Local eosinophils are associated with increased IgA subclass levels in the sinonasal mucosa of chronic rhinosinusitis with polyp patients.

B cell CRSsNP CRSwNP Chronic rhinosinusitis Class switching IgA Nasal polyps

Journal

Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
ISSN: 1710-1484
Titre abrégé: Allergy Asthma Clin Immunol
Pays: England
ID NLM: 101244313

Informations de publication

Date de publication:
2020
Historique:
received: 23 10 2019
accepted: 15 04 2020
entrez: 1 5 2020
pubmed: 1 5 2020
medline: 1 5 2020
Statut: epublish

Résumé

Chronic rhinosinusitis (CRS) describes an inflammatory condition affecting the sinonasal mucosa. As the immune system players such as immunoglobulins play prominent roles in the development of CRS, we aimed to investigate the expression of IgA subclasses and factors involved in IgA class switching in the sinonasal mucosa of CRS patients. Specimens were collected from the sinonasal mucosa of the healthy controls and CRS patients. Histological assessments were performed by H&E and immunohistochemistry. Real-time PCR and ELISA methods were applied to measure gene expression and protein levels extracted from tissue samples, respectively. We observed that total IgA and subclass-positive cells were higher in the patient groups than controls. There was a significant correlation between the number of eosinophils and total IgA and subclasses-positive cells (Pv < 0.0001). The expression of CXCL13, BAFF, AID, and germline transcripts were increased in CRSwNP patients. In contrast to IgA2 levels, IgA1 levels were significantly increased in the sinonasal tissue of CRSwNP patients (Pv < 0.01). TGF-β was significantly elevated in the sinonasal tissue of patients with CRSsNP. Increased protein levels of IgA subclasses and related antibody-producing cells were associated with elevated eosinophils in CRSwNP patients which may result in eosinophil pathological functions. Several therapeutic approaches might be developed to modulate the IgA production to ameliorate the inflammatory mechanisms in CRSwNP patients.

Sections du résumé

BACKGROUND BACKGROUND
Chronic rhinosinusitis (CRS) describes an inflammatory condition affecting the sinonasal mucosa. As the immune system players such as immunoglobulins play prominent roles in the development of CRS, we aimed to investigate the expression of IgA subclasses and factors involved in IgA class switching in the sinonasal mucosa of CRS patients.
METHODS METHODS
Specimens were collected from the sinonasal mucosa of the healthy controls and CRS patients. Histological assessments were performed by H&E and immunohistochemistry. Real-time PCR and ELISA methods were applied to measure gene expression and protein levels extracted from tissue samples, respectively.
RESULTS RESULTS
We observed that total IgA and subclass-positive cells were higher in the patient groups than controls. There was a significant correlation between the number of eosinophils and total IgA and subclasses-positive cells (Pv < 0.0001). The expression of CXCL13, BAFF, AID, and germline transcripts were increased in CRSwNP patients. In contrast to IgA2 levels, IgA1 levels were significantly increased in the sinonasal tissue of CRSwNP patients (Pv < 0.01). TGF-β was significantly elevated in the sinonasal tissue of patients with CRSsNP.
CONCLUSIONS CONCLUSIONS
Increased protein levels of IgA subclasses and related antibody-producing cells were associated with elevated eosinophils in CRSwNP patients which may result in eosinophil pathological functions. Several therapeutic approaches might be developed to modulate the IgA production to ameliorate the inflammatory mechanisms in CRSwNP patients.

Identifiants

pubmed: 32351585
doi: 10.1186/s13223-020-00428-y
pii: 428
pmc: PMC7183627
doi:

Types de publication

Journal Article

Langues

eng

Pagination

30

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsThe authors declare no conflict of interest.

