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.
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