Therapeutic diminution of Interleukin-10 with intranasal theophylline administration in hyposmic patients.
Autor: | Hosein W; Center for Molecular Nutrition and Sensory Disorders, The Taste and Smell Clinic, 5125 MacArthur Blvd, NW, #20, Washington, DC 20016, United States of America., Henkin RI; Center for Molecular Nutrition and Sensory Disorders, The Taste and Smell Clinic, 5125 MacArthur Blvd, NW, #20, Washington, DC 20016, United States of America. Electronic address: doc@tasteandsmell.com. |
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Jazyk: | angličtina |
Zdroj: | American journal of otolaryngology [Am J Otolaryngol] 2022 Mar-Apr; Vol. 43 (2), pp. 103375. Date of Electronic Publication: 2022 Jan 28. |
DOI: | 10.1016/j.amjoto.2022.103375 |
Abstrakt: | Objective: To determine changes in nasal mucus Interleukin-10 (IL-10) before and after intranasal theophylline treatment in hyposmic patients, and the relationship of these changes to orally administered theophylline treatment. Design: IL-10 was measured in nasal mucus samples of 17 normal subjects and 39 patients with hyposmia of multiple etiologies by use of a sensitive spectrophotometric ELISA assay. Hyposmia is defined clinically by standardized evaluation of impaired olfactometry, as well as subjectively self reported by the patient. Results: Prior to treatment, IL-10 levels in nasal mucus were increased in hyposmic patients compared to controls. Following intranasal theophylline administration, over half of treated patients experienced a decrease of nasal mucus IL-10 toward control levels, correlated with a significant improvement in taste and smell function. Patients who increased with intranasal administration, similar to previously reported oral administration, showed no significant improvement in taste or smell function. Conclusions: Nasal mucus IL-10 decreased in patients treated with intranasal theophylline. Mechanisms of action include phosphodiesterase and nuclear factor kappa-B inhibition, correlated with an improvement in both olfaction and gustation. IL-10 is induced by therapeutic and systemic administration of theophylline as with oral dosage, but reduced by lower and localized treatment. (Copyright © 2022. Published by Elsevier Inc.) |
Databáze: | MEDLINE |
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