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Published in: European Archives of Oto-Rhino-Laryngology 11/2014

01-11-2014 | Review Article

The presence of fungal-specific IgE in serum and sinonasal tissue among patients with sinonasal polyposis

Authors: M. Bakhshaee, M. Fereidouni, M. Nourollahian, R. Movahed

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2014

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Abstract

Nasal polyposis (NP) is a common inflammatory disorder with different proposed etiologies. There is some evidence that the local production of specific IgE against fungal allergens may contribute to the pathogenesis of this condition. The aim of this study was to compare local and systemic production of fungal-specific IgE among patients with NP. In a prospective cross-sectional study, 141 patients with sinonasal polyposis who were surgical candidates were enrolled. Total IgE and fungal-specific IgE antibodies in serum and tissue homogenates were measured by the ELISA and ImmunoCAP method, respectively. Twelve cases (9.45 %) met the allergic fungal rhinosinusitis (AFRS) criteria while the remaining 129 patients showed histopathological features of chronic hyperplastic rhinosinusitis. Considering a cutoff point of 0.4 KUI/L for specific IgE as a positive reaction against fungal elements, seven and 62 cases showed positive results in serum and homogenate tissue, respectively. All serum positive reactions were seen among patients with AFRS. In conclusion, IgE antibody could be locally produced in the nasal polyp tissue while not detectable in the serum.
Literature
1.
go back to reference Alobid I, Antón E, Armengot M et al (2011) SEAIC-SEORL. Consensus document on nasal polyposis. POLINA Project. J Investig Allergol Clin Immunol 21(Suppl 1):1–58PubMed Alobid I, Antón E, Armengot M et al (2011) SEAIC-SEORL. Consensus document on nasal polyposis. POLINA Project. J Investig Allergol Clin Immunol 21(Suppl 1):1–58PubMed
2.
go back to reference Armengot M, Garin L, Carda C (2009) Eosinophil degranulation patterns in nasal polyposis: an ultrastructural study. Am J Rhnol Allergy 23:466–470CrossRef Armengot M, Garin L, Carda C (2009) Eosinophil degranulation patterns in nasal polyposis: an ultrastructural study. Am J Rhnol Allergy 23:466–470CrossRef
3.
go back to reference Bunnag C, Pacharee P, Vipulakom P et al (1983) A study of allergic factor in nasal polyp patients. Ann Allergy 50:126–132PubMed Bunnag C, Pacharee P, Vipulakom P et al (1983) A study of allergic factor in nasal polyp patients. Ann Allergy 50:126–132PubMed
4.
go back to reference Muñoz del Castillo F, Jurado-Ramos A, Fernández-Conde BL et al (2009) Allergenic profile of nasal polyposis. J Investig Allergol Clin Immunol 19:110–116PubMed Muñoz del Castillo F, Jurado-Ramos A, Fernández-Conde BL et al (2009) Allergenic profile of nasal polyposis. J Investig Allergol Clin Immunol 19:110–116PubMed
5.
go back to reference Moloney JR (1977) Nasal polyps, nasal polypectomy, asthma, and aspirin sensitivity. Their association in 445 cases of nasal polyps. J Laryngol Otol 91:837–846PubMedCrossRef Moloney JR (1977) Nasal polyps, nasal polypectomy, asthma, and aspirin sensitivity. Their association in 445 cases of nasal polyps. J Laryngol Otol 91:837–846PubMedCrossRef
6.
go back to reference Pawliczak R, Kowalski ML, Danilewicz M et al (1997) Distribution of mast cells and eosinophils in nasal polyps from atopic and nonatopic subjects: a morphometric study. Am J Rhinol 11:257–262PubMedCrossRef Pawliczak R, Kowalski ML, Danilewicz M et al (1997) Distribution of mast cells and eosinophils in nasal polyps from atopic and nonatopic subjects: a morphometric study. Am J Rhinol 11:257–262PubMedCrossRef
7.
