PMID- 34637606 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20220405 IS - 2050-4527 (Electronic) IS - 2050-4527 (Linking) VI - 10 IP - 1 DP - 2022 Jan TI - Adult allergic rhinitis sufferers have unique nasal mucosal and peripheral blood immune gene expression profiles: A case-control study. PG - 78-92 LID - 10.1002/iid3.545 [doi] AB - BACKGROUND: Allergic rhinitis (AR) is a complex disease involving both mucosal and systemic immune compartments. Greater understanding of the immune networks underpinning AR pathophysiology may assist with further refining disease-specific biomarkers. OBJECTIVE: To compare immune gene expression profiles in nasal mucosa and peripheral blood samples between adults with AR and controls without AR. METHODS: This cross-sectional study included 45 adults with moderate-severe and persistent AR (37.6 +/- 12.8 years; mean +/- SD) and 24 adults without AR (36.6 +/- 10.2). Gene expression analysis was performed using the NanoString nCounter PanCancer Immune profiling panel (n = 730 immune genes) in combination with the panel plus probe set (n = 30 allergy-related genes) with purified RNA from peripheral blood and cell lysates prepared from combined nasal lavage and nasal brushing. RESULTS: One hundred and thirteen genes were significantly differentially expressed in peripheral blood samples between groups (p < .05). In contrast, 14 genes were differentially expressed in nasal lysate samples between groups (p < .05). Upregulation of allergy-related genes in nasal mucosa samples in the AR group was observed. Namely, chemokines CCL17 and CCL26 are involved in the chemotaxis of key effector cells and TPSAB1 encodes tryptase, an inflammatory mediator released from activated mast cells and basophils. Six differentially expressed genes (DEGs) were in common between the nasal mucosa and blood samples. In addition, counts of specific DEGs in nasal mucosa samples were positively correlated with eosinophil and dust mite-specific immunoglobulin E (IgE) counts in blood. CONCLUSIONS AND CLINICAL RELEVANCE: Distinct gene expression profiles in blood and nasal mucosa samples were observed between AR sufferers and controls. The results of this study also provide evidence for a close interaction between the local site and systemic immunity. The genes identified in this study contribute to the current knowledge of AR pathophysiology and may serve as biomarkers to evaluate the effectiveness of treatment regimens, or as targets for drug discovery. CI - (c) 2021 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd. FAU - Watts, Annabelle M AU - Watts AM AD - Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia. AD - School of Medical Science, Griffith University, Southport, Queensland, Australia. FAU - West, Nicholas P AU - West NP AD - Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia. AD - School of Medical Science, Griffith University, Southport, Queensland, Australia. FAU - Smith, Peter K AU - Smith PK AD - School of Medicine, Griffith University, Southport, Queensland, Australia. AD - Queensland Allergy Services Clinic, Southport, Queensland, Australia. FAU - Cripps, Allan W AU - Cripps AW AUID- ORCID: 0000-0002-8755-932X AD - Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia. AD - School of Medicine, Griffith University, Southport, Queensland, Australia. FAU - Cox, Amanda J AU - Cox AJ AUID- ORCID: 0000-0003-3684-0952 AD - Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia. AD - School of Medical Science, Griffith University, Southport, Queensland, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211012 PL - England TA - Immun Inflamm Dis JT - Immunity, inflammation and disease JID - 101635460 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Case-Control Studies MH - Cross-Sectional Studies MH - Humans MH - Immunoglobulin E MH - Nasal Mucosa MH - *Rhinitis, Allergic/genetics MH - *Transcriptome PMC - PMC8669689 OTO - NOTNLM OT - epithelium OT - gene expression OT - mucosa OT - rhinitis EDAT- 2021/10/13 06:00 MHDA- 2022/04/05 06:00 PMCR- 2021/10/12 CRDT- 2021/10/12 17:28 PHST- 2021/09/26 00:00 [revised] PHST- 2021/07/14 00:00 [received] PHST- 2021/09/29 00:00 [accepted] PHST- 2021/10/13 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2021/10/12 17:28 [entrez] PHST- 2021/10/12 00:00 [pmc-release] AID - IID3545 [pii] AID - 10.1002/iid3.545 [doi] PST - ppublish SO - Immun Inflamm Dis. 2022 Jan;10(1):78-92. doi: 10.1002/iid3.545. Epub 2021 Oct 12.