Références

J Allergy Clin Immunol. 2009 Aug;124(2):253-9, 259.e1-2
pubmed: 19500825
Curr Opin Immunol. 2011 Oct;23(5):660-9
pubmed: 21839624
Adv Immunol. 2007;93:1-61
pubmed: 17383538
Adv Immunol. 1996;61:79-146
pubmed: 8834495
J Immunol. 1986 May 15;136(10):3631-5
pubmed: 3517160
J Clin Immunol. 2010 Jan;30(1):1-9
pubmed: 19834792
Allergy. 2013 Dec;68(12):1589-97
pubmed: 24117840
Med J Islam Repub Iran. 2018 Sep 30;32:94
pubmed: 30788331
Front Immunol. 2012 May 11;3:108
pubmed: 22593756
Annu Rev Immunol. 2008;26:261-92
pubmed: 18370922
Allergy Asthma Clin Immunol. 2018 Jul 5;14:47
pubmed: 30002685
Respir Med. 2014 Oct;108(10):1409-23
pubmed: 25240764
J Allergy Clin Immunol. 2008 Jun;121(6):1385-92, 1392.e1-2
pubmed: 18410958
Nat Immunol. 2002 Sep;3(9):822-9
pubmed: 12154359
Rhinology. 2014 Dec;52(4):390-6
pubmed: 25479221
Eur Arch Otorhinolaryngol. 2017 Apr;274(4):1883-1890
pubmed: 28035475
Nat Rev Immunol. 2012 Dec;12(12):821-32
pubmed: 23103985
Proc Natl Acad Sci U S A. 2001 Oct 23;98(22):12620-3
pubmed: 11606740
Rhinology. 2012 Mar;50(1):1-12
pubmed: 22469599
Clin Exp Immunol. 2016 Jan;183(1):57-64
pubmed: 26291602
Eur Respir J. 2001 Sep;18(3):571-88
pubmed: 11589357
Braz J Otorhinolaryngol. 2017 Jan - Feb;83(1):66-72
pubmed: 27166273
J Allergy Clin Immunol. 2007 Jan;119(1):213-8
pubmed: 17208604
Am J Rhinol Allergy. 2010 Jan-Feb;24(1):11-6
pubmed: 20109310
Cell. 2000 Sep 1;102(5):553-63
pubmed: 11007474
J Allergy Clin Immunol. 2011 Oct;128(4):728-32
pubmed: 21868076
Immunity. 2007 Jun;26(6):812-26
pubmed: 17570691
Mucosal Immunol. 2014 May;7(3):511-20
pubmed: 24064668
Clin Exp Allergy. 2007 Dec;37(12):1840-7
pubmed: 17941912
J Immunol. 2005 Jan 15;174(2):628-35
pubmed: 15634880
PLoS One. 2015 Oct 06;10(10):e0139945
pubmed: 26439628
Tissue Antigens. 2006 Aug;68(2):103-14
pubmed: 16866880
Allergy Asthma Clin Immunol. 2015 Nov 19;11:33
pubmed: 26594227
Curr Opin Immunol. 2007 Jun;19(3):327-36
pubmed: 17433868
Clin Exp Allergy. 2014;44(5):690-700
pubmed: 24597471
World Allergy Organ J. 2014 Oct 27;7(1):25
pubmed: 25379119
J Immunol. 2005 Apr 15;174(8):5024-32
pubmed: 15814733

Auteurs

Hossein Aazami (H)

1Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Farhad Seif (F)

2Department of Immunology and Allergy, Academic Center for Education, Culture and Research, Tehran, Iran.
3Neuroscience Research Center, Iran University of Medical Sciences, Tehran, Iran.

Babak Ghalehbaghi (B)

4ENT and Head and Neck Research Center and Department, Hazrat Rasoul Akram Hospital, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.

Pegah Babaheidarian (P)

5Department of Pathology, Rasoul Akram Medical Complex, Iran University of Medical Sciences, Tehran, Iran.

Alireza Mohebbi (A)

4ENT and Head and Neck Research Center and Department, Hazrat Rasoul Akram Hospital, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.

Aslan Ahmadi (A)

4ENT and Head and Neck Research Center and Department, Hazrat Rasoul Akram Hospital, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.

Majid Khoshmirsafa (M)

1Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
6Immunology Research Center, Institute of Immunology and Infectious Diseases, Iran University of Medical Sciences, Tehran, Iran.

Sahand Ghalehbaghi (S)

4ENT and Head and Neck Research Center and Department, Hazrat Rasoul Akram Hospital, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.

Babak Behnam (B)

7Department of Medical Genetics and Molecular Biology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Kobra Zinat Entezami (KZ)

1Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Zahra Madjd (Z)

8Oncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran.

Reza Falak (R)

1Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
6Immunology Research Center, Institute of Immunology and Infectious Diseases, Iran University of Medical Sciences, Tehran, Iran.

Classifications MeSH