Skip to main content
Top
Published in: European Archives of Oto-Rhino-Laryngology 6/2019

01-06-2019 | Rhinosinusitis | Rhinology

Increased TSLP, IL-33, IL-25, IL-19, IL 21 and amphiregulin (AREG) levels in chronic rhinosinusitis with nasal polyp

Authors: Murat Dogan, Mustafa Sahin, Cigdem Yenisey

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2019

Login to get access

Abstract

Objective

Chronic rhinosinusitis with nasal polyps (CRSwNP) is a chronic inflammatory disease. The surrogate indicating biomarkers in patients with CRSwNP need further evaluation. The aim of this study was to investigate the association of thymic stromal lymphopoietin (TSLP) and amphiregulin (AREG) cytokines in patients with CRSwNP.

Methods

Sinonasal tissue samples were collected from 33 patients with CRSwNP and 29 controls. Levels of AREG, IL-19, IL-21, IL-25, IL-33 and TSLP in nasal polyp and control sinonasal tissues were determined following the enzyme-linked immunosorbent assay method.

Results

We found that AREG, IL-19, IL-21, IL-25, IL-33 and TSLP levels were significantly higher in the CRSwNP group compared to the control group (p < 0.000; p < 0.000; p < 0.000; p < 0.000; p < 0.003; p < 0.021, respectively).