go back to reference Bachert C, Gevaert P, Holtappels G et al (2001) Total and specific IgE in nasal polyps is related to local eosinophilic inflammation. J Allergy Clin Immunol 107:607–614PubMedCrossRef Bachert C, Gevaert P, Holtappels G et al (2001) Total and specific IgE in nasal polyps is related to local eosinophilic inflammation. J Allergy Clin Immunol 107:607–614PubMedCrossRef
8.
go back to reference Van Zele T, Gevaert P, Watelet JB et al (2004) Staphylococcus aureus colonization and IgE antibody formation to enterotoxins is increased in nasal polyposis. J Allergy Clin Immunol 114:981–983PubMedCrossRef Van Zele T, Gevaert P, Watelet JB et al (2004) Staphylococcus aureus colonization and IgE antibody formation to enterotoxins is increased in nasal polyposis. J Allergy Clin Immunol 114:981–983PubMedCrossRef
9.
go back to reference Donovan R, Johansson SG, Bennich H et al (1970) Immunoglobulins in nasal polyp fluid. Int Arch Allergy Appl Immunol 37:154–166PubMedCrossRef Donovan R, Johansson SG, Bennich H et al (1970) Immunoglobulins in nasal polyp fluid. Int Arch Allergy Appl Immunol 37:154–166PubMedCrossRef
10.
go back to reference Conley DB, Tripathi A, Ditto AM et al (2004) Chronic sinusitis with nasal polyps: staphylococcal exotoxin immunoglobulin E and cellular inflammation. Am J Rhinol 18:273–278PubMed Conley DB, Tripathi A, Ditto AM et al (2004) Chronic sinusitis with nasal polyps: staphylococcal exotoxin immunoglobulin E and cellular inflammation. Am J Rhinol 18:273–278PubMed
11.
go back to reference Pérez-Novo CA, Kowalski ML, Kuna P et al (2004) Aspirin sensitivity and IgE antibodies to Staphylococcus aureus enterotoxins in nasal polyposis: studies on the relationship. Int Arch Allergy Immunol 133:255–260PubMedCrossRef Pérez-Novo CA, Kowalski ML, Kuna P et al (2004) Aspirin sensitivity and IgE antibodies to Staphylococcus aureus enterotoxins in nasal polyposis: studies on the relationship. Int Arch Allergy Immunol 133:255–260PubMedCrossRef
12.
go back to reference Safirstein B (1976) Allergic bronchopulmonary aspergillosis with obstruction of the upper respiratory tract. Chest 70:788–790PubMedCrossRef Safirstein B (1976) Allergic bronchopulmonary aspergillosis with obstruction of the upper respiratory tract. Chest 70:788–790PubMedCrossRef
13.
go back to reference Glass D, Amedee RG (2011) Allergic fungal rhinosinusitis: a review. Ochsner J Fall 11(3):271–275 Glass D, Amedee RG (2011) Allergic fungal rhinosinusitis: a review. Ochsner J Fall 11(3):271–275
14.
go back to reference Bent JP 3rd, Kuhn FA (1994) Diagnosis of allergic fungal sinusitis. Otolaryngol Head Neck Surg 111(5):580–588PubMedCrossRef Bent JP 3rd, Kuhn FA (1994) Diagnosis of allergic fungal sinusitis. Otolaryngol Head Neck Surg 111(5):580–588PubMedCrossRef
15.
go back to reference Asero R, Bottazi G (2000) Hypersensitivity to molds in patients with nasal polyposis: a clinical study. J Allergy ClinImmunol 105:186–188CrossRef Asero R, Bottazi G (2000) Hypersensitivity to molds in patients with nasal polyposis: a clinical study. J Allergy ClinImmunol 105:186–188CrossRef
16.
go back to reference Solomon WR (1999) Pollens and fungi. In: Middleton E (ed) Allergy. Principles and practice, vol 3. Mosby publisher, St. louis, pp 469–514 Solomon WR (1999) Pollens and fungi. In: Middleton E (ed) Allergy. Principles and practice, vol 3. Mosby publisher, St. louis, pp 469–514
17.
go back to reference Ponikau H, Sherris D, Kern E et al (1999) The diagnosis and incidence of allergic fungal sinusitis. Mayo Clinic Proc 74:877–884CrossRef Ponikau H, Sherris D, Kern E et al (1999) The diagnosis and incidence of allergic fungal sinusitis. Mayo Clinic Proc 74:877–884CrossRef
18.
