PMID- 33356412 OWN - NLM STAT- MEDLINE DCOM- 20210913 LR - 20210913 IS - 1945-8932 (Electronic) IS - 1945-8932 (Linking) VI - 35 IP - 5 DP - 2021 Sep TI - Evaluation of Serum Total Immunoglobulin E, Interleukin-17 and Pentraxin-3 as Biomarkers for Chronic Rhinosinusitis With Nasal Polyposis. PG - 640-646 LID - 10.1177/1945892420983787 [doi] AB - BACKGROUND: Different biomarkers are detectable in cases of chronic rhinosinusitis with nasal polyposis (CRSwNP) with need for evaluation of their diagnostic and prognostic roles. OBJECTIVE: To assess the serum levels of total IgE, interleukin-17 and Pentraxin-3 in patients with CRSwNP and correlate them with the clinical evaluation using Sino-Nasal Outcome Test (SNOT-22), radiological evaluation using Lund - Mackay (LM) computed tomography scan score, and polyposis recurrence. METHODS: This cross-sectional comparative study was carried out on fifty patients with CRSwNP and twenty-five age and gender matched healthy volunteers as control group. Patients were assessed clinically by SNOT-22 and radiologically by LM score. Blood samples of patients and controls were analyzed for serum levels of total immunoglobulin E (IgE), Interleukin-17 (IL-17) and Pentraxin-3 (PTX-3). The correlation between the serum levels of every two markers of the study markers was assessed. The levels of the three biomarkers were correlated with SNOT-22 and LM scores and polyp recurrence with assessment of their sensitivity and specificity to diagnose CRSwNP. RESULTS: This study showed significantly higher values of the three biomarkers in patients group compared with control group (p < 0.001 for all). There were significant positive correlations between the levels of the three markers and SNOT 22 and LM scores (p < 0.001 for all) and with recurrence of polyposis (p < 0.001, p = 0.005 and p = 0.032 respectively). Agreement (sensitivity and specificity) for these markers to diagnose patient group was statistically significant (p < 0.001 for all). There was a significant positive correlation between every two markers of the study markers. CONCLUSION: Serum levels of total IgE, IL-17 and PTX-3 are important biological markers for diagnosis and follow up of cases of CRSwNP with high sensitivity and specificity in detection of such cases. They should be included in the routine laboratory workup for cases of CRSwNP. FAU - Hussien, Hossam A AU - Hussien HA AD - Otorhinolaryngology Department, Faculty of Medicine, Menoufia University, Shibin el Kom, Egypt. FAU - Habieb, Mona S AU - Habieb MS AD - Medical Biochemistry and Molecular Biology Department, Faculty of Medicine, Menoufia University, Shibin el Kom, Egypt. FAU - Hamdan, Ahmad M AU - Hamdan AM AUID- ORCID: 0000-0002-5148-2041 AD - Otorhinolaryngology Department, Faculty of Medicine, Menoufia University, Shibin el Kom, Egypt. LA - eng PT - Journal Article DEP - 20201223 PL - United States TA - Am J Rhinol Allergy JT - American journal of rhinology & allergy JID - 101490775 RN - 0 (Biomarkers) RN - 0 (Interleukin-17) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Biomarkers MH - Chronic Disease MH - Cross-Sectional Studies MH - Humans MH - Immunoglobulin E MH - Interleukin-17 MH - *Nasal Polyps/diagnosis MH - Neoplasm Recurrence, Local MH - *Rhinitis/diagnosis OTO - NOTNLM OT - Lund Mackay score OT - Pentraxin-3 OT - Sinonasal Outcome Test 22 OT - biomarkers OT - chronic rhinosinusitis with nasal polyposis OT - immunoglobulin E OT - interleukin-17 OT - polyposis recurrence OT - sinusitis EDAT- 2020/12/29 06:00 MHDA- 2021/09/14 06:00 CRDT- 2020/12/28 10:07 PHST- 2020/12/29 06:00 [pubmed] PHST- 2021/09/14 06:00 [medline] PHST- 2020/12/28 10:07 [entrez] AID - 10.1177/1945892420983787 [doi] PST - ppublish SO - Am J Rhinol Allergy. 2021 Sep;35(5):640-646. doi: 10.1177/1945892420983787. Epub 2020 Dec 23.