Conclusions

Our findings indicated that AREG, IL-19, IL-21, IL-25, IL-33 and TSLP were significantly increased in tissue samples of CRSwNP patients and may be considered as molecular indicators and targets for therapeutic developments for patients with CRSwNP.
Literature
1.
go back to reference Xiao L, Wei Y, Zhang YN, Luo X, Yang BY, Yu SF, Wu XM, Wu CY, Li HB (2015) Increased IL-21 expression in chronic rhinosinusitis with nasal polyps. Clin Exp Allergy 45(2):404–413CrossRefPubMed Xiao L, Wei Y, Zhang YN, Luo X, Yang BY, Yu SF, Wu XM, Wu CY, Li HB (2015) Increased IL-21 expression in chronic rhinosinusitis with nasal polyps. Clin Exp Allergy 45(2):404–413CrossRefPubMed
2.
go back to reference Litvack JR, Griest S, James KE, Smith TL (2007) Endoscopic and quality-of-life outcomes after revision endoscopic sinus surgery. Laryngoscope 117(12):2233–2238CrossRefPubMed Litvack JR, Griest S, James KE, Smith TL (2007) Endoscopic and quality-of-life outcomes after revision endoscopic sinus surgery. Laryngoscope 117(12):2233–2238CrossRefPubMed
3.
go back to reference Bhattacharyya N (2006) Clinical outcomes after endoscopic sinus surgery. Curr Opin Allergy Clin Immunol 6(3):167–171CrossRefPubMed Bhattacharyya N (2006) Clinical outcomes after endoscopic sinus surgery. Curr Opin Allergy Clin Immunol 6(3):167–171CrossRefPubMed
4.
go back to reference Brescia G, Zanotti C, Parrino D, Barion U, Marioni G (2018) Nasal polyposis pathophysiology: endotype and phenotype open issues. Am J Otolaryngol 39(4):441–444CrossRefPubMed Brescia G, Zanotti C, Parrino D, Barion U, Marioni G (2018) Nasal polyposis pathophysiology: endotype and phenotype open issues. Am J Otolaryngol 39(4):441–444CrossRefPubMed
5.
go back to reference Yip J, Monteiro E, Chan Y (2019) Endotypes of chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg 27(1):14–19PubMed Yip J, Monteiro E, Chan Y (2019) Endotypes of chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg 27(1):14–19PubMed
6.
7.
go back to reference Lee M, Kim DW, Shin HW (2017) Targeting IL-25 as a novel therapy in chronic rhinosinusitis with nasal polyps. Curr Opin Allergy Clin Immunol 17(1):17–22CrossRefPubMed Lee M, Kim DW, Shin HW (2017) Targeting IL-25 as a novel therapy in chronic rhinosinusitis with nasal polyps. Curr Opin Allergy Clin Immunol 17(1):17–22CrossRefPubMed
8.
go back to reference Miljkovic D, Psaltis AJ, Wormald PJ, Vreugde S (2017) Chronic rhinosinusitis with polyps is characterized by increased mucosal and blood Th17 effector cytokine producing cells. Front Physiol 19(8):898CrossRef Miljkovic D, Psaltis AJ, Wormald PJ, Vreugde S (2017) Chronic rhinosinusitis with polyps is characterized by increased mucosal and blood Th17 effector cytokine producing cells. Front Physiol 19(8):898CrossRef
9.
go back to reference Iwakura Y, Ishigame H, Saijo S, Nakae S (2011) Functional specialization of interleukin-17 family members. Immunity 34(2):149–162CrossRefPubMed Iwakura Y, Ishigame H, Saijo S, Nakae S (2011) Functional specialization of interleukin-17 family members. Immunity 34(2):149–162CrossRefPubMed
10.
go back to reference Fort MM, Cheung J, Yen D, Li J, Zurawski SM, Lo S, Menon S, Clifford T, Hunte B, Lesley R, Muchamuel T, Hurst SD, Zurawski G, Leach MW, Gorman DM, Rennick DM (2001) IL-25 induces IL-4, IL-5, and IL-13 and Th2-associated pathologies in vivo. Immunity 15(6):985–995CrossRefPubMed Fort MM, Cheung J, Yen D, Li J, Zurawski SM, Lo S, Menon S, Clifford T, Hunte B, Lesley R, Muchamuel T, Hurst SD, Zurawski G, Leach MW, Gorman DM, Rennick DM (2001) IL-25 induces IL-4, IL-5, and IL-13 and Th2-associated pathologies in vivo. Immunity 15(6):985–995CrossRefPubMed
11.
