Long-term defects of nasal epithelium barrier functions in patients with nasopharyngeal carcinoma post chemo-radiotherapy.


Journal

Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
ISSN: 1879-0887
Titre abrégé: Radiother Oncol
Pays: Ireland
ID NLM: 8407192

Informations de publication

Date de publication:
07 2020
Historique:
received: 25 12 2019
revised: 23 03 2020
accepted: 27 03 2020
pubmed: 1 5 2020
medline: 15 4 2021
entrez: 1 5 2020
Statut: ppublish

Résumé

Chronic and recurrent upper respiratory tract infection and inflammation is common in patients with nasopharyngeal carcinoma (NPC) post chemo-radiotherapy (CRT). Whether it is due to intrinsic (e.g., host-defense mechanisms of the epithelium), epigenetic or extrinsic factors is not fully understood. Tissue biopsies of the middle turbinate (MT) and inferior turbinate (IT) from NPC patients after CRT (mean of 3 years, n = 39) were compared with the IT biopsies from healthy subjects (n = 44). The epithelial ultrastructure was examined by transmission electron microscope (TEM). mRNA and protein expressions of epithelial stem/progenitor cells markers, as well markers of cell proliferation and differentiation markers was analyzed. Abnormal epithelial architecture was observed in all tissue samples of NPC patients. Significantly decreased expression levels of mRNA and protein levels for p63 (basal cells), Ki67 (cell proliferation), p63 CRT causes long-term defects of epithelial barrier functions and increases the susceptibility of these patients to upper respiratory tract infection and inflammation.

Sections du résumé

BACKGROUND AND PURPOSE
Chronic and recurrent upper respiratory tract infection and inflammation is common in patients with nasopharyngeal carcinoma (NPC) post chemo-radiotherapy (CRT). Whether it is due to intrinsic (e.g., host-defense mechanisms of the epithelium), epigenetic or extrinsic factors is not fully understood.
MATERIALS AND METHODS
Tissue biopsies of the middle turbinate (MT) and inferior turbinate (IT) from NPC patients after CRT (mean of 3 years, n = 39) were compared with the IT biopsies from healthy subjects (n = 44). The epithelial ultrastructure was examined by transmission electron microscope (TEM). mRNA and protein expressions of epithelial stem/progenitor cells markers, as well markers of cell proliferation and differentiation markers was analyzed.
RESULTS
Abnormal epithelial architecture was observed in all tissue samples of NPC patients. Significantly decreased expression levels of mRNA and protein levels for p63 (basal cells), Ki67 (cell proliferation), p63
CONCLUSION
CRT causes long-term defects of epithelial barrier functions and increases the susceptibility of these patients to upper respiratory tract infection and inflammation.

Identifiants

pubmed: 32353641
pii: S0167-8140(20)30172-9
doi: 10.1016/j.radonc.2020.03.038
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

116-125

Informations de copyright

Copyright © 2020 Elsevier B.V. All rights reserved.

Auteurs

Suizi Zhou (S)

Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Hongming Huang (H)

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China; Department of Otolaryngology&Head and Neck Surgery, Guangdong Provincial People's Hospital and Guangdong Academy of Medical Sciences, China.

Qianmin Chen (Q)

Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Kai Sen Tan (KS)

Department of Otolaryngology, National University of Singapore, National University Health System, Singapore.

Zhenchao Zhu (Z)

Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Yang Peng (Y)

The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Medical University, Guangzhou, China.

Hsiao Hui Ong (HH)

Department of Otolaryngology, National University of Singapore, National University Health System, Singapore.

Jing Liu (J)

Department of Otolaryngology, National University of Singapore, National University Health System, Singapore.

Minghong Xu (M)

Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Junxiao Gao (J)

Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Hailing Chen (H)

Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

Joshua K Tay (JK)

Department of Otolaryngology, National University of Singapore, National University Health System, Singapore.

Qianhui Qiu (Q)

Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou, China. Electronic address: qiuqianhui@hotmail.com.

De-Yun Wang (DY)

Department of Otolaryngology, National University of Singapore, National University Health System, Singapore. Electronic address: entwdy@nus.edu.sg.

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Classifications MeSH