PMID- 8302123 OWN - NLM STAT- MEDLINE DCOM- 19940310 LR - 20071114 IS - 0023-852X (Print) IS - 0023-852X (Linking) VI - 104 IP - 2 DP - 1994 Feb TI - Cytokines in experimental otitis media with effusion. PG - 191-6 AB - Studies in the authors' laboratory have recently demonstrated the presence of potent inflammatory cytokines such as interleukin-1 beta (IL-1 beta), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF alpha) in human middle ear effusions. The clinical significance of this finding has not been fully elucidated because of the limitations of human studies. We hypothesized that the chinchilla model of otitis media may be an appropriate system with which to study the role of cytokines in otitis media with effusion. To begin to investigate this possibility, 30 chinchillas underwent surgical blockage of the eustachian tube (ET) to promote effusion development. After 2 weeks, examination by otoscopy demonstrated 27 ears to have developed an effusion. Next, all middle ear clefts, in random manner, were either injected with heat-killed Streptococcus pneumoniae 1 x 10(6) in 0.1 mL normal saline, injected with 0.1 mL normal saline alone, or received no injection at all. Middle ear effusions were obtained and analyzed for IL-1 beta and TNF alpha by enzyme-linked immunosorbent assay (ELISA). This study demonstrated a significant correlation between IL-1 beta and the presence of an effusion (P < .001). Additionally, increased TNF alpha levels correlated with bacterial component presence (P < .001), i.e., mean TNF alpha level was 108, 10.8, and 0 pg/mL in bacteria, normal saline, and noninjected ears, respectively. These findings would suggest that cytokine expression may relate to specific pathological conditions and that the chinchilla model for otitis media with effusion (OME) could be used to further explore the role of cytokines in OME. FAU - Johnson, M D AU - Johnson MD AD - Department of Surgery, University of Connecticut Health Center, Farmington 06032. FAU - Fitzgerald, J E AU - Fitzgerald JE FAU - Leonard, G AU - Leonard G FAU - Burleson, J A AU - Burleson JA FAU - Kreutzer, D L AU - Kreutzer DL LA - eng GR - EY04131/EY/NEI NIH HHS/United States GR - HL25015/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Interleukin-1) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Cells, Cultured MH - Chinchilla MH - Disease Models, Animal MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Interleukin-1/*metabolism MH - Macrophages/metabolism MH - Otitis Media with Effusion/immunology/*metabolism/microbiology MH - Pneumococcal Infections/immunology/metabolism MH - Tumor Necrosis Factor-alpha/*metabolism EDAT- 1994/02/01 00:00 MHDA- 1994/02/01 00:01 CRDT- 1994/02/01 00:00 PHST- 1994/02/01 00:00 [pubmed] PHST- 1994/02/01 00:01 [medline] PHST- 1994/02/01 00:00 [entrez] AID - 10.1288/00005537-199402000-00012 [doi] PST - ppublish SO - Laryngoscope. 1994 Feb;104(2):191-6. doi: 10.1288/00005537-199402000-00012.