go back to reference Pace E, Scafidi V, Di Bona D, Siena L, Chiappara G, Ferraro M, La Grutta S, Gallina S, Speciale R, Ballacchino A, Bachert C, Bousquet J, Gjomarkaj M (2012) Increased expression of IL-19 in the epithelium of patients with chronic rhinosinusitis and nasal polyps. Allergy 67(7):878–886CrossRefPubMed Pace E, Scafidi V, Di Bona D, Siena L, Chiappara G, Ferraro M, La Grutta S, Gallina S, Speciale R, Ballacchino A, Bachert C, Bousquet J, Gjomarkaj M (2012) Increased expression of IL-19 in the epithelium of patients with chronic rhinosinusitis and nasal polyps. Allergy 67(7):878–886CrossRefPubMed
13.
go back to reference Acciani TH, Suzuki T, Trapnell BC, Le Cras TD (2016) Epidermal growth factor receptor signaling regulates granulocyte-macrophage-colony-stimulating factor production by airway epithelial cells and established allergic airway disease. Clin Exp Allergy 46(2):317–328CrossRefPubMedPubMedCentral Acciani TH, Suzuki T, Trapnell BC, Le Cras TD (2016) Epidermal growth factor receptor signaling regulates granulocyte-macrophage-colony-stimulating factor production by airway epithelial cells and established allergic airway disease. Clin Exp Allergy 46(2):317–328CrossRefPubMedPubMedCentral
14.
go back to reference Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, Cohen N, Cervin A, Douglas R, Gevaert P, Georgalas C, Goossens H, Harvey R, Hellings P, Hopkins C, Jones N, Joos G, Kalogjera L, Kern B, Kowalski M, Price D, Riechelmann H, Schlosser R, Senior B, Thomas M, Toskala E, Voegels R, Wang de Y, Wormald PJ (2012) European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology 50(1):1–12CrossRefPubMed Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, Cohen N, Cervin A, Douglas R, Gevaert P, Georgalas C, Goossens H, Harvey R, Hellings P, Hopkins C, Jones N, Joos G, Kalogjera L, Kern B, Kowalski M, Price D, Riechelmann H, Schlosser R, Senior B, Thomas M, Toskala E, Voegels R, Wang de Y, Wormald PJ (2012) European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology 50(1):1–12CrossRefPubMed
15.
go back to reference Schleimer RP (2017) Immunopathogenesis of chronic rhinosinusitis and nasal polyposis. Annu Rev Pathol 24(12):331–357CrossRef Schleimer RP (2017) Immunopathogenesis of chronic rhinosinusitis and nasal polyposis. Annu Rev Pathol 24(12):331–357CrossRef
16.
go back to reference Zhang N, Van Zele T, Perez-Novo C, Van Bruaene N, Holtappels G, DeRuyck N, Van Cauwenberge P, Bachert C (2008) Different types of T-effector cells orchestrate mucosal inflammation in chronic sinus disease. J Allergy Clin Immunol 122(5):961–968CrossRefPubMed Zhang N, Van Zele T, Perez-Novo C, Van Bruaene N, Holtappels G, DeRuyck N, Van Cauwenberge P, Bachert C (2008) Different types of T-effector cells orchestrate mucosal inflammation in chronic sinus disease. J Allergy Clin Immunol 122(5):961–968CrossRefPubMed
17.
go back to reference Kimura S, Pawankar R, Mori S, Nonaka M, Masuno S, Yagi T, Okubo K (2011) Increased expression and role of thymic stromal lymphopoietin in nasal polyposis. Allergy Asthma Immunol Res 3(3):186–193CrossRefPubMedPubMedCentral Kimura S, Pawankar R, Mori S, Nonaka M, Masuno S, Yagi T, Okubo K (2011) Increased expression and role of thymic stromal lymphopoietin in nasal polyposis. Allergy Asthma Immunol Res 3(3):186–193CrossRefPubMedPubMedCentral
18.
go back to reference Gallagher G (2010) Interleukin-19: multiple roles in immune regulation and disease. Cytokine Growth Factor Rev 21(5):345–352CrossRefPubMed Gallagher G (2010) Interleukin-19: multiple roles in immune regulation and disease. Cytokine Growth Factor Rev 21(5):345–352CrossRefPubMed
19.
