Expression of a disintegrin and metalloproteinase 33 protein in nasal polyposis: an immunohistochemical study

Selim S Erbek1, Hilal Erinanc, Seyra Erbek

  • 1Department of Otolaryngology, Baskent University Faculty of Medicine, Ankara, Turkey. selimerbek@gmail.com

Abstract

Insights

Increased expression of A disintegrin and metalloproteinase (ADAM)-33 was observed in nasal polyposis (NP) tissues. This suggests ADAM-33 plays a role in the development of NP.

Area of Science:

  • Immunology
  • Pathology
  • Otolaryngology

Background:

  • A disintegrin and metalloproteinase (ADAM)-33 is linked to angiogenesis and airway remodeling in asthma.
  • Airway remodeling in asthma and nasal polyposis (NP) share similar histopathological features.

Purpose of the Study:

  • To investigate the expression of ADAM-33 in patients with nasal polyposis.
  • To determine the potential role of ADAM-33 in the pathogenesis of NP.

Main Methods:

  • Immunohistochemical staining was used to detect ADAM-33 expression in 47 NP patients and 8 control subjects.
  • ADAM-33 polyclonal antibodies were used on paraffin-embedded tissue sections.
  • Staining intensity in epithelial cells, stroma, vascular mesenchymal cells, and inflammatory cells was analyzed via light microscopy.

Main Results:

  • Significantly higher ADAM-33 immunopositivity was found in epithelial cells of NP compared to controls (p < 0.001).
  • Increased ADAM-33 staining was observed in vascular mesenchymal cells of nasal polyps versus controls (p = 0.006).
  • No significant correlation was found between ADAM-33 expression and allergies, asthma, aspirin intolerance, polyp stage, or CT scan scores.

Conclusions:

  • Elevated expression of ADAM-33 protein is suggested to be involved in the pathogenesis of nasal polyposis.
  • Further research is warranted to elucidate the precise mechanisms of ADAM-33 in NP development.