go back to reference Stammberger H (1999) Examination and endoscopy of the nose and paranasal sinuses. In: Mygind N, Lildholdt T (eds) Nasal polyposis. An inflammatory disease and its treatment. Munksgaard, Copenhagen, pp 120–136 Stammberger H (1999) Examination and endoscopy of the nose and paranasal sinuses. In: Mygind N, Lildholdt T (eds) Nasal polyposis. An inflammatory disease and its treatment. Munksgaard, Copenhagen, pp 120–136
19.
go back to reference Collins M, Nair S, Smith W et al (2004) Role of local immunoglobulin E production in the pathophysiology of noninvasive fungal sinusitis. Laryngoscope 114:1242–1246PubMedCrossRef Collins M, Nair S, Smith W et al (2004) Role of local immunoglobulin E production in the pathophysiology of noninvasive fungal sinusitis. Laryngoscope 114:1242–1246PubMedCrossRef
20.
go back to reference Schubert MS (2004) Allergic fungal sinusitis pathogenesis and management strategies. Drugs 64:363–374PubMedCrossRef Schubert MS (2004) Allergic fungal sinusitis pathogenesis and management strategies. Drugs 64:363–374PubMedCrossRef
21.
go back to reference Saravanan K, Panda NK, Chakrabarti A (2006) Allergic fungal sinusitis: an attempt to resolve the diagnostic dilemma. Arch Otolaryngol Head Neck Surg 132(2):173–178PubMedCrossRef Saravanan K, Panda NK, Chakrabarti A (2006) Allergic fungal sinusitis: an attempt to resolve the diagnostic dilemma. Arch Otolaryngol Head Neck Surg 132(2):173–178PubMedCrossRef
22.
go back to reference Ryan MW, Marple BF (2007) Nose and paranasal sinuses. Williams & Wilkins, Inc 15(1):18–22 Ryan MW, Marple BF (2007) Nose and paranasal sinuses. Williams & Wilkins, Inc 15(1):18–22
23.
go back to reference Siraganian RP (1993) Mechanisms of IgE-mediated hypersensitivity. In: Middleton E, Reed CE, Ellis EF, Adkinson NF, Yunginger JW, Busse WW (eds) Allergy. Principles and practice. Mosby, St. Louis, pp 105–134 Siraganian RP (1993) Mechanisms of IgE-mediated hypersensitivity. In: Middleton E, Reed CE, Ellis EF, Adkinson NF, Yunginger JW, Busse WW (eds) Allergy. Principles and practice. Mosby, St. Louis, pp 105–134
24.
go back to reference Bakhshaee M, Fereidouni M, Mohajer MN et al (2013) Prevalence of allergic fungal rhinosinusitis in sinonasal polyposis. Eur Arch Otorhinolaryngol 270(12):3095–3098PubMedCrossRef Bakhshaee M, Fereidouni M, Mohajer MN et al (2013) Prevalence of allergic fungal rhinosinusitis in sinonasal polyposis. Eur Arch Otorhinolaryngol 270(12):3095–3098PubMedCrossRef
25.
go back to reference Huggins KG, Brostoff J (1975) Local production of specific IgE antibodies in allergic—rhinitis patients with negative skin tests. Lancet 2:148–150PubMedCrossRef Huggins KG, Brostoff J (1975) Local production of specific IgE antibodies in allergic—rhinitis patients with negative skin tests. Lancet 2:148–150PubMedCrossRef
26.
go back to reference Fokkens WJ, Vinke JG, Kleinjan A (2000) Local IgE production in the nasal mucosa: a review. Am J Rhinol 14:299–303PubMedCrossRef Fokkens WJ, Vinke JG, Kleinjan A (2000) Local IgE production in the nasal mucosa: a review. Am J Rhinol 14:299–303PubMedCrossRef
27.
go back to reference Kim HY, Nahm DH, Suh KS, Park HS (1998) IgE production from the nasal polyp tissue: comparison between atopic and non-atopic subjects. Korean J Intern Med 13(2):83–87PubMed Kim HY, Nahm DH, Suh KS, Park HS (1998) IgE production from the nasal polyp tissue: comparison between atopic and non-atopic subjects. Korean J Intern Med 13(2):83–87PubMed
28.
go back to reference Collins M, Nair S, Smith W et al (2004) Role of local immunoglobulin E production in the pathophysiology of non invasive fungal sinusitis. Laryngoscope 114(7):1242–1246PubMedCrossRef Collins M, Nair S, Smith W et al (2004) Role of local immunoglobulin E production in the pathophysiology of non invasive fungal sinusitis. Laryngoscope 114(7):1242–1246PubMedCrossRef
29.