go back to reference Hong HY, Chen FH, Sun YQ, Hu XT, Wei Y, Fan YP, Zhang J, Wang DH, Xu R, Li HB, Shi JB (2018) Local IL-25 contributes to Th2-biased inflammatory profiles in nasal polyps. Allergy 73(2):459–469CrossRefPubMed Hong HY, Chen FH, Sun YQ, Hu XT, Wei Y, Fan YP, Zhang J, Wang DH, Xu R, Li HB, Shi JB (2018) Local IL-25 contributes to Th2-biased inflammatory profiles in nasal polyps. Allergy 73(2):459–469CrossRefPubMed
20.
go back to reference Shin HW, Kim DK, Park MH, Eun KM, Lee M, So D, Kong IG, Mo JH, Yang MS, Jin HR, Park JW, Kim DW (2015) IL-25 as a novel therapeutic target in nasal polyps of patients with chronic rhinosinusitis. J Allergy Clin Immunol 135(6):1476–1485CrossRefPubMed Shin HW, Kim DK, Park MH, Eun KM, Lee M, So D, Kong IG, Mo JH, Yang MS, Jin HR, Park JW, Kim DW (2015) IL-25 as a novel therapeutic target in nasal polyps of patients with chronic rhinosinusitis. J Allergy Clin Immunol 135(6):1476–1485CrossRefPubMed
21.
go back to reference Lam EP, Kariyawasam HH, Rana BM, Durham SR, McKenzie AN, Powell N, Orban N, Lennartz-Walker M, Hopkins C, Ying S, Rimmer J, Lund VJ, Cousins DJ, Till SJ (2016) IL-25/IL-33-responsive TH2 cells characterize nasal polyps with a default TH17 signature in nasal mucosa. J Allergy Clin Immunol 137(5):1514–1524CrossRefPubMedPubMedCentral Lam EP, Kariyawasam HH, Rana BM, Durham SR, McKenzie AN, Powell N, Orban N, Lennartz-Walker M, Hopkins C, Ying S, Rimmer J, Lund VJ, Cousins DJ, Till SJ (2016) IL-25/IL-33-responsive TH2 cells characterize nasal polyps with a default TH17 signature in nasal mucosa. J Allergy Clin Immunol 137(5):1514–1524CrossRefPubMedPubMedCentral
22.
go back to reference Ozturan A, Eyigor H, Eyigor M, Osma U, Yilmaz MD, Selcuk OT, Renda L, Gultekin M (2017) The role of IL-25 and IL-33 in chronic rhinosinusitis with or without nasal polyps. Eur Arch Otorhinolaryngol 274(1):283–288CrossRefPubMed Ozturan A, Eyigor H, Eyigor M, Osma U, Yilmaz MD, Selcuk OT, Renda L, Gultekin M (2017) The role of IL-25 and IL-33 in chronic rhinosinusitis with or without nasal polyps. Eur Arch Otorhinolaryngol 274(1):283–288CrossRefPubMed
23.
go back to reference Enomoto Y, Orihara K, Takamasu T, Matsuda A, Gon Y, Saito H, Ra C, Okayama Y (2009) Tissue remodeling induced by hyper-secreted epidermal growth factor and amphiregulin in the airway after an acute asthma attack. J Allergy Clin Immunol 124:913–920CrossRefPubMed Enomoto Y, Orihara K, Takamasu T, Matsuda A, Gon Y, Saito H, Ra C, Okayama Y (2009) Tissue remodeling induced by hyper-secreted epidermal growth factor and amphiregulin in the airway after an acute asthma attack. J Allergy Clin Immunol 124:913–920CrossRefPubMed
24.
go back to reference Okumura S, Sagara H, Fukuda T, Saito H, Okayama Y (2005) Fc-epsilon-RI-mediated amphiregulin production by human mast cells increases mucin gene expression in epithelial cells. J Allergy Clin Immunol 115:272–279CrossRefPubMed Okumura S, Sagara H, Fukuda T, Saito H, Okayama Y (2005) Fc-epsilon-RI-mediated amphiregulin production by human mast cells increases mucin gene expression in epithelial cells. J Allergy Clin Immunol 115:272–279CrossRefPubMed
25.
go back to reference Val S, Belade E, George I, Boczkowski J, Baeza-Squiban A (2012) Fine PM induce airway MUC5AC expression through the autocrine effect of amphiregulin. Arch Toxicol 86:1851–1859CrossRefPubMed Val S, Belade E, George I, Boczkowski J, Baeza-Squiban A (2012) Fine PM induce airway MUC5AC expression through the autocrine effect of amphiregulin. Arch Toxicol 86:1851–1859CrossRefPubMed
26.
go back to reference Liao B, Liu JX, Li ZY, Zhen Z, Cao PP, Yao Y, Long XB, Wang H, Wang Y, Schleimer R, Liu Z (2018) Multidimensional endotypes of chronic rhinosinusitis and their association with treatment outcomes. Allergy 73(7):1459–1469CrossRefPubMedPubMedCentral Liao B, Liu JX, Li ZY, Zhen Z, Cao PP, Yao Y, Long XB, Wang H, Wang Y, Schleimer R, Liu Z (2018) Multidimensional endotypes of chronic rhinosinusitis and their association with treatment outcomes. Allergy 73(7):1459–1469CrossRefPubMedPubMedCentral
