PMID- 34666468 OWN - NLM STAT- MEDLINE DCOM- 20211021 LR - 20211021 IS - 1673-0860 (Print) IS - 1673-0860 (Linking) VI - 56 IP - 10 DP - 2021 Oct 7 TI - [Different concentrations of specialized pro-resolving mediators in eosinophilic and non-eosinophilic chronic rhinosinusitis with nasal polyps]. PG - 1073-1079 LID - 10.3760/cma.j.cn115330-20210419-00212 [doi] AB - Objective: To investigate the difference of concentrations of specialized pro-resolving mediators (SPMs) derived from fatty acids in eosinophilic chronic rhinosinusitis with nasal polyps (ECRSwNP) and non-eosinophilic chronic rhinosinusitis with nasal polyps (nECRSwNP). Methods: A total of 36 patients with bilateral chronic rhinosinusitis with nasal polyps (CRSwNP) who underwent endoscopic nasal surgeries in Peking Union Medical College Hospital from May 2019 to September 2020 were enrolled, including 27 males and 9 females, with the age from 13 to 67 years. There were 23 cases of ECRSwNP and 13 cases of nECRSwNP. At the same time, 12 control subjects were enrolled. The concentrations of multiple SPMs, including lipoxins (LXA(4) and LXB(4)), resolvins (RvD(1), RvD(2), RvD(3), RvD(5) and RvE(1)), protectins (PDX) and maresins (Mar-1) in nasal polyps with different histological subtypes and normal nasal mucosa were analyzed using liquid chromatography-tandem mass spectrometry. The concentrations of SPMs between groups were compared using Mann-Whitney U test. Spearman's rank correlation coefficient was used to measure the correlation between the concentrations of SPMs in nasal polyps and tissue eosinophil counts. Results: The concentrations of RvD(2), RvD(3), RvD(5), LXA(4), LXB(4), Mar-1 and PDX in ECRSwNP group were significantly higher than that in controls (Z value was -2.276, -2.313, -3.371, -2.094, -2.051, -3.104 and -2.294, respectively, all P<0.05). The concentrations of RvD(2), RvD(5), Mar-1 and PDX in ECRSwNP group were significantly higher than those in nECRSwNP group (Z value was -2.175, -2.289, -2.243 and -2.124, respectively, all P<0.05). There was no significant difference in all these SPMs between nECRSwNP and controls (all P>0.05). The concentrations of RvD(2), RvD(3), RvD(5), LXB(4), Mar-1 and PDX in nasal polyps correlated positively with tissue eosinophil counts (r value was 0.443, 0.436, 0.371, 0.502, 0.340 and 0.386, respectively, all P<0.05). Conclusions: A varienty of SPMs are elevated in ECRSwNP. Dysregulation of fatty acid metabolism might play an important role in the chronic inflammation of ECRSwNP. FAU - Zhu, Z Z AU - Zhu ZZ AD - Department of Otorhinolaryngology Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. FAU - Wang, W Q AU - Wang WQ AD - Department of Otorhinolaryngology Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. FAU - Han, J B AU - Han JB AD - Department of Otorhinolaryngology Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. FAU - Wang, L AU - Wang L AD - Department of Otorhinolaryngology Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. FAU - Lyu, W AU - Lyu W AD - Department of Otorhinolaryngology Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China. LA - chi GR - 82071027/National Natural Science Foundation of China/ GR - 7202162/Beijing Municipal Natural Science Foundation/ GR - 2019XK320034/Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences/ PT - Journal Article PL - China TA - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi JT - Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery JID - 101247574 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Chronic Disease MH - Eosinophils MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nasal Mucosa/pathology MH - *Nasal Polyps/complications/pathology MH - *Rhinitis/complications/pathology MH - *Sinusitis/complications/pathology MH - Young Adult EDAT- 2021/10/21 06:00 MHDA- 2023/02/25 06:00 CRDT- 2021/10/20 04:14 PHST- 2021/10/20 04:14 [entrez] PHST- 2021/10/21 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] AID - 10.3760/cma.j.cn115330-20210419-00212 [doi] PST - ppublish SO - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Oct 7;56(10):1073-1079. doi: 10.3760/cma.j.cn115330-20210419-00212.