANTES, bFGF, and 25-VD3 in CRSwNP. CI - (c) 2015 ARS-AAOA, LLC. FAU - Sansoni, E Ritter AU - Sansoni ER AD - Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, OR. FAU - Sautter, Nathan B AU - Sautter NB FAU - Mace, Jess C AU - Mace JC FAU - Smith, Timothy L AU - Smith TL FAU - Yawn, James R AU - Yawn JR FAU - Lawrence, Lauren A AU - Lawrence LA FAU - Schlosser, Rodney J AU - Schlosser RJ FAU - Soler, Zachary M AU - Soler ZM FAU - Mulligan, Jennifer K AU - Mulligan JK LA - eng SI - ClinicalTrials.gov/NCT01332136 GR - R01 DC005805/DC/NIDCD NIH HHS/United States PT - Controlled Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150105 PL - United States TA - Int Forum Allergy Rhinol JT - International forum of allergy & rhinology JID - 101550261 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CCL5) RN - 0 (Vitamins) RN - 103107-01-3 (Fibroblast Growth Factor 2) RN - 1406-16-2 (Vitamin D) RN - 1C6V77QF41 (Cholecalciferol) RN - A288AR3C9H (25-hydroxyvitamin D) SB - IM MH - Chemokine CCL2/metabolism MH - Chemokine CCL5/drug effects MH - Cholecalciferol/metabolism/*pharmacology MH - Chronic Disease MH - Endoscopy/methods MH - Female MH - Fibroblast Growth Factor 2/*drug effects MH - Fibroblasts/drug effects/metabolism MH - Humans MH - Male MH - Middle Aged MH - Mucus/chemistry MH - Nasal Polyps/blood/surgery MH - Rhinitis/blood/*surgery MH - Sinusitis/blood/surgery MH - Vitamin D/analogs & derivatives/metabolism MH - Vitamins/*pharmacology PMC - PMC4352130 MID - NIHMS655337 OTO - NOTNLM OT - 25-dihydroxyvitamin D3 OT - fibroblast growth factor-2 OT - polyps OT - sinusitis OT - vitamin D EDAT- 2015/01/07 06:00 MHDA- 2015/12/15 06:00 PMCR- 2016/03/01 CRDT- 2015/01/07 06:00 PHST- 2014/08/25 00:00 [received] PHST- 2014/10/17 00:00 [revised] PHST- 2014/11/18 00:00 [accepted] PHST- 2015/01/07 06:00 [entrez] PHST- 2015/01/07 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2016/03/01 00:00 [pmc-release] AID - 10.1002/alr.21474 [doi] PST - ppublish SO - Int Forum Allergy Rhinol. 2015 Mar;5(3):191-6. doi: 10.1002/alr.21474. Epub 2015 Jan 5.