27.
go back to reference Hong H, Chen F, Sun Y, Yang Q, Gao W, Cao Y, Fan Y, Shi J, Li H (2018) Nasal IL-25 predicts the response to oral corticosteroids in chronic rhinosinusitis with nasal polyps. J Allergy Clin Immunol 141(5):1890–1892CrossRefPubMed Hong H, Chen F, Sun Y, Yang Q, Gao W, Cao Y, Fan Y, Shi J, Li H (2018) Nasal IL-25 predicts the response to oral corticosteroids in chronic rhinosinusitis with nasal polyps. J Allergy Clin Immunol 141(5):1890–1892CrossRefPubMed
28.
go back to reference Ortega HG, Liu MC, Pavord ID, Brusselle GG, FitzGerald JM, Chetta A, Humbert M, Katz LE, Keene ON, Yancey SW, Chanez P, MENSA Investigators (2014) Mepolizumab treatment in patients with severe eosinophilic asthma. N Engl J Med 371:1198–1207CrossRefPubMed Ortega HG, Liu MC, Pavord ID, Brusselle GG, FitzGerald JM, Chetta A, Humbert M, Katz LE, Keene ON, Yancey SW, Chanez P, MENSA Investigators (2014) Mepolizumab treatment in patients with severe eosinophilic asthma. N Engl J Med 371:1198–1207CrossRefPubMed
29.
go back to reference Castro M, Zangrilli J, Wechsler ME, Bateman ED, Brusselle GG, Bardin P, Murphy K, Maspero JF, O’Brien C, Korn S (2015) Reslizumab for inadequately controlled asthma with elevated blood eosinophil counts: results from two multicentre, parallel, double-blind, randomised, placebo-controlled, phase 3 trials. Lancet Respir Med 3:355–366CrossRefPubMed Castro M, Zangrilli J, Wechsler ME, Bateman ED, Brusselle GG, Bardin P, Murphy K, Maspero JF, O’Brien C, Korn S (2015) Reslizumab for inadequately controlled asthma with elevated blood eosinophil counts: results from two multicentre, parallel, double-blind, randomised, placebo-controlled, phase 3 trials. Lancet Respir Med 3:355–366CrossRefPubMed
30.
go back to reference Bachert C, Sousa AR, Lund VJ, Scadding GK, Gevaert P, Nasser S, Durham SR, Cornet ME, Kariyawasam HH, Gilbert J, Austin D, Maxwell AC, Marshall RP, Fokkens WJ (2017) Reduced need for surgery in severe nasal polyposis with mepolizumab: randomized trial. J Allergy Clin Immunol 140:1024–1031CrossRefPubMed Bachert C, Sousa AR, Lund VJ, Scadding GK, Gevaert P, Nasser S, Durham SR, Cornet ME, Kariyawasam HH, Gilbert J, Austin D, Maxwell AC, Marshall RP, Fokkens WJ (2017) Reduced need for surgery in severe nasal polyposis with mepolizumab: randomized trial. J Allergy Clin Immunol 140:1024–1031CrossRefPubMed
31.
go back to reference Bachert C, Mannent L, Naclerio RM, Mullol J, Ferguson BJ, Gevaert P, Hellings P, Jiao L, Wang L, Evans RR, Pirozzi G, Graham NM, Swanson B, Hamilton JD, Radin A, Gandhi NA, Stahl N, Yancopoulos GD, Sutherland ER (2016) Effect of subcutaneous dupilumab on nasal polyp burden in patients with chronic sinusitis and nasal polyposis: a randomized clinical trial. JAMA 315:469–479CrossRefPubMed Bachert C, Mannent L, Naclerio RM, Mullol J, Ferguson BJ, Gevaert P, Hellings P, Jiao L, Wang L, Evans RR, Pirozzi G, Graham NM, Swanson B, Hamilton JD, Radin A, Gandhi NA, Stahl N, Yancopoulos GD, Sutherland ER (2016) Effect of subcutaneous dupilumab on nasal polyp burden in patients with chronic sinusitis and nasal polyposis: a randomized clinical trial. JAMA 315:469–479CrossRefPubMed
Metadata
Title
Increased TSLP, IL-33, IL-25, IL-19, IL 21 and amphiregulin (AREG) levels in chronic rhinosinusitis with nasal polyp
Authors
Murat Dogan
Mustafa Sahin
Cigdem Yenisey
Publication date
01-06-2019
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05379-8

Other articles of this Issue 6/2019

European Archives of Oto-Rhino-Laryngology 6/2019 Go to the issue