Matrix Metalloproteinase-8-positive Neutrophils in Nasal Polyps Are Involved in the Disease Progression of Eosinophilic Chronic Rhinosinusitis :a Clinico-pathological Study

Autor: Makoto, Akutsu, Hiroaki, Kanaya, Takashi, Kashiwagi, Yasuhiro, Tsunemi, Shin-ichi, Haruna
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Dokkyo Journal of Medical Sciences. 47(3):125-136
ISSN: 0385-5023
Popis: Background:Eosinophilic chronic rhinosinusitis(ECRS) is an intractable subtype of chronic rhinosinusitis(CRS), which is characterized by marked polyp formation. This study is intended to understand the involvement of matrix metalloproteinase-8-positive (MMP-8+)neutrophils in the disease progression of ECRS by comparing it to that of non-ECRS.Methods:Nasal polyps (NPs)in patients with ECRS and non-ECRS were investigated using immunofluorescence staining, and the ratios of MMP-8+ neutrophils in NPs were evaluated in combination with histological and clinical parameters.Results:MMP-8+ neutrophils in NP were clearly identified in immunofluorescence staining. The percentage of MMP-8+ neutrophils in NPs was significantly increased in the ECRS group compared to that in the non-ECRS group. The ECRS group presented higher tissue remodeling scores than the non-ECRS group;however, the percentage of MMP-8+ neutrophils was not correlated with the severity of tissue remodeling. Furthermore, the percentage of MMP-8+ neutrophils was mildly inverse correlated with the remodeling scores in ECRS patients. Although the ECRS group presented higher values than the non- ECRS group with respect to computed tomography scores, endoscopic polyp scores, olfaction recognition thresholds, and the percentage of MMP-8+ neutrophils showed a statistically significant correlation only among the subgroups defined by computed tomography scores in the ECRS group.Conclusions:This study suggests that MMP-8+ neutrophils may participate in the progression of ECRS, particularly by initiating NP formation in the paranasal sinus mucosa at the early stages of ECRS. MMP-8+neutrophils might become a candidate of nasal therapeutic target for patients with ECRS.
Databáze: OpenAIRE