go back to reference Chang YT, Fang SY (2008) Tissue-specific immunoglobulin E in maxillary sinus mucosa of allergic fungal sinusitis. Rhinology 46(3):226–230PubMed Chang YT, Fang SY (2008) Tissue-specific immunoglobulin E in maxillary sinus mucosa of allergic fungal sinusitis. Rhinology 46(3):226–230PubMed
30.
go back to reference Manning SC, Holman M (1998) Further evidence for allergic pathophysiology in allergic fungal sinusitis. Laryngoscope 108:1485–1496PubMedCrossRef Manning SC, Holman M (1998) Further evidence for allergic pathophysiology in allergic fungal sinusitis. Laryngoscope 108:1485–1496PubMedCrossRef
31.
go back to reference Schubert MS, Goetz DW (1998) Evaluation and treatment of allergic fungal sinusitis. I: demographics and diagnosis. J Allergy Clin Immunol 102:387–394PubMedCrossRef Schubert MS, Goetz DW (1998) Evaluation and treatment of allergic fungal sinusitis. I: demographics and diagnosis. J Allergy Clin Immunol 102:387–394PubMedCrossRef
32.
go back to reference Ahn CN, Wise SK, Lathers DM et al (2009) Local production of antigen-specific IgE in different anatomic subsites of allergic fungal rhinosinusitis patients. Otolaryngol Head Neck Surg 141(1):97–103PubMedCrossRef Ahn CN, Wise SK, Lathers DM et al (2009) Local production of antigen-specific IgE in different anatomic subsites of allergic fungal rhinosinusitis patients. Otolaryngol Head Neck Surg 141(1):97–103PubMedCrossRef
33.
go back to reference Wise SK, Ahn CN, Lathers DM et al (2008) Antigen-specific IgE in sinus mucosa of allergic fungal rhinosinusitis patients. Am J Rhinol 22(5):451–456PubMedCrossRef Wise SK, Ahn CN, Lathers DM et al (2008) Antigen-specific IgE in sinus mucosa of allergic fungal rhinosinusitis patients. Am J Rhinol 22(5):451–456PubMedCrossRef
34.
go back to reference Matsuwaki Y, Uno K, Okushi T et al (2013) Total and antigen- (fungi, mites and staphylococcal enterotoxins) specific IgEs in nasal polyps is related to local eosinophilic inflammation. Int Arch Allergy Immunol 161(Suppl 2):147–153PubMedCrossRef Matsuwaki Y, Uno K, Okushi T et al (2013) Total and antigen- (fungi, mites and staphylococcal enterotoxins) specific IgEs in nasal polyps is related to local eosinophilic inflammation. Int Arch Allergy Immunol 161(Suppl 2):147–153PubMedCrossRef
35.
go back to reference deShazo RD, Swain RE (1995) Diagnostic criteria for allergic fungal sinusitis. J Allergy Clin Immunol 96:24–35PubMedCrossRef deShazo RD, Swain RE (1995) Diagnostic criteria for allergic fungal sinusitis. J Allergy Clin Immunol 96:24–35PubMedCrossRef
36.
go back to reference Shatkin JS, Delsupehe KG, Thisted RA et al (1994) Mucosal allergy in the absence of systemic allergy in nasal polyposis and rhinitis: a meta-analysis. Otolaryngol Head Neck Surg 111:553–556PubMedCrossRef Shatkin JS, Delsupehe KG, Thisted RA et al (1994) Mucosal allergy in the absence of systemic allergy in nasal polyposis and rhinitis: a meta-analysis. Otolaryngol Head Neck Surg 111:553–556PubMedCrossRef
37.
go back to reference Doellman MS, Dion GR, Weitzel EK et al (2013) Immunotherapy in allergic fungal sinusitis: the controversy continues. A recent review of literature. Allergy Rhinol (Providence) 4(1):e32–e35CrossRef Doellman MS, Dion GR, Weitzel EK et al (2013) Immunotherapy in allergic fungal sinusitis: the controversy continues. A recent review of literature. Allergy Rhinol (Providence) 4(1):e32–e35CrossRef
Metadata
Title
The presence of fungal-specific IgE in serum and sinonasal tissue among patients with sinonasal polyposis
Authors
M. Bakhshaee
M. Fereidouni
M. Nourollahian
R. Movahed
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 11/2014
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-014-2882-0

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