Related Experiment Video
Updated: Jun 1, 2026

Measurement of Chitinase Activity in Biological Samples
Published on: August 22, 2019
Expression of chitinases in hypertrophied adenoids of children
Kyung Wook Heo1, Dae Young Hur, Seong Kook Park
1Department of Otorhinolaryngology-Head & Neck Surgery, Inje University College of Medicine, Busan Paik Hospital, Busan, Republic of Korea.
Insights
Acidic mammalian chitinase (AMCase) and chitotriosidase (ChT) are overexpressed in children with hypertrophied adenoids linked to chronic rhinosinusitis (CRS), otitis media with effusion (OME), and allergic rhinitis (AR). This suggests a role for chitinases in these common pediatric conditions.
Area of Science:
- Immunology
- Otolaryngology
- Molecular Biology
Background:
- Chronic rhinosinusitis (CRS), otitis media with effusion (OME), and allergic rhinitis (AR) are prevalent pediatric conditions often linked to adenoid hypertrophy.
- Adenoidectomy is a common clinical intervention for these conditions.
Purpose of the Study:
- To investigate the expression levels and cellular localization of acidic mammalian chitinase (AMCase) and chitotriosidase (ChT) in hypertrophied adenoids.
- To determine the relationship between AMCase and ChT expression and the presence of CRS, OME, and AR in children.
Main Methods:
- Prospective cohort study involving 41 children undergoing adenoidectomy.
- Analysis of adenoid tissue for mRNA and protein expression of AMCase and ChT using RT-PCR and Western blotting.
- Immunohistochemical staining to identify the specific cell types expressing AMCase and ChT.
Main Results:
- Both AMCase and ChT were detected at mRNA and protein levels in all adenoid samples.
- Expression of AMCase was significantly associated with CRS.
- Expression of ChT was significantly associated with CRS, OME, and AR.
- AMCase and ChT were primarily expressed in histiocytes and vascular endothelial cells.
Conclusions:
- Overexpression of AMCase and ChT in hypertrophied adenoids may contribute to CRS, OME, and AR in children.
- Chitin-containing pathogens or aberrant immune responses to them are implicated.
- These findings highlight a potential molecular mechanism underlying these common pediatric airway inflammatory diseases.
Objectives/Hypothesis:
Chronic rhinosinusitis (CRS), otitis media with effusion (OME), and allergic rhinitis (AR) are common conditions that have been associated with hypertrophied adenoids in children, and adenoidectomy is clinically recommended. The investigators assayed the expression level and site of acidic mammalian chitinase (AMCase) and chitotriosidase (ChT) in hypertrophied adenoids of children to determine the expression levels of 2 chitinases in relation to CRS, OME, and AR.
Study Design:
A prospective cohort study.
Setting:
A tertiary care facility.
Methods:
Hypertrophied adenoids from 41 children were harvested during adenoidectomy. Medical records were reviewed and the subjects were grouped according to the presence of CRS, OME, and AR. Messenger RNA (mRNA) and protein expression of AMCase and ChT in adenoid tissues was assessed by reverse transcription polymerase chain reaction and Western blotting. Immunohistochemical staining revealed the sites of AMCase and ChT expression.
Results:
mRNA and protein of AMCase and ChT were present in adenoids of all subjects. CRS was a significant variable in AMCase mRNA and protein expression. CRS, OME, and AR were significant variables in ChT mRNA and protein expression. Both AMCase and ChT were expressed in histiocytes and vascular endothelial cells of adenoid tissues.
Conclusions:
The findings suggest that chitin-containing pathogens or dysregulated immune responses to them in the hypertrophied adenoids of children could be factors contributing to CRS, OME, and AR via AMCase or ChT overexpression.
Related Concept Videos
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Esophageal Achalasia
Cholinesterases: Distribution and Function

