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Identification of OTX1 and OTX2 As Two Possible Molecular Markers for Sinonasal Carcinomas and Olfactory Neuroblastomas
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Decreased Expression of FOXP3 in Nasal Polyposis.

Kannika Roongrotwattanasiri1, Ruby Pawankar, Satoko Kimura

  • 1Rhinology and Allergy, Nippon Medical School, Tokyo, Japan.

Allergy, Asthma & Immunology Research
|January 3, 2012
PubMed
Summary

Nasal polyposis (NP) shows fewer regulatory T cells (Tregs) expressing FOXP3 compared to allergic rhinitis. This Treg deficiency may explain the heightened Th2 inflammation characteristic of NP.

Keywords:
FOXP3IgENasal polyposisTh2inflammationregulatory T cells

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Area of Science:

  • Immunology
  • Otorhinolaryngology
  • Allergy Research

Background:

  • Nasal polyposis (NP) pathogenesis is not fully understood, though eosinophils, mast cells, and Th2-type cells are implicated.
  • High levels of chemokines like CCL17 and RANTES are observed in NP patients.
  • Regulatory T cells (Tregs), marked by FOXP3 expression, are crucial for immune balance and are decreased in allergic diseases.

Purpose of the Study:

  • To investigate the presence and role of FOXP3+ regulatory T cells (Tregs) in nasal polyposis (NP).
  • To compare Treg numbers in NP patients with those in allergic rhinitis (AR) patients.
  • To determine if Treg levels differ between atopic and non-atopic NP.

Main Methods:

  • Immunohistochemistry was used to quantify FOXP3+ cells in nasal polyps (NP) and nasal mucosa from allergic rhinitis (AR) patients.
  • The study included 17 NP patients and 15 AR patients.
  • FOXP3+ cell counts were compared between NP and AR tissues, and within NP groups (atopic vs. non-atopic).

Main Results:

  • Significantly lower numbers of FOXP3+ cells were found in the lamina propria of NP tissues compared to AR nasal mucosa (2.79 vs. 5.99, P=0.008).
  • Epithelial FOXP3+ cell counts did not differ significantly between NP and AR tissues (3.60 vs. 2.39, P=0.180).
  • CD4+FOXP3+ cell counts were lower in NP than in allergic nasal mucosa, with no difference between atopic and non-atopic NP.

Conclusions:

  • Nasal polyposis exhibits a reduction in regulatory T cells (Tregs) expressing FOXP3 compared to allergic rhinitis.
  • The decreased Treg presence in NP may correlate inversely with the severity of eosinophilic, Th2-type inflammation.
  • A deficiency in Tregs could contribute to the more pronounced Th2-type inflammation observed in nasal polyposis.